Coronary Artery Disease - Reporting and Data System (CAD-RADS)
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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.
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All coronary lesions were interpreted following the 2016 SCCT guidelines for their location, stenosis grade, composition (calcified, mixed, and non-calcified) as well as their vulnerability (positive remodeling, low-attenuation plaque, spotty calcification, and the napkin-ring sign).
“All coronary lesions were interpreted following the 2016 SCCT guidelines for their location, stenosis grade, composition (calcified, mixed, and non-calcified) as well as their vulnerability (positive remodeling, low-attenuation plaque, spotty calcification, and the napkin-ring sign).12,13”
From Lifelong endurance exercise and its relation with coronary atherosclerosis (2023) · cites this paper as [12]
The CAD-RADS stenosis grading table gives stenosis categories, and Figure 2 identifies lesion locations and calcified plaque. The modifier V passage lists all four vulnerability features in the claim, but specifies that at least two are needed to designate a plaque high-risk. The passages do not establish the claimed three-part composition classification, particularly the mixed-plaque category. (LLM, conf=0.84)
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Are Training Programs Ready for the Rapid Adoption of CCTA?
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- Authors
- Cury, R. C., Abbara, S., Achenbach, S., Agatston, A., Berman, D. S., Budoff, M. J., Dill, K. E., Jacobs, J. E., Maroules, C. D., Rubin, G. D., Rybicki, F. J., Schoepf, U. J., Shaw, L. J., Stillman, A. E., White, C. S., Woodard, P. K., & Leipsic, J. A.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Corresponding author
- Cury, Ricardo C.
- ORCID
- Venue
- JACC: Cardiovascular Imaging
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 9
- Issue
- 9
- Pages
- 1099-1113
- ISSN
- 1876-7591 (ISSN-L)
- 1936-878X
- OpenAlex
- W2518912440
- Cited by
- 231
- References
- 26
- Citations by year
- 2026: 13 · 2025: 15 · 2024: 24 · 2023: 37 · 2022: 33 · 2021: 37 · 2020: 25 · 2019: 28 · 2018: 11 · 2017: 6 · 2016: 1
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- JACC. Cardiovascular imaging (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Scholarly Commons - Baptist Health South Florida (Baptist Health South Florida) (submittedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Coronary Artery Anomalies
- Keywords
- CAD-RADS, coronary artery disease, coronary CT angiography, standardized reporting, coronary artery stenosis, coronary plaque, acute chest pain, stable chest pain, quality assurance, peer review
- MeSH terms
- Clinical Decision-Making, Computed Tomography Angiography, Cardiology, Coronary Artery Disease, Coronary Vessels, Data Collection, Documentation, Forms and Records Control, Humans, Terminology as Topic, Predictive Value of Tests, Prognosis, Severity of Illness Index, Information Storage and Retrieval, Coronary Angiography, Consensus, Electronic Health Records
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