2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging.
10.3348/kjr.2017.18.6.871
- Author:
Kyongmin Sarah BECK
1
;
Jeong A KIM
;
Yeon Hyeon CHOE
;
Sim Kui HIAN
;
John HOE
;
Yoo Jin HONG
;
Sung Mok KIM
;
Tae Hoon KIM
;
Young Jin KIM
;
Yun Hyeon KIM
;
Sachio KURIBAYASHI
;
Jongmin LEE
;
Lilian LEONG
;
Tae Hwan LIM
;
Bin LU
;
Jae Hyung PARK
;
Hajime SAKUMA
;
Dong Hyun YANG
;
Tan Swee YAW
;
Yung Liang WAN
;
Zhaoqi ZHANG
;
Shihua ZHAO
;
Hwan Seok YONG
Author Information
1. Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
- Publication Type:Review
- Keywords:
Appropriate use criteria;
Multimodality;
Noninvasive cardiac imaging
- MeSH:
Area Under Curve;
Asian Continental Ancestry Group*;
Clinical Decision-Making;
Consensus*;
Coronary Artery Disease;
Echocardiography;
Electrocardiography;
Heart Diseases;
Humans;
Magnetic Resonance Imaging;
Methods;
Positron-Emission Tomography;
Radionuclide Imaging;
Tomography, Emission-Computed
- From:Korean Journal of Radiology
2017;18(6):871-880
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
