ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance
Allen J Taylor, Manuel Cerqueira, John McB Hodgson, Daniel Mark, James Min, Patrick O'Gara, Geoffrey D Rubin, American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society of Cardiovascular Computed Tomography, American College of Radiology, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, North American Society for Cardiovascular Imaging, Society for Cardiovascular Angiography and Interventions, Society for Cardiovascular Magnetic Resonance, Christopher M Kramer, Daniel Berman, Alan Brown, Farooq A Chaudhry, Ricardo C Cury, Milind Y Desai, Andrew J Einstein, Antoinette S Gomes, Robert Harrington, Udo Hoffmann, Rahul Khare, John Lesser, Christopher McGann, Alan Rosenberg, Robert Schwartz, Marc Shelton, Gerald W Smetana, Sidney C Smith Jr, Christopher M Kramer, Allen J Taylor, Daniel Berman, Alan Brown, Farooq A Chaudhry, Ricardo C Cury, Milind Y Desai, Andrew J Einstein, Antoinette S Gomes, Robert Harrington, Udo Hoffmann, Rahul Khare, John Lesser, Christopher McGann, Alan Rosenberg, Robert Schwartz, Marc Shelton, Gerald W Smetana, Sidney C Smith Jr, Michael Atalay, Matthew Budoff, Tracy Callister, Jeffrey Carr, Su Min Chang, Benjamin Cheong, Kavitha Chinnaiyan, Philip Costello, E Gordon DePuey, Andrew J Einstein, Lee Fleisher, Mario Garcia, Thomas Gerber, Raymond Gibbons, Harvey Hecht, Milena Henzlova, Jill Jacobs, Scott Jerome, Norman Kato, Richard Kovacs, Michael Lauer, John Mahmarian, David Malenka, Frederick A Masoudi, Julie Miller, Debabrata Mukherjee, Meagan Murphy, Jagat Narula, John Nixon, E Magnus Ohman, Michael H Picard, Michael Poon, Miguel Quinones, Daniel Rader, Rita Redberg, U Joseph Schoepf, Samuel Wann, William Guy Weigold, Jonathan Weinsaft, William Weintraub, Kim Allan Williams, Michael J Wolk, Steven Bailey, Pamela S Douglas, Robert C Hendel, Christopher M Kramer, James Min, Manesh R Patel, Leslee Shaw, Raymond F Stainback, Joseph M Allen, Allen J Taylor, Manuel Cerqueira, John McB Hodgson, Daniel Mark, James Min, Patrick O'Gara, Geoffrey D Rubin, American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society of Cardiovascular Computed Tomography, American College of Radiology, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, North American Society for Cardiovascular Imaging, Society for Cardiovascular Angiography and Interventions, Society for Cardiovascular Magnetic Resonance, Christopher M Kramer, Daniel Berman, Alan Brown, Farooq A Chaudhry, Ricardo C Cury, Milind Y Desai, Andrew J Einstein, Antoinette S Gomes, Robert Harrington, Udo Hoffmann, Rahul Khare, John Lesser, Christopher McGann, Alan Rosenberg, Robert Schwartz, Marc Shelton, Gerald W Smetana, Sidney C Smith Jr, Christopher M Kramer, Allen J Taylor, Daniel Berman, Alan Brown, Farooq A Chaudhry, Ricardo C Cury, Milind Y Desai, Andrew J Einstein, Antoinette S Gomes, Robert Harrington, Udo Hoffmann, Rahul Khare, John Lesser, Christopher McGann, Alan Rosenberg, Robert Schwartz, Marc Shelton, Gerald W Smetana, Sidney C Smith Jr, Michael Atalay, Matthew Budoff, Tracy Callister, Jeffrey Carr, Su Min Chang, Benjamin Cheong, Kavitha Chinnaiyan, Philip Costello, E Gordon DePuey, Andrew J Einstein, Lee Fleisher, Mario Garcia, Thomas Gerber, Raymond Gibbons, Harvey Hecht, Milena Henzlova, Jill Jacobs, Scott Jerome, Norman Kato, Richard Kovacs, Michael Lauer, John Mahmarian, David Malenka, Frederick A Masoudi, Julie Miller, Debabrata Mukherjee, Meagan Murphy, Jagat Narula, John Nixon, E Magnus Ohman, Michael H Picard, Michael Poon, Miguel Quinones, Daniel Rader, Rita Redberg, U Joseph Schoepf, Samuel Wann, William Guy Weigold, Jonathan Weinsaft, William Weintraub, Kim Allan Williams, Michael J Wolk, Steven Bailey, Pamela S Douglas, Robert C Hendel, Christopher M Kramer, James Min, Manesh R Patel, Leslee Shaw, Raymond F Stainback, Joseph M Allen
Abstract
The American College of Cardiology Foundation (ACCF), along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical scenarios where cardiac computed tomography (CCT) is frequently considered. The present document is an update to the original CCT/cardiac magnetic resonance (CMR) appropriateness criteria published in 2006, written to reflect changes in test utilization, to incorporate new clinical data, and to clarify CCT use where omissions or lack of clarity existed in the original criteria (1). The indications for this review were drawn from common applications or anticipated uses, as well as from current clinical practice guidelines. Ninety-three clinical scenarios were developed by a writing group and scored by a separate technical panel on a scale of 1 to 9 to designate appropriate use, inappropriate use, or uncertain use. In general, use of CCT angiography for diagnosis and risk assessment in patients with low or intermediate risk or pretest probability for coronary artery disease (CAD) was viewed favorably, whereas testing in high-risk patients, routine repeat testing, and general screening in certain clinical scenarios were viewed less favorably. Use of noncontrast computed tomography (CT) for calcium scoring was rated as appropriate within intermediate- and selected low-risk patients. Appropriate applications of CCT are also within the category of cardiac structural and functional evaluation. It is anticipated that these results will have an impact on physician decision making, performance, and reimbursement policy, and that they will help guide future research.
Source: PubMed