- x-ray east, level 6, Derriford Hospital, Derriford Road, Plymouth, Devon, PL14 3QY
- +44 1752 792185
- carl.roobottom@plymouth.ac.uk
Profiles
Dr Carl Roobottom
Honorary Consultant - Radiology
Plymouth University Peninsula Schools of Medicine and Dentistry (NC)
Role
Chair of Radiology
Qualifications
I am a general clinical Radiologist with special interest incardio-thoracic imaging and Head of the Peninsula Radiology Academy. Since 2010I have a 5-session contract with Plymouth University as Chair of Radiology.
Teaching interests
Teaching Interests
I am involved in development of the Undergraduate Curriculum, particularly the utilisation of cross sectional imaging to deliver anatomy training.
I am head of the Radiology Academy; a post graduate school on the Derriford site which delivers all aspect of training to post graduate doctors to become consultants. The purpose built facility has a 140 seat lecture theatre, uses a number of novel teaching methods (including simulators) and was described by Marin Marshall (Deputy Chief Medical Officer) as a "shining light for all specialities in his assessment in 2008.
Research interests
Research Interests
Virtual Post-Mortem
An imaging alternative to invasive PM. Our work has shown it is a viable alternative to conventional post-mortem in selected conditions. Work published Lancet 2012.
Cardiac Computed Tomography
Have developed the technique from a research tool (2003) to an important clinical tool recommended by NICE. Largest clinical experience in UK. Developed all the training & accreditation tools for the UK. Advisor to NICE, Royal Colleges & DoH on subject. Over 50 publications of the subject.
Low dose CT
New techniques to provide CT at same x-ray doses as plain films.
Key publications are highlighted
Journals
Articles
2016
'Determining the haemodynamic significance of arterial stenosis: the relationship between CT angiography, computational fluid dynamics, and non-invasive fractional flow reserve'
Clinical Radiology
71,
(8)
750-757
, DOI
PEARL
2016
'Diagnostic accuracy of high-definition CT coronary angiography in high-risk patients'
Clinical Radiology
71,
(2)
151-158
, DOI
2016
'Recommendations for accurate CT diagnosis of suspected acute aortic syndrome (AAS)—on behalf of the British Society of Cardiovascular Imaging (BSCI)/British Society of Cardiovascular CT (BSCCT)'
The British Journal of Radiology
89,
(1061)
20150705-20150705
, DOI
2016
'The safe practice of CT coronary angiography in adult patients in UK imaging departments'
Clinical Radiology
71,
(8)
722-728
, DOI
2016
'Virtual Special Issue Radiation dose reduction in CT: dose optimisation gains both increasing importance and complexity!'
Clinical Radiology
71,
(5)
438-441
, DOI
2015
'CT coronary angiography in atrial fibrillation: a comparison of radiation dose and diagnostic confidence with retrospective gating vs prospective gating with systolic acquisition'
The British Journal of Radiology
88,
(1055)
20150533-20150533
, DOI
2015
'Model-Based Iterative Reconstruction in Low-Dose CT Colonography—Feasibility Study in 65 Patients for Symptomatic Investigation'
Academic Radiology
22,
(5)
563-571
, DOI
2015
'Safety of intravenous β-adrenoceptor blockers for computed tomographic coronary angiography'
Br J Clin Pharmacol
79,
(3)
533-536
, DOI
2015
'The value of digital tomosynthesis of the chest as a problem-solving tool for suspected pulmonary nodules and hilar lesions detected on chest radiography'
European Journal of Radiology
84,
(5)
1012-1018
, DOI
2014
'Assessment of the myocardium with cardiac computed tomography'
Eur Heart J Cardiovasc Imaging
15,
(6)
603-609
, DOI
2014
'Bicuspid aortic valves: diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT'
Eur J Radiol
83,
(8)
1396-1401
, DOI
2014
'High-dose intravenous metoprolol usage for reducing heart rate at CT coronary angiography: efficacy and safety'
Clin Radiol
69,
(7)
739-744
, DOI
2014
'Image comparative assessment using iterative reconstructions: clinical comparison of low-dose abdominal/pelvic computed tomography between adaptive statistical, model-based iterative reconstructions and traditional filtered back projection in 65 patients'
Invest Radiol
49,
(4)
209-216
, DOI
2013
'Assessment of image quality on effects of varying tube voltage and automatic tube current modulation with hybrid and pure iterative reconstruction techniques in abdominal/pelvic CT: a phantom study'
Invest Radiol
48,
(3)
167-174
, DOI
2013
'Comparison of image quality between filtered back-projection and the adaptive statistical and novel model-based iterative reconstruction techniques in abdominal CT for renal calculi'
Insights Imaging
4,
(5)
661-669
, DOI
2013
'Computed tomography to diagnose coronary artery disease: a reduction in radiation dose increases applicability'
