News | October 28, 2010

New Criteria for Using CT to Examine Heart Problems

October 28, 2010 – A report by the American College of Cardiology (ACC) provides new criteria for selecting patients who could benefit from cardiac computed tomography (CCT).

The report, which was developed in partnership with the Society of Cardiovascular Computed Tomography (SCCT) also informs payers about appropriate clinical scenarios for its use.

CCT, which uses X-rays to diagnose artery blockages, requires appropriate patient selection to avoid unnecessary healthcare costs, lack of benefit and even harm.

“As the field of cardiac CT continues to advance along with other biomedical imaging tests, the healthcare community needs to understand how to best incorporate this technology into daily clinical care,” said Allen J. Taylor, M.D., chair of the writing committee and professor of medicine, Georgetown University, Washington, D.C. “This update adds to our understanding of selecting the best candidates for cardiac CT imaging so that doctors can help perform the right test in the right patient at the right time.”

The original appropriate use criteria for CCT were issued in 2006. Since then, technological advances have made it safer and easier to use, according to Taylor.

“This document reflects this progress in knowledge and our desire to make the criteria more comprehensive to more closely match a patient situation to the test and help in clinical decision making,” he added, emphasizing that selecting the proper patients for testing is an essential first step in the provision of quality cardiac care.

For the update, a panel assessed the appropriateness of CCT imaging for 93 different clinical scenarios, scoring each to determine if it was appropriate, inappropriate or uncertain for a given situation.

“If we know a patient has existing heart problems or is at high risk for heart disease, doing the test isn’t generally going to add any valuable clinical information,” Taylor said. “Ordering a test when a patient doesn’t need it—or won’t benefit—is not quality cardiac care.”

For more information: www.cardiosource.org

Related Content

A CT calcium scoring image showing calcified plaques in coronary vessel segments. The higher the calcium content of the vessels, the high risk the patient is for a heart attack event. CAC exam

A CT calcium scoring image showing calcified plaques in coronary vessel segments. The higher the calcium content of the vessels, the higher risk the patient is for a heart attack event. Image courtesy of Canon Medical Systems.

Feature | Computed Tomography (CT) | October 17, 2018 | Dave Fornell, Editor
A picture is worth a thousand words, and to patients concerned about their health, detailed images of the coronary an
Abdominal Aortic Calcification May Signal Future Heart Attack

Image from computed tomography (CT) colonography shows segmented abdominal aortic calcification measured with semiautomated CT tool on coronal image. Within region of interest over aorta selected by user, tool automatically segments and quantifies aortic calcification (shown in blue). 

Image Credit: O’Connor S D, Graffy P M, Zea R, et al. Does nonenhanced CT-based quantification of abdominal aortic calcification outperform the Framingham Risk Score in predicting cardiovascular event sin asymptomatic adults? Radiology doi: 10.1148/radiol.2018180562. Published online Oct. 2, 2018. © RSNA.

News | Computed Tomography (CT) | October 12, 2018
Computed tomography (CT)-based measures of calcification in the abdominal aorta are strong predictors of heart attacks...
Siemens Healthineers Announces First U.S. Install of Somatom go.Top CT
News | Computed Tomography (CT) | September 17, 2018
September 17, 2018 — The Ohio State University Wexner Medical Center in Columbus recently became the first healthcare
Key Patient Preparations for a CT Scan
News | Computed Tomography (CT) | September 05, 2018
The Center for Diagnostic Imaging (CDI) in Miami recently released a list of important preparations patients should...
Videos | Computed Tomography (CT) | July 25, 2018
A discussion with Patricia Dickson, LRT(CT), director of imaging and outpatient services, Capital Cardiology Associat
Videos | Computed Tomography (CT) | July 23, 2018
Ed Nicol, M.D., FSCCT, MBA, head of cardiac CT, Royal Brompton Hospital, London, and chair of the Society of Cardiova
Videos | Computed Tomography (CT) | July 17, 2018
An interview with Patrick Serruys, M.D., Ph.D., Imperial College London, principal investigator of the SYNTAX III Tri
Zebra Medical Vision Announces FDA 510(k) Clearance of Coronary Calcium Algorithm
Technology | Computed Tomography (CT) | July 12, 2018
Zebra Medical Vision has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for its Coronary...
IAC Awards First CT Accreditation for a Mobile Stroke Unit
News | Computed Tomography (CT) | July 09, 2018
The Intersocietal Accreditation Commission (IAC) recently recognized the University of Tennessee Health Science Center...
Overlay Init