CAD-RADS™ 2.0 - 2022 Coronary Artery Disease - Reporting and Data System An Expert Consensus Document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Cardiology (ACC), the American College of Radiology (ACR) and the North America Society of Cardiovascular Imaging (NASCI).

Autor:	Cury RC; Miami Cardiac and Vascular Institute and Baptist Health of South Florida, 8900 N Kendall Drive, Miami FL, 33176, USA., Leipsic J; Department of Radiology, University of British Columbia, Canada., Abbara S; Department of Radiology, UT Southwestern Medical Center, Dallas, TX, USA., Achenbach S; Friedrich-Alexander-Universität, Department of Cardiology, Ulmenweg 18, 90154, Erlangen, Germany., Berman D; Cedars-Sinai Medical Center, USA., Bittencourt M; Division of Cardiology, University of Pittsburgh, USA., Budoff M; David Geffen School of Medicine, UCLA, USA., Chinnaiyan K; Beaumont Hospital, Royal Oak, MI, USA., Choi AD; The George Washington University School of Medicine, USA., Ghoshhajra B; Department of Radiology, Massachusetts General Hospital, USA., Jacobs J; NYU Langone Medical Center, 550 First Avenue, New York, NY, 10016, USA., Koweek L; Department of Radiology, Duke University, USA., Lesser J; Division of Cardiology, Minneapolis Heart Institute, USA., Maroules C; Naval Medical Center Department of Radiology, USA., Rubin GD; Department of Medical Imaging, University of Arizona, USA., Rybicki FJ; Department of Radiology, University of Cincinnati College of Medicine, USA., Shaw LJ; Icahn School of Medicine at Mount Sinai, USA., Williams MC; University of Edinburgh, UK., Williamson E; Department of Radiology, Mayo Clinic, USA., White CS; University of Maryland, USA., Villines TC; Division of Cardiology, University of Virginia Health System, USA., Blankstein R; Brigham and Women's Hospital, Harvard Medical School, USA.
Jazyk:	angličtina
Zdroj:	Radiology. Cardiothoracic imaging [Radiol Cardiothorac Imaging] 2022 Sep 22; Vol. 4 (5), pp. e220183. Date of Electronic Publication: 2022 Sep 22 (Print Publication: 2022).
DOI:	10.1148/ryct.220183
Abstrakt:	Coronary Artery Disease Reporting and Data System (CAD-RADS) was created to standardize reporting system for patients undergoing coronary CT angiography (CCTA) and to guide possible next steps in patient management. The goal of this updated 2022 CAD-RADS 2.0 is to improve the initial reporting system for CCTA by considering new technical developments in Cardiac CT, including data from recent clinical trials and new clinical guidelines. The updated CAD-RADS classification will follow an established framework of stenosis, plaque burden, and modifiers, which will include assessment of lesion-specific ischemia using CT fractional-flow-reserve (CT-FFR) or myocardial CT perfusion (CTP), when performed. Similar to the method used in the original CAD-RADS version, the determinant for stenosis severity classification will be the most severe coronary artery luminal stenosis on a per-patient basis, ranging from CAD-RADS 0 (zero) for absence of any plaque or stenosis to CAD-RADS 5 indicating the presence of at least one totally occluded coronary artery. Given the increasing data supporting the prognostic relevance of coronary plaque burden, this document will provide various methods to estimate and report total plaque burden. The addition of P1 to P4 descriptors are used to denote increasing categories of plaque burden. The main goal of CAD-RADS, which should always be interpreted together with the impression found in the report, remains to facilitate communication of test results with referring physicians along with suggestions for subsequent patient management. In addition, CAD-RADS will continue to provide a framework of standardization that may benefit education, research, peer-review, artificial intelligence development, clinical trial design, population health and quality assurance with the ultimate goal of improving patient care. Keywords: Coronary Artery Disease, Coronary CTA, CAD-RADS, Reporting and Data System, Stenosis Severity, Report Standardization Terminology, Plaque Burden, Ischemia Supplemental material is available for this article. This article is published synchronously in Radiology: Cardiothoracic Imaging, Journal of Cardiovascular Computed Tomography, JACC: Cardiovascular Imaging, Journal of the American College of Radiology , and International Journal for Cardiovascular Imaging . © 2022 Society of Cardiovascular Computed Tomography. Published by RSNA with permission. Competing Interests: Declaration of competing interest :*In accordance with SCCT policy, writing group members and reviewers are required to disclose relationships with industry; see Appendices 1 and 2 for detailed information. (© 2022 by the Radiological Society of North America, Inc.)
Databáze:	MEDLINE
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