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2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging
In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Radiology
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639152/ https://www.ncbi.nlm.nih.gov/pubmed/29089819 http://dx.doi.org/10.3348/kjr.2017.18.6.871 |
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author | Beck, Kyongmin Sarah Kim, Jeong A Choe, Yeon Hyeon Hian, Sim Kui Hoe, John Hong, Yoo Jin Kim, Sung Mok Kim, Tae Hoon Kim, Young Jin Kim, Yun Hyeon Kuribayashi, Sachio Lee, Jongmin Leong, Lilian Lim, Tae-Hwan Lu, Bin Park, Jae Hyung Sakuma, Hajime Yang, Dong Hyun Yaw, Tan Swee Wan, Yung-Liang Zhang, Zhaoqi Zhao, Shihua Yong, Hwan Seok |
author_facet | Beck, Kyongmin Sarah Kim, Jeong A Choe, Yeon Hyeon Hian, Sim Kui Hoe, John Hong, Yoo Jin Kim, Sung Mok Kim, Tae Hoon Kim, Young Jin Kim, Yun Hyeon Kuribayashi, Sachio Lee, Jongmin Leong, Lilian Lim, Tae-Hwan Lu, Bin Park, Jae Hyung Sakuma, Hajime Yang, Dong Hyun Yaw, Tan Swee Wan, Yung-Liang Zhang, Zhaoqi Zhao, Shihua Yong, Hwan Seok |
collection | PubMed |
description | In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by a separate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making. |
format | Online Article Text |
id | pubmed-5639152 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Society of Radiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-56391522017-11-01 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging Beck, Kyongmin Sarah Kim, Jeong A Choe, Yeon Hyeon Hian, Sim Kui Hoe, John Hong, Yoo Jin Kim, Sung Mok Kim, Tae Hoon Kim, Young Jin Kim, Yun Hyeon Kuribayashi, Sachio Lee, Jongmin Leong, Lilian Lim, Tae-Hwan Lu, Bin Park, Jae Hyung Sakuma, Hajime Yang, Dong Hyun Yaw, Tan Swee Wan, Yung-Liang Zhang, Zhaoqi Zhao, Shihua Yong, Hwan Seok Korean J Radiol Cardiovascular Imaging In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by a separate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making. The Korean Society of Radiology 2017 2017-09-21 /pmc/articles/PMC5639152/ /pubmed/29089819 http://dx.doi.org/10.3348/kjr.2017.18.6.871 Text en Copyright © 2017 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Cardiovascular Imaging Beck, Kyongmin Sarah Kim, Jeong A Choe, Yeon Hyeon Hian, Sim Kui Hoe, John Hong, Yoo Jin Kim, Sung Mok Kim, Tae Hoon Kim, Young Jin Kim, Yun Hyeon Kuribayashi, Sachio Lee, Jongmin Leong, Lilian Lim, Tae-Hwan Lu, Bin Park, Jae Hyung Sakuma, Hajime Yang, Dong Hyun Yaw, Tan Swee Wan, Yung-Liang Zhang, Zhaoqi Zhao, Shihua Yong, Hwan Seok 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title | 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title_full | 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title_fullStr | 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title_full_unstemmed | 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title_short | 2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging |
title_sort | 2017 multimodality appropriate use criteria for noninvasive cardiac imaging: expert consensus of the asian society of cardiovascular imaging |
topic | Cardiovascular Imaging |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639152/ https://www.ncbi.nlm.nih.gov/pubmed/29089819 http://dx.doi.org/10.3348/kjr.2017.18.6.871 |
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