We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App

Existing Chest CT Scans Can Predict Risk of Heart Attack or Death during Major Surgeries

By MedImaging International staff writers
Posted on 06 Mar 2023
Print article
Image: Existing chest scans offer new opportunities for predicting surgical risks (Photo courtesy of Pexels)
Image: Existing chest scans offer new opportunities for predicting surgical risks (Photo courtesy of Pexels)

Major surgeries, which generally involve vital organs, increase the risk for heart attack, stroke, and death in patients. Physicians generally determine the risk of such events by conducting additional cardiac tests, although these can delay surgery and raise healthcare costs. Now, a new study has found that rather than using special heart scans, physicians can utilize images of the chest captured months earlier, and for other reasons, to measure a patient’s risk of heart attack or death during major surgeries.

Researchers at NYU Grossman School of Medicine (New York City, NY, USA) analyzed existing computed tomography (CT) scans to estimate levels of hardened (calcified) fatty plaque deposits in the heart's three largest blood vessels. It was found that patients with higher buildup of this plaque had greater chances of developing serious health issues post surgery. It is common for most patients to already have chest images from prior screenings for lung conditions such as pneumonia and lung cancer. So, the research team decided to explore whether physicians without any formal training in imaging were capable of identifying coronary calcium on these preexisting tests in order to arrive at accurate predictions and do away with additional CT scans.

For the study, the researchers examined the electronic health record of 2,650 men and women age 45 and older who had undergone surgery unrelated to the heart between January 2016 and September 2020 at NYU Langone hospitals. This information included the type of procedure and instances of death and heart attack, among other details. All these patients had also undergone a general CT scan of their chests less than a year before their surgery. Those patients with death or heart attack during the hospitalization for surgery were then identified.

Next, four team members without any formal training in CT interpretation were given a 90-minute training session in which they were taught to estimate coronary calcium severity from the imaging. The scoring system used in the study rated the plaque buildup in each of the heart's three major coronary arteries on a three-point scale ranging from "absent" to "severe." The scores were then combined to a final grade ranging from 0 to 9. The results showed that patients having scores from 0 to 2 had a 4% or lower risk of major adverse cardiac events (MACE); patients with scores from 3 to 5 had an 8% risk; and patients having scores from 6 to 9 faced a 13% risk. Additionally, the researchers found the calcium estimates to be consistent among the physicians, indicating that the rating system was reliable.

"Our findings show that imaging already on hand can help physicians make practical decisions about surgical risks, even though such tests may not be as precise as those designed for this purpose," said lead author Daniel Choi, MD, a cardiology fellow at NYU Langone Health.

"Our coronary calcium assessment is easy to use and requires minimal training, and so offers a cost-effective tool that can be implemented in any medical practice," said study co-senior author and cardiologist Robert Donnino, MD.

"While evaluating cardiac risks before surgery is helpful, it will be important to find new strategies to prevent adverse events after the procedure and improve survival," added study co-senior author and cardiologist Nathaniel Smilowitz, MD. "Future studies might explore ways to reduce heart attacks without causing additional bleeding at the surgical site, perhaps by studying therapies that reduce inflammation during surgery."

Related Links:
NYU Grossman School of Medicine

Gold Supplier
Electrode Solution and Skin Prep
Gold Supplier
Ultrasound System
Forensic Imaging System
Double Sided Apron

Print article



view channel
Image: Intelligent NR provides high-quality diagnostic images containing significantly less grainy noise (Photo courtesy of Canon)

AI-Driven DR System Produces Higher Quality Images While Limiting Radiation Doses in Pediatric Patients

Ionizing radiation is a fundamental element in producing diagnostic X-rays, yet it's widely acknowledged for its cancer risk potential. Digital projection radiography, a vital imaging modality, accounts... Read more


view channel
Image: The researchers are using MRI-guided radiation therapy that pairs daily MRIs with radiation treatment (Photo courtesy of Sylvester)

AI Technique Automatically Traces Tumors in Large MRI Datasets to Guide Real-time Glioblastoma Treatment

Treating glioblastoma, a prevalent and aggressive brain cancer, involves the use of radiation therapy guided by CT imaging. While this method is effective in targeting radiation, it doesn't provide real-time... Read more


view channel
Image: The new ultrasound patch can measure how full the bladder is (Photo courtesy of MIT)

Ultrasound Patch Designed to Monitor Bladder and Kidney Health Could Enable Earlier Cancer Diagnosis

Bladder dysfunction and related health issues affect millions worldwide. Monitoring bladder volume is crucial for assessing kidney health. Traditionally, this requires a visit to a medical facility and... Read more

Nuclear Medicine

view channel
Image: A novel PET radiotracer facilitates early, noninvasive detection of IBD (Photo courtesy of Karmanos)

New PET Radiotracer Aids Early, Noninvasive Detection of Inflammatory Bowel Disease

Inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, is an inflammatory condition of the gastrointestinal tract affecting roughly seven million individuals globally.... Read more

Imaging IT

view channel
Image: The new Medical Imaging Suite makes healthcare imaging data more accessible, interoperable and useful (Photo courtesy of Google Cloud)

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more

Industry News

view channel
Image: Attendees can discover innovative products and technology in the RSNA 2023 Technical Exhibits (Photo courtesy of RSNA)

RSNA 2023 Technical Exhibits to Offer Innovations in AI, 3D Printing and More

The 109th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA, Oak Brook, IL, USA) to be held in Chicago, Nov. 26 to 30 is all set to offer a vast array of medical... Read more
Copyright © 2000-2023 Globetech Media. All rights reserved.