The Leader in Cardiac CT Education

Welcome to JHU's Cardiac CT Training Site!

COVID-19 UPDATE--With the 2019-2020 academic year complete, we've just finished the 14th year of the Johns Hopkins Cardiac CT Practicum.  The last 6 courses were smoothly and successfully converted to a virtual format to meet the challenges posed by the pandemic.  We hope everybody will have a great summer, and we wish all our participants in the course who are taking the boards, good luck.  We are scheduled to resume in September, and have just now (July 16) made the decision to conduct the September 2020 course in the virtual format.  We are hoping that in November we can revert to in-person teaching, but whether that will be possible is currently uncertain.  We have found that to accomplish the studies required for level II in the virtual format requires very long days (8:30 AM to 7:30 PM x 5 days).  Those participants who wish to acquire the additional cases now necessary for CBCCT Board eligibility will have to devote one additional day.  This will probably be on the Saturday following the scheduled 5 day course.

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 does this 52 yo TSA agent has CP while X-raying your luggage?
Answer: His RCA is occluded.
How severe is the lesion in the distal RCA?
Answer: 100%.
Where is this LAD location likely to be more severe, A or B ?
Answer: A; calcification exaggerates the stenosis.
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 70 year old woman with a calcium score of zero complains of chest pain. What is the abnormality?
Answer: Severe stenosis in proximal LAD.
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 does this young man with chest trauma have elevation of troponin?
Answer: There is occlusion of the right posterolateral 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.
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.
Which vessel is anomalous? Is there a risk of sudden death?
Answer: LAD. No, it is not between Ao and PA.
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 are there runs of non-sustained VT?
Answer: There is a focal lateral aneurysm due to cardiac sarcoidosis.
Why does the patient have CHF with normal LV function?
Answer: He has constrictive pericarditis.

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