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2017 Multimodality Appropriate Use Criteria for Noninvasive Cardiac Imaging: Expert Consensus of the Asian Society of Cardiovascular Imaging

Authors
 ASCI Practice Guideline Working Group  ;  Kyongmin Sarah Beck  ;  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 
Citation
 KOREAN JOURNAL OF RADIOLOGY, Vol.18(6) : 871-880, 2017-12 
Journal Title
KOREAN JOURNAL OF RADIOLOGY
ISSN
 1229-6929 
Issue Date
2017-12
MeSH
Area Under Curve ; Asian People ; Cardiac Imaging Techniques / standards* ; Consensus ; Echocardiography ; Guidelines as Topic ; Heart Diseases / diagnosis* ; Heart Diseases / diagnostic imaging ; Humans ; Magnetic Resonance Imaging / standards ; Positron-Emission Tomography / standards ; ROC Curve ; Tomography, X-Ray Computed / standards
Keywords
Appropriate use criteria ; Multimodality ; Noninvasive cardiac imaging
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.
Files in This Item:
T992017342.pdf Download
DOI
10.3348/kjr.2017.18.6.871
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Jin(김영진) ORCID logo https://orcid.org/0000-0002-6235-6550
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3598-2529
Hong, Yoo Jin(홍유진) ORCID logo https://orcid.org/0000-0002-7276-0944
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196112
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