News | CT Angiography (CTA) | June 17, 2016

Multi-Society Group Releases CAD-RADS for Standardized Coronary CT Angiography Reporting

System designed to bring uniformity to reporting of stenosis and plaque on coronary CTA

CAD-RADS, coronary CT angiography, CCTA, reporting, SCCT, ACR, NASCI, ACC

A coronary CTA scan from a Philips CT scanner illustrating a curved multiplaner reconstruction showing a large occlusion of the artery. 

June 17, 2016 — Three medical professional societies this week jointly released a new reporting system to standardize reporting of patients undergoing coronary computed tomography angiography (coronary CTA). Termed CAD-RADS  (Coronary Artery Disease Reporting and Data System), this system will bring consistency to reporting of coronary CTA diagnostic information for millions of patients worldwide. 

Unlike many other major disease areas, until now no standardized system has existed to classify and report patient data for CT scans of coronary artery disease. CAD-RADS fulfills that long-sought goal of the radiology, cardiology and industry communities.

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.

Ricardo C. Cury, M.D., Miami Cardiac and Vascular Institute, Radiology Associates of South Florida and SCCT past president, led a 17-member multi-disciplinary Expert Consensus Group representing four professional societies: The Society of Cardiovascular Computed Tomography (SCCT, the lead society for CAD-RADS), The American College of Radiology (ACR, co-author), the North American Society for Cardiovascular Imaging (NASCI, co-author) and the American College of Cardiology (ACC, which endorsed this publication). 

 

Watch a video interview with Cury on what CAD-RADS means for cardiology and radiology.

 

Cury noted that "our societies developed CAD-RADS to improve communication of coronary CTA results to referring physicians in a consistent fashion, including considerations for patient management. Standardized reporting will benefit education, research, peer review and quality assurance and improved quality of care. The teamwork amongst our multi-society, multi-disciplinary writing group was exemplary." 

Cury urges the practice community and industry to become familiar with the CAD-RADS classification and modifiers system. "Today's article is the starting point for a very important process. Next, to promote incorporation of CAD-RADS into daily practice, SCCT will partner with other societies and industry to develop tools for every coronary CTA facility considering adoption of CAD-RADS." 

SCCT President-Elect Leslee J. Shaw, Ph.D. added that the next step will be "development of highly sophisticated decision support tools and registries. CAD-RADS is an important part of our strategic plan to ensure that all patients undergoing CCTA have the highest quality of cardiovascular care."

ACR Chief Executive Officer William T. Thorwarth Jr., M.D., FACR, commented that "The ACR, through our representatives on this important project, was pleased to be a part of this critical effort to enable the standardized reporting and subsequent ongoing evaluation and optimal performance of this valuable examination."

The document was published online in the Journal of Cardiovascular Computed Tomography, the Journal of the American College of Radiology (JACR) and JACC Cardiovascular Imaging

For more information: www.scct.org

Related Content

CZT SPECT camera detectors offered by GE.

A display of CZT SPECT gamma camera detectors at RSNA 2016. These detectors are more sensitive than those used in older cameras, allowing for faster scans or lower radiation dose. 

Feature | Nuclear Imaging| September 19, 2017 | Dave Fornell
Cardiac nuclear myocardial perfusion imaging (MPI) has been a mature area of imaging for years, but has recently star
Hitachi Supria True64 CT Receives FDA Clearance
Technology | Computed Tomography (CT)| September 15, 2017
Hitachi Healthcare Americas Inc. announced it has attained U.S. Food and Drug Administration (FDA) 510(k) clearance to...
Philips Launches CardioMD IV Cardiac SPECT Solution at ASNC 2017
Technology | SPECT Imaging| September 15, 2017
September 15, 2017 — Philips highlighted its newest solution for...
Mississippi Surgical and Vascular Center Uses Toshiba Ultimax-i FPD to Save Patients' Limbs
News | Angiography| September 14, 2017
The southern U.S. sees some of the highest numbers of chronic medical conditions, such as peripheral artery disease...
Philips Showcases Integrated Vascular Solutions at VIVA 2017
News | Peripheral Artery Disease (PAD)| September 13, 2017
Philips announced its presence at the Vascular Interventional Advances (VIVA 17) Annual Conference in Las Vegas from...
Orange County, Calif. Hospital Adopts Siemens Somatom Force CT for Cardiac Imaging
News | Computed Tomography (CT)| September 12, 2017
Hoag Memorial Hospital Presbyterian recently became the first hospital in Orange County, Calif., to install the Siemens...
Technology | Radiation Dose Management| September 07, 2017
September 7, 2017 — Sapheneia and Scannerside received U.S.
Siemens Healthineers Receives FDA Clearance for TrueFusion Structural Heart Disease Feature
Technology | Cardiovascular Ultrasound| September 06, 2017
The U.S. Food and Drug Administration (FDA) has cleared TrueFusion, a new cardiovascular application from Siemens...
Advances in FFR, FFR-CT, was the most popular cardiology story in August 2017.

The most popular article in August was about advances in fractional flow reserve (FFR) technologies. The image shows Philips' new version of its iFR system that displays hemodynamic pressure drop points in an overlay on live angiographic images, matching up the iFR readings with corresponding lesions.

Feature | September 01, 2017 | Dave Fornell
September 1, 2017 — Here is the list of the most popular articles and videos on the Diagnostic and Interventional Car
Sponsored Content | Videos | Cardiovascular Ultrasound| August 28, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is title
Overlay Init