The Leader in Cardiac CT Education

Welcome to JHU's Cardiac CT Training Site!

COVID-19 UPDATE--All courses have successfully converted to a fully virtual format, with participants working on Vitrea workstations located on the Amazon cloud, all lectures and interactive sessions conducted by Zoom, and full group participation in live cases accomplished through a unique interface with the technician, cardiologist, and the scanner console.  As of 5/5/2020 several spaces are still available in the courses scheduled for June 8-12 and June 15-19.  These will allow for qualification for the Cardiac CT Boards BEFORE the case numbers increase this summer!  Reservations for classes scheduled for 2020-2021 academic year are being taken; of course, it is still uncertain whether these will be conducted in-person or not.

Cardiac CT has been utilized as a clinical, research, and teaching tool at Johns Hopkins since February, 2003, with first 16, then 32, 64, and now 320 detector scanners in use at Johns Hopkins Bayview Medical Center and Johns Hopkins Hospital. We have gathered a broad experience in CT image acquisition and interpretation, and have imaged thousands of patients with a wide range of indications and findings. CT research at Johns Hopkins has focused on clinical correlations, image acquisition techniques, plaque imaging, perfusion, viability, and other issues. Active CT teaching programs have been ongoing since late 2003; the faculty has developed expertise in teaching techniques of CT interpretation and has trained over 1200 physicians in a wide variety of programs meeting criteria for ACC/AHA Level I, II, and III certification.

Welcome to this site, which is devoted to our various teaching programs. Click here for more information about our Level 2/3 training program, or contact us to discuss weter our CT course wll meet your needs.

Why did this 68 year old man do poorly after replacement of aortic valve with a porcine bioprosthesis?
Answer: There is a spiculated lung mass which turned out to be lung ca.
Why are there runs of non-sustained VT?
Answer: There is a focal lateral aneurysm due to cardiac sarcoidosis.
This 70 year old woman with a calcium score of zero complains of chest pain. What is the abnormality?
Answer: Severe stenosis in proximal LAD.
What is in the left atrial appendage in this woman with AF?
Answer: There is no thrombus. This is artifact due to LA stasis.
This 34 yo woman had atypical chest pain. Comment on plaque characteristics.
Answer: There is positive remodeling and spotty calcification. The extent of disease can be quantified using special software. Low density plaque is highlighted in red, intermediate density plaque in blue, and calcified plaque in yellow.
Where is this LAD location likely to be more severe, A or B ?
Answer: A; calcification exaggerates the stenosis.
Why does this 52 yo TSA agent has CP while X-raying your luggage?
Answer: His RCA is occluded.
Why does the patient have CHF with normal LV function?
Answer: He has constrictive pericarditis.
Why does this young man with chest trauma have elevation of troponin?
Answer: There is occlusion of the right posterolateral artery.
How severe is the lesion in the distal RCA?
Answer: 100%.
Why is the RV enlarged?
Answer: There is a sinus venosus ASD, marked with yellow angle on this oblique still image. As expected, partial anomalous pulmonary venous return is also present (purple arrow)
Which vessel is anomalous? Is there a risk of sudden death?
Answer: LAD. No, it is not between Ao and PA.
This 27 yo's father had MI at age 27. He adheres to a healthy lifestyle. Has he dodged the genetic bullet?
Answer: No. There is non-obstructive disease in the LAD.
What is a potential cause of post-exercise syncope in this young man?
Answer: Anomalous origin of the RCA, coursing between aorta and pulmonary artery.

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