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B-1019 - Standardized description of coronary artery disease by means of CAD-RADS: a better method?

G. Tabacco, G. Finetto, M. Poletti, M. Vettori, R. Malago, R. Pozzi-Mucelli; Verona/IT Type: Scientific Paper
Area of Interest: Cardiac
Imaging Techniques: CAD, CT
Procedures: Technology assessment, CAD
Special Focus: Cardiac Assist Devices
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Purpose: CA-CTMS is a procedure of considerable usefulness in the study of cardiovascular diseases, particularly those resulting of coronary artery disease. In order to maximize the clinical impact of coronary CTA, CAD-RADS (Coronary Artery Disease Reporting and Data System), a standardized reporting system [...]

Methods and materials: 1500 patients (893 M, 607 F, mean age 63 YO) underwent CA-CTMS, from April 2008 to April 2016, with a 64-slice CT scanner (Brilliance 64, Philips , Best, The Netherlands). We reconstructed and analyzed each exam using a Philips Workstation, classifying the detected lesions and plaques according to t[...]

Results: 576/1500 (38,4%) patients resulted free of plaques or stenosis (CAD-RADS 0). 201/1500 (13,4%) patients were classified as CAD-RADS 1, 216/1500 (14,4%) as CAD-RADS 2, 375/1500 (25%) as CAD-RADS 3, 36/1500 (2,4%) as CAD-RADS 4A, 15/1500 (1%) as CAD-RADS 4B, 81/1500 (5,4%) as CAD-RADS 5, 84/1500 (5,6%[...]

Conclusion: The CAD-RADS classification allowed us to group our patients in a uniform, updated and evidence-based way, according to their risk profile. Through it we can provide to the patients a better follow-up and therapeutic approach.

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References: - Raff et al, SCCT guidelines for interpreting, reporting CCTA, Journal of Cardiovascular Computed Tomography (2009) 3, 122–136     - D. Andreini, et al., Long-term prognostic impact of CT-Leaman score in patients with non-obstructive CAD: Results from the COronary CT Angiography Evaluatio[...]

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