ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography
- 23 November 2010
- journal article
- practice guideline
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation
- Vol. 122 (21), e525-e555
- https://doi.org/10.1161/cir.0b013e3181fcae66
Abstract
The American College of Cardiology Foundation, 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 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. 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 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 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.Keywords
This publication has 14 references indexed in Scilit:
- SCCT guidelines for performance of coronary computed tomographic angiography: A report of the Society of Cardiovascular Computed Tomography Guidelines CommitteeJournal of Cardiovascular Computed Tomography, 2009
- SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiographyJournal of Cardiovascular Computed Tomography, 2009
- ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 Appropriateness Criteria for Stress EchocardiographyCirculation, 2008
- ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging⁎⁎Developed in accordance with the principles and methodology outlined by ACCF: Patel MR, Spertus JA, Brindis RG, Hendel RC, Douglas PS, Peterson ED, Wolk MJ, Allen JM, Raskin IE. ACCF proposed method for evaluating the appropriateness of cardiovascular imaging. J Am Coll Cardiol 2005;46:1606–13.Journal of the American College of Cardiology, 2006
- ACCF Proposed Method for Evaluating the Appropriateness of Cardiovascular ImagingJournal of the American College of Cardiology, 2005
- ACCF/AHA Clinical Competence Statement on Cardiac Imaging With Computed Tomography and Magnetic ResonanceJournal of the American College of Cardiology, 2005
- ACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina—Summary ArticleCirculation, 2003
- ACC/AHA 2002 Guideline Update for Exercise Testing: Summary ArticleCirculation, 2002
- Development and Validation of a Clinical Score to Estimate the Probability of Coronary Artery Disease in Men and Women Presenting with Suspected Coronary DiseaseAmerican Journal Of Medicine, 1997
- Analysis of Probability as an Aid in the Clinical Diagnosis of Coronary-Artery DiseaseNew England Journal of Medicine, 1979