Coronary Artery Disease - Reporting and Data System (CAD-RADS): An Expert Consensus Document of SCCT, ACR and NASCI: Endorsed by the ACC

JACC Cardiovasc Imaging. 2016 Sep;9(9):1099-1113. doi: 10.1016/j.jcmg.2016.05.005.

Abstract

The intent of CAD-RADS - Coronary Artery Disease Reporting and Data System is to create a standardized method to communicate findings of coronary CT angiography (coronary CTA) in order to facilitate decision-making regarding further patient management. The suggested CAD-RADS classification is applied on a per-patient basis and represents the highest-grade coronary artery lesion documented by coronary CTA. It ranges from CAD-RADS 0 (Zero) for the complete absence of stenosis and plaque to CAD-RADS 5 for the presence of at least one totally occluded coronary artery and should always be interpreted in conjunction with the impression found in the report. Specific recommendations are provided for further management of patients with stable or acute chest pain based on the CAD-RADS classification. The main goal of CAD-RADS is to standardize reporting of coronary CTA results and to facilitate communication of test results to referring physicians along with suggestions for subsequent patient management. In addition, CAD-RADS will provide a framework of standardization that may benefit education, research, peer-review and quality assurance with the potential to ultimately result in improved quality of care.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Cardiology / standards*
  • Clinical Decision-Making
  • Computed Tomography Angiography / standards*
  • Consensus
  • Coronary Angiography / methods
  • Coronary Angiography / standards*
  • Coronary Artery Disease / classification
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / therapy
  • Coronary Vessels / diagnostic imaging*
  • Data Collection / standards
  • Documentation / standards
  • Electronic Health Records / standards*
  • Forms and Records Control / standards
  • Humans
  • Information Storage and Retrieval / standards*
  • Predictive Value of Tests
  • Prognosis
  • Severity of Illness Index
  • Terminology as Topic