Dear AuntMinnie Member,
Radiation dose is the elephant in the room of any conversation about cardiac imaging with 64-slice CT scanners. Everyone knows it's there, but few want to talk about it.
That could be about to change thanks to new techniques that are being developed to reduce radiation dose while preserving image quality. One such technique is the subject of an article by staff writer Eric Barnes that we're featuring this week in our CT Digital Community.
Called step-and-shoot imaging, the technique uses prospective gating to move the CT table in increments based on the optimal phase of the cardiac cycle to collect images. The goal is to reduce exposure of the anatomy to overlapping passes of the x-ray beam.
Researchers from Virginia report that step-and-shoot imaging reduces radiation dose by up to 83%. What's more, they observed better image quality with the technique compared to traditional cardiac CT angiography based on retrospective gating.
See for yourself by clicking here, or visit our CT Digital Community, available at ct.auntminnie.com.
















![Images show the pectoralis muscles of a healthy male individual who never smoked (age, 66 years; height, 178 cm; body mass index [BMI, calculated as weight in kilograms divided by height in meters squared], 28.4; number of cigarette pack-years, 0; forced expiratory volume in 1 second [FEV1], 97.6% predicted; FEV1: forced vital capacity [FVC] ratio, 0.71; pectoralis muscle area [PMA], 59.4 cm2; pectoralis muscle volume [PMV], 764 cm3) and a male individual with a smoking history and chronic obstructive pulmonary disorder (COPD) (age, 66 years; height, 178 cm; BMI, 27.5; number of cigarette pack-years, 43.2, FEV1, 48% predicted; FEV1:FVC, 0.56; PMA, 35 cm2; PMV, 480.8 cm3) from the Canadian Cohort Obstructive Lung Disease (i.e., CanCOLD) study. The CT image is shown in the axial plane. The PMV is automatically extracted using the developed deep learning model and overlayed onto the lungs for visual clarity.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/03/genkin.25LqljVF0y.jpg?auto=format%2Ccompress&crop=focalpoint&fit=crop&h=112&q=70&w=112)