Clin Radiol
68,
(4)
340-345
, DOI
2013
'Image quality assessment of standard- and low-dose chest CT using filtered back projection, adaptive statistical iterative reconstruction, and novel model-based iterative reconstruction algorithms'
AJR Am J Roentgenol
200,
(3)
545-552
, DOI
2013
'Rationale and design of the ViCTORY (Validation of an Intracycle CT Motion CORrection Algorithm for Diagnostic AccuracY) trial'
J Cardiovasc Comput Tomogr
7,
(3)
200-206
, DOI
2013
'The national evolution of cardiovascular CT practice: A UK NHS perspective'
INTERNATIONAL JOURNAL OF CARDIOLOGY
168,
(3)
3001-3003
, DOI
2013
'The role of multidetector computed tomography coronary angiography in imaging complications post-cardiac surgery'
Clin Radiol
68,
(5)
e254-e265
, DOI
2013
'Visual expertise in detecting and diagnosing skeletal fractures'
Skeletal Radiol
42,
(2)
165-172
, DOI
2012
'Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study'
LANCET
379,
(9811)
136-142
, DOI
2012
'Practical dosimetry methods for the determination of effective skin and breast dose for a modern CT system, incorporating partial irradiation and prospective cardiac gating'
Br J Radiol
85,
(1011)
237-248
, DOI
2012
'Pulmonary venous evaluation using electrocardiogram-gated 64-detector row cardiac CT'
Br J Radiol
85,
(1015)
965-971
, DOI
2011
'Pictorial review: computed tomography features of cardiovascular emergencies and associated imminent decompensation'
Emerg Radiol
18,
(2)
127-138
, DOI
2011
'Technical report: diagnosis of coronary artery disease using minimally invasive autopsy: evaluation of a novel method of post-mortem coronary CT angiography'
Clin Radiol
66,
(7)
645-650
, DOI
2011
'The role of non-invasive imaging in patients with suspected acute coronary syndrome'
Br J Radiol
84 Spec No 3,
S269-S279
, DOI
2010
'A comparison of radiation doses between state-of-the-art multislice CT coronary angiography with iterative reconstruction, multislice CT coronary angiography with standard filtered back-projection and invasive diagnostic coronary angiography'
Heart
96,
(12)
922-926
, DOI
2010
'Cardiac CT: are we underestimating the dose? A radiation dose study utilizing the 2007 ICRP tissue weighting factors and a cardiac specific scan volume'
Clin Radiol
65,
(12)
1013-1017
, DOI
2010
'Coronary arterial microfistulae: a CT coronary angiography perspective'
J Cardiovasc Comput Tomogr
4,
(4)
279-280
, DOI
2010
'Imaging the pericardium: appearances on ECG-gated 64-detector row cardiac computed tomography'
Br J Radiol
83,
(987)
194-205
, DOI
2010
'Prognostic value of coronary multidetector CT angiography in patients with an intermediate probability of significant coronary heart disease'
Br J Radiol
83,
(988)
327-330
, DOI
2010
'Radiation-reduction strategies in cardiac computed tomographic angiography'
Clin Radiol
65,
(11)
859-867
, DOI
2009
'Post myocardial infarction left ventricular free wall rupture diagnosed by multidetector computed tomography'
BMJ Case Rep
2009,
, DOI
2009
'Prognostic and accuracy data of multidetector CT coronary angiography in an established clinical service'
Clin Radiol
64,
(6)
601-607
, DOI
2008
'Cardiomyopathy: appearances on ECG-gated 64-detector row computed tomography'
CLINICAL RADIOLOGY
63,
(4)
464-474
, DOI
2008
'Imaging the heart valves using ECG-gated 64-detector row cardiac CT'
Br J Radiol
81,
(964)
275-290
, DOI
2008
'Impaired left ventricular function has a detrimental effect on image quality in multi-detector row CT coronary angiography'
Clin Radiol
63,
(4)
415-423
, DOI
2008
'Investigating severe interscapular pain'
BMJ
337,
2008
'Rational imaging - Investigating severe interscapular pain'
BRITISH MEDICAL JOURNAL
337,
(7666)
, DOI
2008
'Usefulness of 64-detector row computed tomography for evaluation of intracoronary stents in symptomatic patients with suspected in-stent restenosis'
Am J Cardiol
101,
(11)
1567-1573
, DOI
2007
'Multi-detector row CT coronary angiography in patients with cardiomyopathy – initial single-centre experience'
Clinical Radiology
62,
(7)
632-638
, DOI
2007
'Post myocardial infarction left ventricular free wall rupture diagnosed by multidetector computed tomography'
Heart
93,
(6)
, DOI
2007
'Prognostic and accuracy data for multi-detector CT coronary angiography in clinical use'
EUROPEAN HEART JOURNAL
28,
720-720
2006
'16-detector row computed tomographic coronary angiography in patients undergoing evaluation for aortic valve replacement: comparison with catheter angiography'
Clinical Radiology
61,
(9)
749-757
2006
'Carcinoid heart disease as shown by 64-slice CT coronary angiography'
Eur Heart J
27,
(19)
, DOI
2006
'Giant coronary artery aneurysm secondary to Kawasaki disease: diagnosis in an adult by multi-detector row CT coronary angiography'
Br J Radiol
79,
