Donut of Destiny

Hosts Praveen Ranganath, MD and Kashif Shaikh, MD speak with the legendary Dr. Jim Min about the past, present, and future roles of CT in understanding coronary atherosclerosis. Tune in and enjoy!

In the second part of this interview with the esteemed Dr. Khurram Nasir , new cohosts Michael Gannon and Dixitha Anugula join Praveen Ranganath explore coronary calcium in the context of chest pain, access to care, and future endeavors. 

In the first part of this interview with the esteemed Dr. Khurram Nasir , new cohosts Michael Gannon and Dixitha Anugula join Praveen Ranganath to discuss coronary calcium scoring and preventive cardiology.

Alastair and Praveen discuss the recent RAPID-CTCA trial out of the UK. Does coronary CTA in the ED lead to fewer adverse events? Tune in and find out!

Welcome to a new season of the podcast! Praveen and Nidhi are joined by new voices, Suvasini Lakshmanan, MD and Kashif Shaikh, MD, to break down the new 2021 multisociety chest pain guidelines in the context of cardiac CT. Tune in and enjoy!

Alastair and Praveen are joined by Dr. Campbell Rogers, CMO and executive VP at HeartFlow, to discuss the recently-published FORECAST trial. What are the economic and clinical outcomes of selective FFRct use in stable chest pain? Tune in and enjoy! 

Alastair and Praveen   discuss the science, history, and clinical utility of aortic valve calcium scoring by cardiac CT. Tune in and enjoy! 

Nidhi Madan joins Alastair and Praveen to discuss the current guidelines in cardiac CT education, training, and competency with a focus on the recently published 2020 SCCT guidelines  .

Alastair and Praveen are joined by AI-virtuoso and friend Alexander Van Rosendael to discuss new developments in artificial intelligence for cardiac imaging. How can AI shape the future of cardiac imaging? Tune in and enjoy! References: CONFIRM substudy  PARADIGM substudy Multiregistry study on automated calcium scoring   

Host Praveen Ranganath  responds to the recently-published provocative JAMA Internal Medicine Patient Page article titled "Should I Get a Coronary CT Scan?". Tune in and enjoy! 

Alastair and Praveen @PraveenRangan9 are joined by the renowned Dr. Jonathon Leipsic @JonathonLeipsic to discuss plaque characterization and cardiac CT. In this first part of a two part conversation, Dr. Leipsic and our hosts discuss the recent data behind plaque morphology.

Alastair and Praveen ( @PraveenRangan9 ) continue the second part of their conversation on plaque characterization and cardiac CT with the esteemed Dr. Jonathon Leipsic ( @JonathonLeipsic ). In this second part of a two part conversation, Dr. Leipsic and our hosts discuss the technical considerations, critiques, and future outlooks on complex plaque characterization by CT.

Alastair and Praveen are joined by Dr. Charley Taylor to discuss the coronary lumen volume to myocardial mass ratio (V/M), an advanced technique in characterizing coronary physiology from CTA data. Tune in and enjoy! 

Nidhi Madan and Praveen Ranganath continue the conversation on FFRct by dissecting the results of the ADVANCE registry . How can FFRct impact real world decision making? Tune in and find out!

Praveen Ranganath is joined by new voice Nidhi Madan  on this episode reviewing the ins and outs of CT-FFR. Are you curious about where CT-FFR started, how it works, how it was validated, and where it's going next? Well then tune in and enjoy!

Alastair and Praveen continue their discussion on HALT and TAVR in this episode with a breakdown of the recently-published GALILEO-4D CT substudy . What impact does anticoagulation have on HALT? Tune in and find out! 

On this episode, Alastair and Praveen are joined by Dr. Michelle Williams to follow-up a previous episode on adverse plaque features from a subanaylsis of the SCOT-HEART trial. Dr. Williams is one of the SCOT-HEART trial principal investigators and the lead author of the trials' recent adverse plaque subanalysis. Dr. Williams provides her expert insight on the science and future of CT adverse...

Is subclinical valve thrombosis in TAVR really all that bad? Alastair and Praveen dive into structural cardiac CT in this episode focused on the recent PARTNER 3 CT substudy. Tune in and enjoy!   Link to trial publication: https://www.onlinejacc.org/content/75/24/3003

Alastair and Praveen discuss the recently published subanalysis of the SCOT-HEART trial focused on low attenuation noncalcified plaque. What is really more important in the assessment of coronary artery disease: plaque or stenosis? Tune in and find out! https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.119.044720

Building on last episode, Alastair and Praveen dive further into the role of CT and ACS by breaking down the CARMENTA trial. Can we safely defer a trip to the cath lab with a #YesCCT first strategy? Tune in and find out! 

On this episode, Alastair and Praveen talk about how coronary CTA was used for an NSTEMI population in a substudy of the VERDICT trial. Does coronary CTA accurately characterize CAD in certain ACS patients? Tune in and find out! 

On this episode, Alastair and Praveen take a deeper dive into COVID-19 and cardiac CT focusing on differentiating COVID-related myocardial injury from acute coronary syndromes.

On this episode of the Donut of Destiny, Alastair and Praveen discuss COVID in the context of cardiac CT.  Topics covered include: what are the typical and atypical CT appearances of COVID that may be incidentally identified on cardiac CT what precautions should be taken when scanning COVID patients what are some new roles of cardiac CT in the post-COVID era Tune in and enjoy!    References: Corre...

In this kickoff episode of The Donut of Destiny, hosts Alastair and Praveen dive into the recent ISCHEMIA trial, focusing on its relation to and impact on cardiac CT. How did cardiac CT shape the ISCHEMIA trial population? How will trial results change the way we use cardiac CT in suspected ischemia? Tune in and find out!