0:00

So thank you for, uh, attending this course.

0:03

I hope we found it useful.

0:04

Uh, we tried to focus on the concepts we touched on in the

0:09

introduction and, uh, hammer that home with a lot of cases.

0:13

Just in summary, a few points that I think,

0:15

uh, important to remember.

0:16

Um, really recommend that you know

0:18

and use the cadrad classifications

0:20

to speak a common language

0:22

and to do that across your service for all readers.

0:25

Um, multiplanar reformatted images,

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and if you have them, curve planar reformatted

0:29

images should be interpreted.

0:30

So don't just use axial or Corona sal images.

0:33

Uh, stenosis grading is inherently imprecise, so we try

0:37

to bucket things into broad categories.

0:39

As you've learned with Cadres 2.0, invasively, FFR

0:43

and I-F-R-D-F-R, all those other ones are ways

0:46

that functional significance can be assessed.

0:48

You need to know about that

0:49

and know what your local lab does,

0:51

and then know how you might dovetail with that.

0:53

Calcium scoring can be helpful.

0:55

We talked a lot about the role of seeing calcium

0:58

for CT for planning.

0:59

It's never enough if you have symptoms, but it's an adjunct.

1:02

So we do an non-con scan, but we never stop there.

1:04

You must do the CTA myocardial

1:07

function and profusion can help.

1:08

Um, both looking at CT images,

1:10

we looked at the wall thickness,

1:11

we looked at profusion at first pass.

1:13

We also looked, uh, at some cases

1:15

where function was assessed.

1:16

And that's an adjunct

1:18

and it can be helpful if cts run into limitations

1:20

of its spatial, uh, resolution.

1:23

Um, so it's, it's an important adjunct when you have it

1:25

and you always at least have some look at, uh,

1:28

static first pass perfusion.

1:29

'cause every CTA is also a look at the myocardium.

1:32

And then, um, those functional images as well as the FFR,

1:37

the IFR, the C-T-F-F-R-F-F-R ct, just another way to say it,

1:40

um, those can help identify the vessel territory

1:43

of interest when there is a ambiguity about what's the

1:45

significant lesion.

1:47

And then just to remember

1:48

that we talked a lot about chronic total occlusion.

1:50

Those are cases where you know, the anatomy

1:52

before you do the ct.

1:53

So you're just looking to work through your algorithm to add

1:55

that additional information

1:57

and insight for your invasive angiographers.

2:00

So thank you for your attention

2:01

and we hope you enjoyed the course.