(946)
e133-e136
, DOI
2006
'Intramyocardial bridging of the left anterior descending artery: appearance of arterial compression on ECG gated multidetector row CT'
Heart
92,
(2)
262-262
, DOI
2006
'Radial artery pseudoaneurysm post-cardiac catheterisation: imaging with multidetector row CT peripheral angiography'
Heart
92,
(7)
, DOI
2005
'A comparison of a 'J' wire and a straight wire in successful antegrade cannulation of the superficial femoral artery'
Clin Radiol
60,
(1)
112-115
, DOI
2005
'Efficacy and complications of Angioseal in antegrade puncture'
Eur J Radiol
56,
(3)
409-412
, DOI
2005
'Highly accurate coronary angiography with submillimetre, 16 slice computed tomography'
Heart
91,
(3)
308-313
, DOI
2005
'Hyperdense pericardial effusion in dermatomyositis and contrast induced nephropathy'
Emerg Radiol
11,
(3)
177-179
2005
'Multidetector row computed tomography: imaging congenital coronary artery anomalies in adults'
Heart
91,
(12)
1515-1522
, DOI
2005
'Multi-detector row computed tomography: imaging in acute aortic syndrome'
Clin Radiol
60,
(12)
1256-1267
, DOI
2005
'Multi-detector row computed tomography: imaging the coronary arteries'
Clin Radiol
60,
(9)
939-952
, DOI
2005
'Multidetector row CT angiography of the lower limb arteries: a prospective comparison of volume-rendered techniques and intra-arterial digital subtraction angiography'
Clin Radiol
60,
(1)
85-95
, DOI
2005
'Popliteal pseudoaneurysm secondary to a tibial osteochondroma: diagnosis with multi-detector row computed tomographic angiography'
Emerg Radiol
11,
(3)
132-135
2005
'Spontaneous coronary artery dissection: appearance and follow-up on multi-detector row CT coronary angiography'
Clin Radiol
60,
(10)
1120-1125
, DOI
2004
'A leaking breast prosthesis presenting as an abdominal mass'
Br J Radiol
77,
(921)
790-791
, DOI
2004
'Dilatation of the aorta in pure, severe, bicuspid aortic valve stenosis'
Am Heart J
147,
(4)
736-740
, DOI
2003
'Anomalous aortic arch anatomy: three dimensional visualisation with multislice computed tomography'
Postgrad Med J
79,
(929)
2003
'Calcified patent ductus arteriosus diagnosed following aortic valve replacement'
Ann Thorac Surg
76,
(1)
271-273
2003
'Electrocardiographic gated multislice computed tomography of the thoracic aorta'
Heart
89,
(8)
2003
'Images in cardiology: Partial anomalous pulmonary venous drainage in adulthood'
Clin Cardiol
26,
(9)
2003
'Images in cardiovascular medicine. Tumor-like calcification of the mitral annulus: diagnosis with multislice computed tomography'
Circulation
107,
(2)
355-356
2003
'Morphologic assessment of patent ductus arteriosus in adults using retrospectively ECG-gated multidetector CT'
AJR Am J Roentgenol
181,
(3)
749-754
, DOI
2003
'Multislice computed tomographic coronary angiography: experience in a UK centre'
Clin Radiol
58,
(5)
378-383
2003
'Refined computed tomography of the thoracic aorta: the impact of electrocardiographic assistance'
Clin Radiol
58,
(8)
581-588
2003
'The effect of reporting speed on plain film reporting errors'
Clin Radiol
58,
(12)
971-979
2003
'Thoracic aorta at multi-detector row CT: motion artifact with various reconstruction windows'
Radiology
228,
(2)
583-588
, DOI
2003
'Three dimensional volume quantification of aortic valve calcification using multislice computed tomography'
Heart
89,
(10)
1191-1194
2003
'Tumor-Like Calcification of the Mitral Annulus: Diagnosis With Multislice Computed Tomography'
Circulation
107,
(2)
355-356
, DOI
2003
'Ultrasound guided thrombin injection to treat a pseudoaneurysm secondary to chronic pancreatitis'
European Journal of Vascular and Endovascular Surgery
26,
(4)
448-449
2002
'Aortic valve imaging with computed tomography: a review'
J Heart Valve Dis
11,
(5)
604-611
2002
'Endovascular repair of spontaneous non-aneurysmal aortocaval fistula'
Eur J Vasc Endovasc Surg
24,
(3)
276-278
2002
'Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms'
Cardiovasc Intervent Radiol
25,
(2)
115-118
, DOI
2002
'Images in cardiology: Computed tomography of the aortic valve'
Heart
88,
(2)
2002
'Multislice computed tomography cardiac imaging: current status'
Clin Radiol
57,
(10)
872-882
2002
'Right coronary artery aneurysm diagnosed with multislice computed tomographic angiography'
Heart
88,
(4)
2002
'The in vitro and in vivo ultrasonographic appearances of the angio-seal percutaneous closure device'
Clin Radiol
57,
(10)
930-936
2002
'Urgent contrast enhanced computed tomography in the diagnosis of acute bowel infarction'
Emerg Med J
19,
(5)
480-481
2001
'Progression of peri-aortic fibrosis despite endovascular repair of an inflammatory aneurysm'
Eur J Vasc Endovasc Surg
21,
(6)
567-568
, DOI
Letters
2011
'Letter to the editor: Post-thoracocentesis chest radiograph - is it time for a change in practice?'
