CAD-RADS™: Coronary Artery Disease - Reporting and Data System

被引:79
作者
Cury, Ricardo C. [1 ]
Abbara, Suhny [2 ]
Achenbach, Stephan [3 ]
Agatston, Arthur [4 ]
Berman, Daniel S. [5 ]
Budoff, Matthew J. [6 ]
Dill, Karin E. [7 ]
Jacobs, Jill E. [8 ]
Maroules, Christopher D. [2 ]
Rubin, Geoffrey D. [9 ]
Rybicki, Frank J. [10 ]
Schoepf, U. Joseph [11 ]
Shaw, Leslee J. [12 ]
Stillman, Arthur E. [13 ]
White, Charles S. [14 ]
Woodard, Pamela K. [15 ]
Leipsic, Jonathon A. [16 ]
机构
[1] Baptist Hosp Miami, Miami Cardiac & Vasc Inst, 8900 N Kendall Dr, Miami, FL 33176 USA
[2] Dept Radiol, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
[3] Friedrich Alexander Univ, Dept Cardiol, Ulmenweg 18, D-90154 Erlangen, Germany
[4] Baptist Hlth Med Grp, 1691 Michigan Ave, Miami, FL 33139 USA
[5] Cedars Sinai Med Ctr, 8700 Beverly Blvd,Taper Bldg,Rm 1258, Los Angeles, CA 90048 USA
[6] 1124 W Carson St, Torrance, CA 90502 USA
[7] 5841 South Maryland Ave,MC2026, Chicago, IL 60637 USA
[8] 550 First Ave, New York, NY 10016 USA
[9] 2400 Pratt St,Room 8020,DCRI Box 17969, Durham, NC 27715 USA
[10] Ottawa Hosp Gen Campus,501 Smyth Rd, Ottawa, ON K1H 8L6, Canada
[11] 25 Courtenay Dr, Charleston, SC 29425 USA
[12] 1256 Briarcliff Rd NE,Rm 529, Atlanta, GA 30324 USA
[13] 1364 Clifton Rd NE, Atlanta, GA 30322 USA
[14] Univ Maryland, 22 S Greene St, Baltimore, MD 21201 USA
[15] Mallinckrodt Inst Radiol, 510 S Kingshighway Blvd, St Louis, MO 63110 USA
[16] St Pauls Hosp, Dept Radiol, 2nd Floor,Providence Bldg,1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada
关键词
Coronary artery disease; coronary CTA; CAD-RADS; reporting and data system; stenosis severity; report standardization terminology; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; APPROPRIATE USE CRITERIA; ACUTE CHEST-PAIN; CT ANGIOGRAPHY; EMERGENCY-DEPARTMENT; SCCT GUIDELINES; HEART-FAILURE; SOCIETY; TRIAGE;
D O I
10.1016/j.jacr.2016.04.024
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The intent of CAD-RADS Coronary Artery Disease Reporting and Data System is to create a standardized method to communicate findings of coronary CT angiography (coronary CTA) in order to facilitate decision-making regarding further patient management. The suggested CAD-RADS classification is applied on a per-patient basis and represents the highest-grade coronary artery lesion documented by coronary CTA. It ranges from CAD-RADS 0 (Zero) for the complete absence of stenosis and plaque to CAD-RADS 5 for the presence of at least one totally occluded coronary artery and should always be interpreted in conjunction with the impression found in the report. Specific recommendations are provided for further management of patients with stable or acute chest pain based on the CAD-RADS classification. The main goal of CAD-RADS is to standardize reporting of coronary CTA results and to facilitate communication of test results to referring physicians along with suggestions for subsequent patient management. In addition, CAD-RADS will provide a framework of standardization that may benefit education, research, peer-review and quality assurance with the potential to ultimately result in improved quality of care.
引用
收藏
页码:1458 / 1466
页数:9
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