Image For Activity Cover
The Future of Cardiovascular Computed Tomography: Advanced Analytics and Clinical Insights (JACC: Cardiovascular Imaging June 2019)

Cardiovascular computed tomography (CT) has undergone rapid maturation over the prior decade and is now of proven clinical utility in the diagnosis and management of coronary artery disease, in guiding structural heart disease intervention, and in the diagnosis and treatment of congenital heart disease. The next decade will undoubtedly witness further advances in hardware and advanced analytics that will potentially see an increasingly core role for cardiovascular CT at the center of clinical cardiovascular practice. In coronary artery disease assessment, this may be via improved hemodynamic adjudication and shear stress analysis using computational flow dynamics (CFD), more accurate and robust plaque characterization with spectral or photon-counting CT, or advanced quantification of CT data via artificial intelligence, machine learning, and radiomics. In structural heart disease, cardiovascular CT is already pivotal to procedural planning with adjudication of gradients both prior to and following intervention whereas, in congenital heart disease, cardiovascular CT is already used to support clinical decision making from neonates to adults, often with minimal radiation dose. In both these areas, the role of CFD, advanced tissue printing, and image modeling has the potential to revolutionize the way these complex conditions are managed; cardiovascular CT is likely to become an increasingly critical enabler across the whole advancing field of cardiovascular medicine.


Y.S. Chandrashekhar, MD, DM, FACC

CME Editor
Ragavendra R. Baliga, MD

Jonathan Leipsic, MD

CME/MOC/ECME Information

Target Audience

JACC Journal CME/MOC is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: June 3, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: June 2, 2020

Learner Objectives

After reading this article the reader should be able to:

  • Explain the current and developing role of cardiac computed tomography (CT) for ischemic, congenital, and structural heart disease.
  • Discuss technological advancements in cardiac CT and the current path being taken by most vendors to help improve image quality while lowering radiation dose exposure.
  • Explain the current state and future opportunities for cardiac CT to noninvasively identify, characterize, and quantify atherosclerosis to help advance an understanding of risk and mechanisms of ischemia.
  • Introduce the current and evolving role of advanced analytics such as computational fluid dynamics to allow for treatment guidance of coronary stenosis and understanding of personalized risk of procedural comlications during transcatheter interventions.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.

Requesting AMA PRA Category 1 CME Credit™ and/or MOC, or ECME credit for this Activity
To request credit, you must:

  1. Read the article for which you wish to receive credit.
  2. Answer the self-assessment questions. After you have answered all the questions in the post test, you need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
  3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
  4. For CME or COP credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim.
  5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
  6. For ECME credit, click the Claimbutton in the row for ECME. Please note that you may only claim once for this activity. Enter your date of birth and click Submit.
  7. The page will be updated with the date and time that you claimed your credit.
  8. To view your credit, or to print a certificate, please go to and navigate to the My Transcript section of My ACC.

This CME/MOC-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/MOC certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/MOC-certified activity.

Availability: On-Demand
Cost: FREE
Credit Offered: 1 CME Credit
1 ECME Credit
1 MOC Credit
Powered By