Appropriate Use Criteria for Cardiac Computed Tomography
Total Page：16
File Type：pdf, Size：1020Kb
ACCF/SCCT/ACR/AHA/ASE/ASNC/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society of Cardiovascular Computed Tomography, American College of Radiology, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society for Cardiovascular Magnetic Resonance, Allen J. Taylor, Manuel Cerqueira, John McB. Hodgson, Daniel Mark, James Min, Patrick O'Gara, and Geoffrey D. Rubin J. Am. Coll. Cardiol. published online Oct 25, 2010; doi:10.1016/j.jacc.2010.07.005 This information is current as of October 26, 2010 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://content.onlinejacc.org/cgi/content/full/j.jacc.2010.07.005v1 Downloaded from content.onlinejacc.org by on October 26, 2010 Journal of the American College of Cardiology Vol. 56, No. xx, 2010 © 2010 by the American College of Cardiology Foundation ISSN 0735-1097/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2010.07.005 APPROPRIATE USE CRITERIA ACCF/SCCT/ACR/AHA/ASE/ASNC/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance Cardiac Allen J. Taylor, MD, FACC, FAHA, Chair* Computed *Official American College of Cardiology Foundation Representative; Tomography †Official American Society of Nuclear Cardiology Representative; Writing Group Manuel Cerqueira, MD, FACC, FASNC† ‡Official Society for Cardiovascular Angiography and Interventions John McB. Hodgson, MD, FACC, FSCAI‡ Representative; §Official Society of Cardiovascular Computed Tomog- ʈ Daniel Mark, MD, MPH, FACC, FAHA* raphy Representative; Official American Heart Association Represen- tative; ¶Official American College of Radiology Representative; James Min, MD, FACC§ #Official North American Society for Cardiovascular Imaging Patrick O’Gara, MD, FACC, FAHAʈ Representative Geoffrey D. Rubin, MD, FSCBTMR¶# Technical Christopher M. Kramer, MD, FACC, Udo Hoffmann, MD, MPH# Panel FAHA, Moderator Rahul Khare, MD‡‡ Allen J. Taylor, MD, FACC, FAHA, John Lesser, MD, FACC§ Writing Group Liaison Christopher McGann, MD, FACC§§ Alan Rosenberg, MD, FACCʈʈ Daniel Berman, MD, FACC§ Robert Schwartz, MD, FACC‡ Alan Brown, MD, FACC, FAHA, FNLA* Marc Shelton, MD, FACC* Farooq A. Chaudhry, MD, FACC, FAHA, Gerald W. Smetana, MD¶¶ FASE** Sidney C. Smith, JR, MD, FACC, FAHAʈ Ricardo C. Cury, MD§†† Milind Y. Desai, MD, FACC†† **Official American Society of Echocardiography Representative; ††Official Society for Cardiovascular Magnetic Resonance Representa- Andrew J. Einstein, MD, PHD, FACC, tive; ‡‡Official American College of Emergency Physicians Represen- FAHA, FASNC† tative; §§Official Heart Rhythm Society Representative; ʈʈOfficial Health Plan Representative; ¶¶Official American College of Physi- Antoinette S. Gomes, MD, FAHA, FSIR¶ cians Representative Robert Harrington, MD, FACC, FAHA, FSCAI* This document was approved by the American College of Cardiology Foundation, in American Society of Nuclear Cardiology, the Society for Cardiovascular Angiography June 2010, the American College of Radiology, the American Society of Echocardi- and Interventions, and the Society for Cardiovascular Magnetic Resonance. J Am ography, the American Society of Nuclear Cardiology, the Society for Cardiovascular Coll Cardiol 2010;56:xxx–xx. Angiography and Interventions, the Society for Cardiovascular Magnetic Resonance, This article is copublished in Circulation and the Journal of Cardiovascular Computed and Society of Cardiovascular Computed Tomography, and by the American Heart Tomography. Association in September 2010. Copies: This document is available on the World Wide Web site of the American The American College of Cardiology Foundation requests that this document be College of Cardiology (www.cardiosource.org). For copies of this document, please cited as follows: Taylor AJ, Cequeira M, Hodgson JM, Mark D, Min J, O’Gara P, contact Elsevier Inc. Reprint Department, fax (212) 633-3820, e-mail reprints@ Rubin GD. ACCF/SCCT/ACR/AHA/ASE/ASNC/SCAI/SCMR 2010 appropri- elsevier.com. ate use criteria for cardiac computed tomography: a report of the American College Permissions: Modification, alteration, enhancement, and/or distribution of this of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of document are not permitted without the express permission of the American College Cardiovascular Computed Tomography, the American College of Radiology, the of Cardiology Foundation. Please contact Elsevier’s permission department