Journal
JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY
Volume 10, Issue 4, Pages 269-281Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcct.2016.04.005
Keywords
Coronary artery disease; Coronary CTA; CAD-RADS; Reporting and data system; Stenosis severity; Report standardization terminology
Funding
- NIH
- GE Healthcare
- Edwards Lifesciences
- Neovasc
- Tendyne
- HeartFlow
- Samsung
- Astellas
- Bayer
- Bracco
- General Electric
- Medrad
- Siemens
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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. (C) 2016 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.
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