CAD-RADS(TM) Coronary Artery Disease - Reporting and Data System. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). Endorsed by the American College of Cardiology

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 applie...

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Published inJournal of cardiovascular computed tomography Vol. 10; no. 4; pp. 269 - 281
Main Authors Cury, Ricardo C, Abbara, Suhny, Achenbach, Stephan, Agatston, Arthur, Berman, Daniel S, Budoff, Matthew J, Dill, Karin E, Jacobs, Jill E, Maroules, Christopher D, Rubin, Geoffrey D, Rybicki, Frank J, Schoepf, U Joseph, Shaw, Leslee J, Stillman, Arthur E, White, Charles S, Woodard, Pamela K, Leipsic, Jonathon A
Format Journal Article
LanguageEnglish
Published United States 01.07.2016
Subjects
Online AccessGet full text
ISSN1876-861X
DOI10.1016/j.jcct.2016.04.005

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Abstract 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.
AbstractList 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.
Author Maroules, Christopher D
Woodard, Pamela K
Agatston, Arthur
Berman, Daniel S
Rubin, Geoffrey D
Shaw, Leslee J
Abbara, Suhny
Schoepf, U Joseph
White, Charles S
Dill, Karin E
Stillman, Arthur E
Jacobs, Jill E
Rybicki, Frank J
Budoff, Matthew J
Leipsic, Jonathon A
Cury, Ricardo C
Achenbach, Stephan
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  fullname: Abbara, Suhny
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  organization: Department of Radiology, 5323 Harry Hines Blvd, Dallas, TX, 75390, United States. Electronic address: Suhny.Abbara@UTSouthwestern.edu
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  givenname: Stephan
  surname: Achenbach
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  email: Stephan.Achenbach@uk-erlangen.de
  organization: Friedrich-Alexander-Universität, Erlangen-Nürnberg, Department of Cardiology, Ulmenweg 18, 90154, Erlangen, Germany. Electronic address: Stephan.Achenbach@uk-erlangen.de
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  givenname: Matthew J
  surname: Budoff
  fullname: Budoff, Matthew J
  email: mbudoff@labiomed.org
  organization: 1124 W. Carson Street, Torrance, CA, 90502, United States. Electronic address: mbudoff@labiomed.org
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  givenname: Karin E
  surname: Dill
  fullname: Dill, Karin E
  email: kdill@radiology.bsd.uchicago.edu
  organization: 5841 South Maryland Ave, MC2026, Chicago, IL, 60637, United States. Electronic address: kdill@radiology.bsd.uchicago.edu
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  givenname: Jill E
  surname: Jacobs
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  givenname: Christopher D
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  givenname: Geoffrey D
  surname: Rubin
  fullname: Rubin, Geoffrey D
  email: grubin@duke.edu
  organization: 2400 Pratt Street, Room 8020, DCRI Box 17969, Durham, NC, 27715, United States. Electronic address: grubin@duke.edu
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  givenname: Frank J
  surname: Rybicki
  fullname: Rybicki, Frank J
  email: frybicki@toh.on.ca
  organization: The Ottawa Hospital General Campus, 501 Smyth Rd, Ottawa, ON, CA K1H 8L6, Canada. Electronic address: frybicki@toh.on.ca
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  givenname: U Joseph
  surname: Schoepf
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  email: schoepf@musc.edu
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  givenname: Leslee J
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  email: aestill@emory.edu
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  givenname: Charles S
  surname: White
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  email: cwhite@umm.edu
  organization: University of Maryland, 22 S. Greene St., Baltimore, MD, 21201, United States. Electronic address: cwhite@umm.edu
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  givenname: Pamela K
  surname: Woodard
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  email: woodardp@mir.wustl.edu
  organization: Mallinckrodt Instit of Radiology, 510 S Kingshighway Blvd, St. Louis, MO, 63110, United States. Electronic address: woodardp@mir.wustl.edu
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  givenname: Jonathon A
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  email: jleipsic@providencehealth.bc.ca
  organization: Department of Radiology|St. Paul's Hospital, 2nd Floor, Providence Building, 1081 Burrard Street, Vancouver, BC, V6Z 1Y6, United States. Electronic address: jleipsic@providencehealth.bc.ca
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Keywords CAD-RADS
Stenosis severity
Reporting and data system
Coronary CTA
Coronary artery disease
Report standardization terminology
Language English
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SubjectTerms Cardiology - standards
Computed Tomography Angiography - standards
Consensus
Coronary Angiography - standards
Coronary Artery Disease - classification
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - therapy
Coronary Stenosis - classification
Coronary Stenosis - diagnostic imaging
Coronary Vessels - diagnostic imaging
Humans
Medical Records - standards
Observer Variation
Predictive Value of Tests
Prognosis
Reproducibility of Results
Severity of Illness Index
Terminology as Topic
Title CAD-RADS(TM) Coronary Artery Disease - Reporting and Data System. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). Endorsed by the American College of Cardiology
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