American Heart Association, the American Society of Echocardiography, the [email protected] Downloaded from content.onlinejacc.org by on October 26, 2010 2 Taylor et al. JACC Vol. 56, No. xx, 2010 Appropriate Use Criteria for Cardiac Computed Tomography Month 2010:000–000 ACCF Michael J. Wolk, MD, MACC, Chair Robert C. Hendel, MD, FACC, FAHA, FASNC Appropriate Christopher M. Kramer, MD, FACC, FAHA Use Criteria Task Force Joseph M. Allen, MA James Min, MD, FACC, FSCCT Steven Bailey, MD, FACC, FSCAI Manesh R. Patel, MD, FACC Pamela S. Douglas, MD, MACC, FAHA, Leslee Shaw, PHD, FACC, FASNC FASE Raymond F. Stainback, MD, FACC, FASE 9. Discussion .............................................XXXX TABLE OF CONTENTS 9.1. Clinical Scenarios and Their Ratings ...........XXXX Abstract ....................................................XXXX 9.2. Application of Criteria............................XXXX Preface.....................................................XXXX Appendix A: Additional Cardiac Computed Tomography Definitions .................................XXXX 1. Introduction ...........................................XXXX Appendix B: Additional Methods .......................XXXX 2. Methods ................................................XXXX Relationships With Industry and Other Entities ....XXXX Literature Review......................................XXXX 3. General Assumptions ................................XXXX Appendix C: ACCF/SCCT/ACR/AHA/ASE/ASNC/ SCAI/SCMR 2010 Appropriate Use Criteria 4. Definitions .............................................XXXX for Cardiac Computed Tomography Participants ....XXXX 5. Abbreviations .........................................XXXX Appendix D: ACCF/SCCT/ACR/AHA/ASE/ASNC/ SCAI/SCMR 2010 Cardiac Computed Tomography Appropriate Use Criteria Writing Group, 6. Results of Ratings....................................XXXX Technical Panel, Task Force, and Indication Reviewers—Relationships With Industry and 7. Cardiac Computed Tomography Appropriate Other Entities (In Alphabetical Order) ................XXXX Use Criteria (By Indication) .........................XXXX References ................................................XXXX Table 1. Detection of CAD in Symptomatic Patients Without Known Heart Disease ..........XXXX Table 2. Detection of CAD/Risk Assessment in Asymptomatic Individuals Without Abstract Known CAD ..........................................XXXX Table 3. Detection of CAD in Other Clinical The American College of Cardiology Foundation (ACCF), Scenarios ............................................XXXX along with key specialty and subspecialty societies, con- Table 4. Use of CT Angiography in the Setting ducted an appropriate use review of common clinical sce- of Prior Test Results ................................XXXX narios where cardiac computed tomography (CCT) is fre- Table 5. Risk Assessment Preoperative Evaluation of Noncardiac Surgery Without Active quently considered. The present document is an update to Cardiac Conditions ..................................XXXX the original CCT/cardiac magnetic resonance (CMR) ap- Table 6. Risk Assessment Postrevascularization propriateness criteria published in 2006, written to reflect (PCI or CABG) ........................................XXXX changes in test utilization, to incorporate new clinical data, Table 7. Evaluation of Cardiac Structure and and to clarify CCT use where omissions or lack of clarity Function ..............................................XXXX existed in the original criteria (1). The indications for this review were drawn from common 8. Cardiac Computed Tomography Appropriate applications or anticipated uses, as well as from current Use Criteria (By Appropriate Use Criteria) .......XXXX clinical practice guidelines. Ninety-three clinical scenarios Table 8. Appropriate Indications were developed by a writing group and scored by a separate (Median Score 7–9) .................................XXXX technical panel on a scale of 1 to 9 to designate appropriate Table 9. Uncertain Indications use, inappropriate use, or uncertain use. (Median Score 4–6) .................................XXXX In general, use of CCT angiography for diagnosis and Table 10. Inappropriate Indications risk assessment in patients with low or intermediate risk or (Median Score 1–3) .................................XXXX pretest probability for coronary artery disease (CAD) was Downloaded from content.onlinejacc.org by on October 26, 2010 JACC