The Leader in Cardiac CT Education

Welcome to JHU's Cardiac CT Training Site!

COVID-19 UPDATE--We have recently completed the 18th year of the Johns Hopkins Cardiac CT Practicum.  All courses since mid-March 2020 were held with a unique virtual format to meet the challenges posed by the pandemic.  This approach has been popular and although the pandemic is behind us, we will continue it for now.  All lectures and interactive sessions are held live, using Zoom.  Participants are equipped with cloud based workstations which have all the capabilites of advanced local workstations but can be run from the users home or work-based platform.  All scheduled courses in the near future will be structured in this way.  

BOARD ELIGIBILITY UPDATE--Since July 2020 the CBCCT has required a much greater number of cases (250) for board eligibility.  We have accomplished this without compromising our well known clinical and multimodality correlations, by extending our hours (8:30AM to 7:30PM) for the one week of scheduled activities, and by reviewing additional cases during a series of flexible "office hours" during the week following the course.  The intense nature of this course has become more demanding with the new requirements! Please be prepared to spend additional time interpreting these cases in the weeks following the course to assure your eligibility for Level II verification and the CBCCT board examination.

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 and dual source scanner 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 2000 physicians in a wide variety of programs meeting criteria for ACC/AHA Level I, II, and III certification.

Welcome to this site. Click here for more information about our Level 2/3 training program, or contact us to discuss whether our CT course wll meet your needs.

Why does this young man with chest trauma have elevation of troponin?
Answer: There is occlusion of the right posterolateral artery.
What is in the left atrial appendage in this woman with AF?
Answer: There is no thrombus. This is artifact due to LA stasis.
Why are there runs of non-sustained VT?
Answer: There is a focal lateral aneurysm due to cardiac sarcoidosis.
Where is this LAD location likely to be more severe, A or B ?
Answer: A; calcification exaggerates the stenosis.
Which vessel is anomalous? Is there a risk of sudden death?
Answer: LAD. No, it is not between Ao and PA.
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.
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.
How severe is the lesion in the distal RCA?
Answer: 100%.
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.
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.
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)
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.
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.

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