Cardiac CT Angiography Board Review
Course price is $500 and Includes 20 CME
This is a comprehensive Self-Study program for Radiologists and Cardiologists wishing to maintain credentials as well as update their interpretive and didactive skills. These materials will be presented in an on-line format where the student will evaluate didactic material, images and animations relevant to the study of Cardiac CTA. This course was designed as a board review for the CBCCT as well as a comprehensive Cardiac CTA review. This course covers the following topics:

1. Cardiac CT Angiography Basics: CT technology, scan planning, acquisition, image formation, reconstruction, and viewing formats
2. Calcium Scoring: A complete overview of calcium scoring as well as the data to support it
3. Important Concepts in Radiation: Factors of radiation production and safety as well as application of radiation sparing techniques
4. Patient Selection: Criteria surrounding the patient selection process and importance of adequate patient preparation / selection
5. Cardiac CT Angiography Data: Disease Prevalence VS Predictive Value and analyzing diagnostic accuracy
6. Artifacts: Improve accuracy in reading, identify artifacts and pitfalls in image interpretation.
7. Coronary Anatomy, Anomalies, Stents and Grafts: Identify and evaluate anatomy, anomalies and stent bypass graft interpretation
8. Noncoronary Cardiac Findings: Identify important noncoronary cardiac findings assessed on CT
9. Noncardiac Findings: Identify noncardiac findings that may be seen on CT.
10. Simulated Board Examination: Assess abilities with a mini CBCCT mock exam complete with static images and movies in similar format to that which is seen on the CBCCT exam itself.
MDT's faculty are are all Level III trainers, diplomats of the CBCCT and skilled teachers that possess the unique ability to make difficult topics easy to understand and remember. After each section there are questions and corresponding explanations to test your knowledge and enhance your experience.
+ Learning Objectives
1) Comprehensive review of CT scanner technology, scan planning, acquisition, image formation, reconstruction, and viewing formats for the reader and or technologist of cardiac CT.
2) A complete overview of calcium scoring as well as the data to support it.
3) Factors influencing radiation production and radiation safety as it relates to cardiac CT. Application of radiation sparing techniques.
4) Appropriate criteria surrounding the patient selection process for cardiac CT and the importance of adequate patient preparation and selection for cardiac CT.
5) Disease prevalence VS Predictive value and analyzing diagnostic accuracy of Cardiac CTA and the data that support its use.
6) Improve accuracy in reading cardiac CT, identify the artifacts and pitfalls in image interpretation.
7) Successfully identify and evaluate coronary anatomy, coronary anomalies and stent and bypass graft interpretation using cardiac CT.
8) Identify important noncoronary cardiac findings assessed by cardiac CTA.
9) Identify noncardiac findings that may be seen on cardiac CTA.
10) Assess abilities with a mini CBCCT mock exam complete with static images and movies in similar format to that which is seen on the CBCCT exam itself.\
+ Practice Gap
Multi-slice CT angiography is becoming commonplace as a diagnostic tool in an expanding suite of clinical indications. With the continued increase in acceptance and usage of Cardiac Computed Tomography Angiography (Cardiac CTA), there is a growing demand for Cardiologists and Radiologists that are board certified in Cardiac CTA. Many of these physicians have been trained to interpret Cardiac CTA and seek to sit for and pass the Cardiac CTA Board Examination.
+ Needs Assessment Summary
MDT's Cardiac CTA Faculty believe that in this ever changing medical environment where imaging is heavily scrutinized, board certification in cardiac CT angiography will become ever more important to assure reimbursement and credentialing.
Given that it is ever more important to be board certified and that physicians are very busy and need to minimize time away from practice and home, a self assessment, on line, at home, board review program that is concise, complete and to the point is essential to efficient board review preparation.
Prospective imaging is now routine for radiation reduction. Lower Kv may be used when possible for radiation reduction and utilizing iterative reconstruction for radiation reduction. ECG dose modulation is always in effect. This courses content covers these techniques and protocols and outlines their applications to the participant.
In recent years, clinical trials have been published identifying new uses for CT Angiography in The Emergency Room for triage, in clearance of patients before non- cardiac surgery, in assessment of intermediate risk patients with uninterruptible stress tests or who are unable to exercise. Also, with each passing year there are improvements in procedural protocols and in radiation dose reduction which impacts image quality.
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Internal Journal of Cardiology 132 (2009) 25-29; J.Am.Coll.CArdiol.Intv.2008;1;176-182; JAMA. 2007;298(3):317-323 Int J Cardiovasc Imaging (2008) 24:331-342; Journal of Cardiovascular Computed Tomography (2009) Article in Press
+ More About the Authors

Robert Pelberg M.D., FACC, FAHA, FASE, FASNC, FSCCT
The Christ Hospital, Cincinnati OH
Assistant Professor of Clinical Medicine
Co-Director, Vascular CT Training
Director, SCCT Regional Workgroup
Disclosures: Dr. Pelberg is a member of the speakers bureau for Gilead, Abbott, GSK and Novartis. He is also a trainer and Cardiac CTA course content provider for MD Training @home.

Wojiech Mazur M.D., FACC
The Christ Hospital, Cincinnati OH
Director Advanced Cardiac Imaging
Associate Professor of Clinical Medicine
Pediatrics Regional Workgroup
Founding member of SCCT
Disclosures: Dr. Mazur is a course content provider and trainer for Cardiac CTA and Echocardiography at MD Training @home.
+ CME Details
Status: Upon completion of the program and quiz questions, the participant will earn 20 PRA Category I CME credits
Target Audience: Cardiologists and Radiologists
Release Date: 5/1/11 for a period of 2 years
Expiration Date: 4/30/13
+ Method of Participation
The course consists of two online components: Didactics and Quizzing. Didactic material review and Quizzes will be presented in an on-line format where participants will interact with the materials within MD Training @home's web based eLearning cloud, axion. The program requires no specialized connection or software and also supports all major browsers on PC and Mac platforms.
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