title: Evaluation of appropriateness of second-generation 320-row computed tomography for coronary artery disease.
abstract: The influence of newer-generation CT on the clinical indications and appropriateness of cardiac CT has not been adequately surveyed. We aimed to evaluate the distribution of appropriateness ratings and test the outcomes of cardiac CT using second-generation 320-row CT. The 2010 appropriate use criteria (AUC) were applied at the point of service to a consecutive series of patients (N = 309) who were referred for cardiac CT. The CT indication was determined based on interviews and medical records. The proportions of patients within the categories of appropriate (A), uncertain (U), inappropriate (I), and not covered were described. The prevalence of significant coronary artery disease (CAD) was also compared among the categories. The proportions were 49.2%, 25.9%, and 20.7% for appropriate, uncertain, and inappropriate indication, respectively. The indication that was not covered was only 4.2%. Significant CAD was more frequently observed for uncertain- than appropriate indication (42.5% vs 27.6%; P = 0.03), although the number of significant stenosed segments was not different (P = 0.13). The recent advancement of cardiac CT increased the proportion of uncertain scans, which were associated with a high prevalence of significant CAD.
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Daisuke
authors: D
authors: Utsunomiya
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Seitaro
authors: S
authors: Oda
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Hideaki
authors: H
authors: Yuki
authors: Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
authors: Megumi
authors: M
authors: Yamamuro
authors: Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
authors: Kenichi
authors: K
authors: Tsujita
authors: Medical Physics, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
authors: Yoshinori
authors: Y
authors: Funama
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Morikatsu
authors: M
authors: Yoshida
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Masafumi
authors: M
authors: Kidoh
authors: Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
authors: Hisao
authors: H
authors: Ogawa
authors: Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, 860-8556 Kumamoto-shi, Kumamoto, Chuo-ku Japan.
authors: Yasuyuki
authors: Y
authors: Yamashita
keywords: Appropriate use criteria; CT-Angiography; Cardiac; Heart