title: ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/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 North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance.
abstract: The American College of Cardiology Foundation (ACCF), along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical scenarios where cardiac computed tomography (CCT) is frequently considered. The present document is an update to the original CCT/cardiac magnetic resonance (CMR) appropriateness criteria published in 2006, written to reflect changes in test utilization, to incorporate new clinical data, and to clarify CCT use where omissions or lack of clarity existed in the original criteria (1). The indications for this review were drawn from common applications or anticipated uses, as well as from current clinical practice guidelines. Ninety-three clinical scenarios were developed by a writing group and scored by a separate technical panel on a scale of 1 to 9 to designate appropriate use, inappropriate use, or uncertain use. In general, use of CCT angiography for diagnosis and risk assessment in patients with low or intermediate risk or pretest probability for coronary artery disease (CAD) was viewed favorably, whereas testing in high-risk patients, routine repeat testing, and general screening in certain clinical scenarios were viewed less favorably. Use of noncontrast computed tomography (CT) for calcium scoring was rated as appropriate within intermediate- and selected low-risk patients. Appropriate applications of CCT are also within the category of cardiac structural and functional evaluation. It is anticipated that these results will have an impact on physician decision making, performance, and reimbursement policy, and that they will help guide future research.
authors.forename: Allen J
authors.initials: AJ
authors.lastname: Taylor
authors.forename: Manuel
authors.initials: M
authors.lastname: Cerqueira
authors.forename: John McB
authors.initials: JM
authors.lastname: Hodgson
authors.forename: Daniel
authors.initials: D
authors.lastname: Mark
authors.forename: James
authors.initials: J
authors.lastname: Min
authors.forename: Patrick
authors.initials: P
authors.lastname: O'Gara
authors.forename: Geoffrey D
authors.initials: GD
authors.lastname: Rubin
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Kramer
authors.forename: Daniel
authors.initials: D
authors.lastname: Berman
authors.forename: Alan
authors.initials: A
authors.lastname: Brown
authors.forename: Farooq A
authors.initials: FA
authors.lastname: Chaudhry
authors.forename: Ricardo C
authors.initials: RC
authors.lastname: Cury
authors.forename: Milind Y
authors.initials: MY
authors.lastname: Desai
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Einstein
authors.forename: Antoinette S
authors.initials: AS
authors.lastname: Gomes
authors.forename: Robert
authors.initials: R
authors.lastname: Harrington
authors.forename: Udo
authors.initials: U
authors.lastname: Hoffmann
authors.forename: Rahul
authors.initials: R
authors.lastname: Khare
authors.forename: John
authors.initials: J
authors.lastname: Lesser
authors.forename: Christopher
authors.initials: C
authors.lastname: McGann
authors.forename: Alan
authors.initials: A
authors.lastname: Rosenberg
authors.forename: Robert
authors.initials: R
authors.lastname: Schwartz
authors.forename: Marc
authors.initials: M
authors.lastname: Shelton
authors.forename: Gerald W
authors.initials: GW
authors.lastname: Smetana
authors.forename: Sidney C
authors.initials: SC
authors.lastname: Smith
mesh_terms: D057791:Cardiac Imaging Techniques / Q000592:standards*; D002309:Cardiology / Q000592:standards*; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000592:standards*; D014481:United States