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心血管 CT 的培训与服务提供:国际挑战与解决方案。

Training and Service Provision in Cardiovascular CT: International Challenges and Solutions.

机构信息

Department of Radiology, Royal Brompton Hospital, Sydney Street, London, UK.

Department of Cardiology, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK.

出版信息

Curr Cardiol Rep. 2017 Oct 18;19(12):123. doi: 10.1007/s11886-017-0936-9.

DOI:10.1007/s11886-017-0936-9
PMID:29046971
Abstract

PURPOSE OF REVIEW

This manuscript identifies international challenges in cardiovascular CT that may prevent it from becoming a mainstream cardiovascular investigation. It offers potential solutions and a vision to overcome these barriers.

RECENT FINDINGS

The acceptance of cardiovascular CT as a mainstream investigation now mandates a root and branch review of how we deliver a technology that is no longer emerging but recommended for mainstream clinical practice. The main challenges include investment in equipment and personnel and a substantial uplift in educational and training opportunities available. This requires revision of existing structures for training and accreditation and a broadening of these opportunities to include radiographers/technologists. The evidence for cardiovascular CT is overwhelming; the same energy and investment witnessed in driving the evidence base for this technology is now required in education and training. Failure to do so risks undermining the academic investment made over the last decade.

摘要

目的综述

本文确定了心血管 CT 领域的国际挑战,这些挑战可能会阻碍其成为主流心血管检查方法。本文提供了潜在的解决方案和克服这些障碍的愿景。

最近的发现

心血管 CT 作为一种主流检查方法被广泛接受,现在需要全面审查我们如何提供这项技术,因为这项技术已不再是新兴技术,而是推荐用于主流临床实践。主要挑战包括在设备和人员方面的投资,以及提供更多教育和培训机会。这需要修订现有的培训和认证结构,并扩大这些机会,将放射技师/技术员包括在内。心血管 CT 的证据是压倒性的;现在需要投入与推动该技术证据基础相同的精力和投资在教育和培训方面。如果不这样做,可能会危及过去十年的学术投资。

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本文引用的文献

1
Healthcare Policy Statement on the Utility of Coronary Computed Tomography for Evaluation of Cardiovascular Conditions and Preventive Healthcare: From the Health Policy Working Group of the Society of Cardiovascular Computed Tomography.医疗保健政策声明:冠状动脉计算机断层扫描在心血管状况评估和预防保健中的效用:来自心血管计算机断层成像学会的健康政策工作组。
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2
Chest pain of recent onset: assessment and diagnosis (CG95). A step change in the requirement for cardiovascular CT.近期发作的胸痛:评估与诊断(CG95)。心血管CT需求的重大转变。
Clin Radiol. 2017 Sep;72(9):751-753. doi: 10.1016/j.crad.2017.04.020. Epub 2017 Jun 21.
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A prospective national survey of coronary CT angiography radiation doses in the United Kingdom.一项针对英国冠状动脉 CT 血管造影辐射剂量的前瞻性全国调查。
J Cardiovasc Comput Tomogr. 2017 Jul-Aug;11(4):268-273. doi: 10.1016/j.jcct.2017.05.002. Epub 2017 May 8.
4
The Updated NICE Guidelines: Cardiac CT as the First-Line Test for Coronary Artery Disease.更新后的英国国家卫生与临床优化研究所指南:心脏CT作为冠状动脉疾病的一线检测方法
Curr Cardiovasc Imaging Rep. 2017;10(5):15. doi: 10.1007/s12410-017-9412-6. Epub 2017 Mar 27.
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Updates on Stress Imaging Testing and Myocardial Viability With Advanced Imaging Modalities.先进成像模式下应力成像测试与心肌存活的最新进展
Curr Treat Options Cardiovasc Med. 2017 Apr;19(4):26. doi: 10.1007/s11936-017-0525-7.
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Cardiac Computed Tomography and Magnetic Resonance Imaging in the Evaluation of Mitral and Tricuspid Valve Disease: Implications for Transcatheter Interventions.心脏计算机断层扫描和磁共振成像在二尖瓣和三尖瓣疾病评估中的应用:对经导管介入治疗的意义
Circ Cardiovasc Imaging. 2017 Mar;10(3). doi: 10.1161/CIRCIMAGING.116.005331.
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Trials Testing the Value of Imaging Use in Valve Disease and in Transcatheter Valvular Interventions.检测影像学在瓣膜疾病和经导管瓣膜介入治疗中应用价值的临床试验。
JACC Cardiovasc Imaging. 2017 Mar;10(3):286-295. doi: 10.1016/j.jcmg.2016.09.031.
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Energy-sensitive photon counting detector-based X-ray computed tomography.基于能量敏感光子计数探测器的X射线计算机断层扫描。
Radiol Phys Technol. 2017 Mar;10(1):8-22. doi: 10.1007/s12194-017-0390-9. Epub 2017 Jan 30.
9
Monoenergetic reconstructions for imaging of coronary artery stents using spectral detector CT: In-vitro experience and comparison to conventional images.使用光谱探测器CT对冠状动脉支架成像的单能重建:体外实验及与传统图像的比较。
J Cardiovasc Comput Tomogr. 2017 Jan-Feb;11(1):33-39. doi: 10.1016/j.jcct.2016.12.005. Epub 2017 Jan 3.
10
Computational modelling for congenital heart disease: how far are we from clinical translation?先天性心脏病的计算建模:我们距离临床转化还有多远?
Heart. 2017 Jan 15;103(2):98-103. doi: 10.1136/heartjnl-2016-310423. Epub 2016 Oct 25.