CAD-RADS™: Coronary Artery Disease - Reporting and Data System
CAD-RADS™: Coronary Artery Disease - Reporting and Data System
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DOI：
10.1016/j.jacr.2016.04.024
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发表时间：
2016-12-01
影响因子：
4.5
通讯作者：
Leipsic, Jonathon A.
中科院分区：
文献类型：
--
作者：
Cury, Ricardo C.;Abbara, Suhny;Leipsic, Jonathon A.
CAD-RADS冠状动脉疾病报告和数据系统的目的是创建一种标准化的方法来交流冠状动脉CT血管造影（冠状动脉CTA）的结果，以促进进一步患者管理的决策。建议的CAD-RADS分级以患者为基础，代表冠状动脉CTA记录的最高级别冠状动脉病变。它的范围从CAD-RADS 0（零）表示完全没有狭窄和斑块，到CAD-RADS 5表示至少有一条冠状动脉完全闭塞，应始终结合报告中发现的印象来解释。根据CAD-RADS分类，为稳定型或急性胸痛患者的进一步治疗提供了具体建议。CAD-RADS的主要目标是规范冠状动脉CTA结果的报告，促进检测结果与转诊医生的沟通，并为后续患者管理提供建议。此外，CAD-RADS将提供一个标准化框架，这可能有利于教育、研究、同行评审和质量保证，并有可能最终提高护理质量。
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.