Br J Radiol
84,
(1003)
, DOI
2010
'Intense adrenal enhancement: a feature of hypoperfusion complex'
AJR Am J Roentgenol
195,
(1)
, DOI
2010
'Radiation exposure from cardiac computed tomography'
JACC Cardiovasc Imaging
3,
(11)
1201-1202
, DOI
2006
'Use of a semi-automated left ventricular "rapid ejection fraction" algorithm with 16-detector row CT and comparison with two-dimensional echocardiography: initial experience in a UK centre'
Clin Radiol
61,
(2)
206-208
, DOI
2005
'Can the "vortex sign" be used as an imaging indicator of the false lumen in acute aortic dissection?'
Clin Radiol
60,
(9)
1037-1038
, DOI
2005
'Recent advances in non-invasive cardiology: coronary angiography using computed tomography has been underplayed'
BMJ
330,
(7493)
731-732
, DOI
2004
'Aortic valve calcification on computed tomography predicts the severity of aortic stenosis'
Clin Radiol
59,
(2)
2003
'Flash pulmonary oedema: accurate evaluation of the renal arteries with multislice computed tomography'
Heart
89,
(10)
1251-1252
Conference Papers
2013
'HIGH DEFINITION CT CORONARY ANGIOGRAPHY FOR THE PRIMARY INVESTIGATION OF CHEST PAIN AFTER REVASCULARISATION'
//0
//0
A70-A70
, DOI
2012
'DIAGNOSTIC ACCURACY OF HIGH DEFINITION COMPUTED TOMOGRAPHIC CORONARY ANGIOGRAPHY COMPARED TO INVASIVE CORONARY ANGIOGRAPHY IN THE ASSESSMENT OF PATIENTS WITH HIGH PRE-TEST PROBABILITY OF OR ESTABLISHED CORONARY ARTERY DISEASE'
//0
//0
A58-A58
, DOI
2011
'RADIATION DOSES TRENDS FROM CARDIAC CT USING A CARDIAC SPECIFIC CONVERSION FACTOR: SYSTEM UNDERSTANDING & AN OPTIMISATION STRATEGY SIGNIFICANTLY REDUCES THE DOSE TO THE PATIENTS IN A CLINICAL SERVICE'
//0
//0
A65-A66
, DOI
2010
'A comparison of effective dose estimates from cardiac MDCT using the latest tissue weighting factors and previously published conversion factors'
//0
//0
140-140
2010
'A comparison of radiation doses between multi-slice computed tomography coronary angiography and invasive diagnostic coronary angiography using the latest ICRP tissue weightings'
//0
//0
140-140
2010
'Diagnosis of Coronary Artery Disease Using Minimally Invasive Autopsy: Evaluation of a Novel Method of Post-Mortem Coronary CT Angiography'
//0
//0
S20-S20
2007
'Negative multidetector coronary cta in symptomatic patients confers a good one-year prognosis'
//0
//0
A22-A23
2004
'A comparative analysis of sixteen slice virtual computerised tomographic bronchoscopy and conventional fibre optic video bronchoscopy in patients with suspected thoracic malignancy'
//0
//0
34-34
2004
'Highly accurate non-invasive coronary angiography using sub-millimetre multislice computed tomography'
//0
//0
A56-A57
2003
'Multislice computed tomographic volume quantification of aortic valve calcification: reproducibility and relationship to echocardiographic parameters'
//0
//0
647-647
, DOI
2003
'Non-invasive coronary angiography with multislice computed tomography: Accuracy in comparison to invasive coronary angiography'
//0
//0
A45-A45