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RESEARCH PRODUCT
SIRM–SIC appropriateness criteria for the use of Cardiac Computed Tomography. Part 1: Congenital heart diseases, primary prevention, risk assessment before surgery, suspected CAD in symptomatic patients, plaque and epicardial adipose tissue characterization, and functional assessment of stenosis
Andrea Igoren GuaricciAlberto ClementeVitaliano BuffaRoberto SciagràSaima MushtaqIacopo CarboneMarco GuglielmoGuido LigabueMarco FranconeDanilo NegliaSara SeitunAntonio EspositoGianluca PontoneNazario CarrabbaAnna PalmisanoFilippo CademartiriCarlo LiguoriDaniele AndreiniLudovico La GruttaCiro IndolfiGiuseppe MercuroDavide Vignalesubject
genetic structuresCardiac computed tomographyComputed Tomography AngiographyCoronary DiseaseCAD030204 cardiovascular system & hematologyChest painChest pain Congenital heart disease Coronary CT angiography Epicardial adipose tissue Plaque Stenosislaw.inventionChest painCongenital0302 clinical medicineRandomized controlled triallaw030212 general & internal medicineHeart DefectsPlaqueNeuroradiologyStenosismedicine.diagnostic_testCalcinosisHeartInterventional radiologyGeneral MedicineFractional Flow ReserveFractional Flow Reserve MyocardialPrimary PreventionPosition PaperChest pain; Congenital heart disease; Coronary CT angiography; Epicardial adipose tissue; Plaque; Stenosis; Calcinosis; Coronary Disease; Coronary Stenosis; Fractional Flow Reserve Myocardial; Heart; Heart Defects Congenital; Humans; Primary Prevention; Cardiac Imaging Techniques; Computed Tomography Angiography; Preoperative Caremedicine.symptomRisk assessmentHeart Defects Congenitalmedicine.medical_specialty03 medical and health sciencesEpicardial adipose tissuePreoperative CaremedicineMyocardialHumansRadiology Nuclear Medicine and imagingCoronary CT angiographyIntensive care medicineCongenital heart diseasebusiness.industryCoronary Stenosismedicine.diseaseCardiac Imaging TechniquesStenosisbusinessdescription
AbstractIn the past 20 years, Cardiac Computed Tomography (CCT) has become a pivotal technique for the noninvasive diagnostic work-up of coronary and cardiac diseases. Continuous technical and methodological improvements, combined with fast growing scientific evidence, have progressively expanded the clinical role of CCT. Recent large multicenter randomized clinical trials documented the high prognostic value of CCT and its capability to increase the cost-effectiveness of the management of patients with suspected CAD. In the meantime, CCT, initially perceived as a simple non-invasive technique for studying coronary anatomy, has transformed into a multiparametric “one-stop-shop” approach able to investigate the heart in a comprehensive way, including functional, structural and pathophysiological biomarkers. In this complex and revolutionary scenario, it is urgently needed to provide an updated guide for the appropriate use of CCT in different clinical settings. This manuscript, endorsed by the Italian Society of Medical and Interventional Radiology (SIRM) and by the Italian Society of Cardiology (SIC), represents the first of two consensus documents collecting the expert opinion of Radiologists and Cardiologists about current appropriate use of CCT.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-01-01 | La radiologia medica |