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Cardiac CTA Requirements

Clinical Competence in Cardiac CTA

"For all levels of competence, it is expected that the candidate will attend lectures on the basic concepts of CCT and include parallel self-study reading material. A basic understanding of CCT should be achieved, including the physics of CCT imaging, the basics of CCT scan performance, safety issues in CCT performance, post-processing methods, and the basics of CCT interpretation as compared with other cardiovascular imaging modalities, which include echocardiography, nuclear medicine, CMR, and invasive cardiac and peripheral X-ray angiography." Matthew J Budoff et al. 2006 ACCF/AHA Clinical Competence Statement on Cardiac CT and MR.

Level 1 Cardiac CTA

"Defined as the minimal introductory training for familiarity with CCT, but is not sufficient for independent interpretation of CCT images. The individual should have intensive exposure to the methods and the multiple applications of CCT for a period of at least four weeks. This should provide a basic background in CCT for the practice of adult cardiology or for general radiology. During this cumulative four-week experience, individuals should have been actively involved in CCT interpretation under the direction of a qualified (Level 2- or Level 3-trained) physician-mentor. There should be a mentored interpretative experience of at least 50 cases for all studies in which other cardiovascular imaging methods are also available; correlation with CCT findings and interpretation is strongly encouraged and should be included if possible. Independent performance of CCT is not required for Level 1, and the mentored interpretive experience may include studies from an established teaching file or previous CCT cases and also the potential for CD/DVD and on-line training." Matthew J Budoff et al. 2006 ACCF/AHA Clinical Competence Statement on Cardiac CT and MR.

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Level 2 Cardiac CTA

  • Board certification (ACGME Radiology, Cardiology, Nuclear Medicine), or eligibility, valid medical license or Foreign Equivalent; and
  • 150 contrast CCT examinations. For at least 50 of these cases, the candidate must be physically present, and be involved in the acquisition and interpretation of the case; and
  • Evaluation of 50 non-contrast studies; and
  • Completion of 20 hours of lectures and/or CME credits related to CT in general and/or CCT in particular.
      • Maintenance of Competence:
    • 50 Contrast CCT exams conducted and interpreted per year;
    • 20 hours of Category I CME every 36 months of CCT.

Level 3 Cardiac CTA

  • Board certification (ACGME Radiology, Cardiology, Nuclear Medicine), or eligibility, valid medical license or Foreign Equivalent; and
  • 300 contrast CCT examinations. For at least 100 of these cases, the candidate must be physically present, and be involved in the acquisition and interpretation of the case; and
  • Evaluation of 100 non-contrast studies; and
  • Completion of 40 hours of lectures and/or CME credits related to CT in general and/or CCT in particular; and
  • Experience directing a CCT lab; and
  • Peer Recognition (to include at least one of the following)
    • Faculty lecturer for 2 or more CME courses on CCT
    • Fellowship/residency teaching activities
    • Three or more peer reviewed publications in the area of CCT
      • Maintenance of Competence:
    • 100 Contrast CCT exams conducted and interpreted per year;
    • 40 hours of Category I CME every 36 months of CCT.