The Cardiopulmonary Section is dedicated to state-of-the-art imaging of the thorax. Imaging modalities include digital computed radiography, direct radiography, computed tomography (CT), CT angiography, high resolution CT of the lungs for interstitial lung disease and magnetic resonance imaging (MRI).
Topics of interest include lung cancer, cystic lung disease, interstitial lung disease, mediastinal masses, occupational lung disease, cardiomyopathy, heart failure, valvular pathology, cardiac masses, structural heart disease, and adult congenital heart disease.
The physicians in this section are responsible for lung cancer imaging at UC and participate in UC’s Lung Cancer Research Study Group and Thoracic Tumor Board. They participate in a multidisciplinary lung cancer screening program in accordance with NCCN (National Comprehensive Cancer Network) guidelines. We are an ACR accredited site for lung cancer screening and participate in ACR registry.
These physicians provide the imaging expertise for the multidisciplinary UC Center for Interstitial Lung Disease and supply imaging support for multiple drug trials investigating the treatment of idiopathic pulmonary fibrosis and sarcoidosis.
Drs. Kapur, Shipley, and Stephens are National Institute for Occupational Safety and Health certified B-readers providing CXR interpretation for individuals suspected of occupational lung disease (coal dust, silica or asbestos exposure). Only approximately 200 physicians currently hold this certification that is mandatory for readers who classify radiographs for federal surveillance to include NIOSH Coal-Worker's X-Ray Surveillance program and other industry-sponsored medical surveillance programs. If you require B-reader services from a NIOSH certified B-reader please contact: Jackie Blackburn, Department of Radiology UCMC, Phone: 513-584-7359. Email: firstname.lastname@example.org
The collaborative Cardiac Imaging Team relies on the expertise of two academic departments - Cardiology and Radiology. The strong collaboration between UC cardiologists and radiologists is unlike any other in the area. We work closely with our colleagues from Cardiology and Cardiac Surgery.
The program is dedicated to state-of-the-art noninvasive imaging of the heart. Imaging modalities include computed tomography (CT), Nuclear Medicine and magnetic resonance imaging (MRI). A 3D post-processing lab, consisting of technologists and post-processing workstations, provides cutting edge reconstruction capability, and is an integral part of the cardiac imaging program.
CT and MRI of the heart provide exquisite images of the heart in any desired orientation. Both modalities can provide information on structural and functional abnormalities of the heart. Cardiac CT provides excellent spatial resolution resulting in detailed evaluation of coronary arteries including evaluation of course and caliber), while Cardiac MRI excels at tissue characterization and functional evaluation.
Cardiac imaging with multi-detector helical CT is available at three locations: University of Cincinnati Medical Center (UCMC); West Chester Hospital; and the Medical Arts Building. Cardiac CTA is performed on Revolution GE CT scanners. Exams are tailored to individual patients, resulting in the lowest possible radiation dose.
Cardiovascular Magnetic Resonance (CMR) is a non-invasive imaging technique that allows for the assessment of cardiac structure and function without the need for ionizing radiation. Cardiac Magnetic Resonance Imaging is performed with one of two 1.5 T GE Optima 450W scanners.
Image post-processing is performed in the 3D lab by a team of highly trained 3D technologists at one the available workstations: Vitrea or Advantage. MRI post processing is performed on Cvi42 workstation.
Cardiac Nuclear Medicine Exams are performed within the dedicated Nuclear Medicine Section.
Cardiac MRI, CT and Nuclear Cardiology Imaging exams offered are listed below (Please note this is not a complete list):
- Coronary calcium scoring
- Coronary artery imaging by CT angiography and MRI
- Preoperative evaluation for watchman device placement surgery
- Preoperative evaluation for TAVR valve placement
- Preoperative evaluation for MIDCAB/minimally invasive coronary surgery
- preoperative evaluation for atrial fibrillation ablation surgery
- Ischemic heart disease
- Viability Imaging
- stress cardiac MRI
- Evaluating heart failure
- Evaluation of non-ischemic Cardiomyopathy
- Dilated Cardiomyopathy
- Hypertrophic Cardiomyopathy
- Arrythmogenic Right Ventricular Cardiomyopathy
- Tako-Tsubo Cariomyopathy
- Cardiac Amyloidosis
- Cardiac Sarcoidosis
- Iron-overload Cardiomyopathy
- Anderson-Fabry's disease
- Cardiac Structural and Functional Analysis
- Cardiac Mass Evaluation
- Evaluation of Valve Disease
- Adult Congenital heart disease
- Evaluation of pericardial disease
- Parametric mapping - T1, T2 and t2* mapping
- 4D flow
- Cardiac Positron Emission Tomography (PET)
Dr. Frank Rybicki, Professor in the Department of Radiology and a cardiopulmonary imager, has a decade of 3D printing experience and is a pioneer in this field. The 3D printing team creates 3D models of medical scans. The models help provide personalized care to patients and aid physicians in making treatment related decisions.
An 18 month cardiopulmonary core-curriculum is offered to residents and fellows in Radiology.
Multi-disciplinary conferences Pulmonary Imaging.
- Thoracic Oncology Conference
- Pulmonary Conference
- Radiology-Pathology Correlation Conference
- Interstitial Lung Disease Consensus Conference
- Connective tissue disease - Interstitial Lung Disease Consensus Conference
Multi-disciplinary conferences Cardiac Imaging
- Weekly Structural Heart Disease Conference
- Bimonthly Nuclear Medicine Cath Correlation Conference
- Biweekly Cardiac Imaging Conference
Cardiac Imaging Teaching File
RESCUE trial (ACRIN trial)
UCMC is a participating site for the ACRIN RESCUE (Randomized Evaluation of Patients with Stable Angina Comparing Utilization of Diagnostic Examinations) trial in collaboration with Cincinnati VA Medical Center. This randomized, controlled, diagnostic, multicenter, phase III trial will assess two imaging technologies - coronary computed tomography angiography (CCTA) and single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) - in diagnosing cardiac disease in patients with stable angina or angina equivalent.
Textural analysis: A novel imaging Biomarker for sub-solid lung nodules
Principal Investigator: Sangita Kapur, MD. An IRB approved retrospective study to determine the diagnostic accuracy of CT texture analysis of part-solid lung nodules to differentiate pre-invasive lesions from minimally invasive and invasive adenocarcinoma.
Fellowship in Cardiopulmonary Imaging
The American College of Radiology (ACR) and the Radiological Society of North America (RSNA) provide descriptions of various radiologic tests and other procedures on their website. RadiologyInfo answers patient questions related to many radiologic procedures and therapies. Click here for specific information on Chest Radiography, CT Angiography, Coronary CT Angiography, Coronary CT for calcium scoring, Chest MRI, and Cardiac MRI