CAD-RADS - a new clinical decision support tool for coronary computed tomography angiography.

Abstract:

:Coronary computed tomography angiography (CTA) has been established as an accurate method to non-invasively assess coronary artery disease (CAD). The proposed 'Coronary Artery Disease Reporting and Data System' (CAD-RADS) may enable standardised reporting of the broad spectrum of coronary CTA findings related to the presence, extent and composition of coronary atherosclerosis. The CAD-RADS classification is a comprehensive tool for summarising findings on a per-patient-basis dependent on the highest-grade coronary artery lesion, ranging from CAD-RADS 0 (absence of CAD) to CAD-RADS 5 (total occlusion of a coronary artery). In addition, it provides suggestions for clinical management for each classification, including further testing and therapeutic options. Despite some limitations, CAD-RADS may facilitate improved communication between imagers and patient caregivers. As such, CAD-RADS may enable a more efficient use of coronary CTA leading to more accurate utilisation of invasive coronary angiograms. Furthermore, widespread use of CAD-RADS may facilitate registry-based research of diagnostic and prognostic aspects of CTA. KEY POINTS:• CAD-RADS is a tool for standardising coronary CTA reports. • CAD-RADS includes clinical treatment recommendations based on CTA findings. • CAD-RADS has the potential to reduce variability of CTA reports.

journal_name

Eur Radiol

journal_title

European radiology

authors

Foldyna B,Szilveszter B,Scholtz JE,Banerji D,Maurovich-Horvat P,Hoffmann U

doi

10.1007/s00330-017-5105-4

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

1365-1372

issue

4

eissn

0938-7994

issn

1432-1084

pii

10.1007/s00330-017-5105-4

journal_volume

28

pub_type

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