Type:
Educational Exhibit
Keywords:
Cardiac, CT-Angiography, CAD, Education and training
Authors:
R. C. Yarol, M. M. M. Bariş
DOI:
10.26044/ecr2023/C-17912
Background
Coronary CT angiography (CCTA) is the primary imaging modality to assess symptomatic patients with stable symptoms, intermediate-risk acute chest pain and intermediate or high pre-test probability of obstructive coronary disease. Coronary Artery Disease - Reporting and Data System (CAD-RADS) was first released in 2016 to standardize reporting of the CCTA (1). CAD-RADS 2.0 is published in July 2022 and aims to improve the first reporting system under the guidance of new guidelines and technical developments .The updated 2022 CAD-RADS 2.0 classification will follow a framework of stenosis, plaque burden and modifiers, with the option to also include ischemia evaluation by CT fractional-flow-reserve (CT-FFR) or myocardial CT perfusion (CTP), if performed. As in the original version, the most severe coronary artery luminal stenosis defined on a per-patient basis will be the central component of assessment and will provide the numeric descriptor. In addition, methods to estimate, quantify and report overall plaque burden will be provided. Collectively, the goal of these additions is intended to enhance patient management decisions following CCTA.(2).