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Kim, Yong, Kim, Kim, Yang, and Hong: Guideline for Appropriate Use of Cardiac CT in Heart Disease
Cardiovascular Radiology

Journal of the Korean Society of Radiology 2014; 70(2): 93-109.

Published online: 17 February 2014

DOI: https://doi.org/10.3348/jksr.2014.70.2.93

Guideline for Appropriate Use of Cardiac CT in Heart Disease

Young Jin Kim, MD1, Hwan Seok Yong, MD2, Sung Mok Kim, MD3, Jeong A Kim, MD4, Dong Hyun Yang, MD5, Yoo Jin Hong, MD1

1Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

2Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

3Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

4Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

5Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Corresponding author: Hwan Seok Yong, MD. Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul 152-703, Korea. Tel. 82-2-2626-1342, Fax. 82-2-863-9282, yhwanseok@naver.com

Received 14 October 2013       Accepted 18 November 2013

Copyright © 2014 The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Heart disease is one of the leading causes of deaths in Korea, along with malignant neoplasms and cerebrovascular diseases. The proper diagnosis and management for patients with suspected heart diseases should be warranted for the public health care. Advances in CT technology have allowed detailed images of the heart to be obtained, which enable evaluations not only of the coronary arteries but also of other cardiac structures. Currently, the latest multi-detector CT machines are widespread around Korea. The appropriate use of cardiac CT may lead to improvements of the physicians' medical performances and to reduce medical costs which eventually contribute to promotions of public health. However, until now, there has been no guidelines regarding the appropriate use of cardiac CT in Korea. We intend to provide guidelines for the appropriate use of cardiac CT in heart diseases based on scientific data. The purpose of this guideline is to assist the clinicians and other health professionals when using cardiac CT for diagnosis and treatments of heart diseases.

Keywords: Guideline, Appropriateness Criteria, Cardiac Computed Tomography, CT Coronary Angiography

Figures and Tables

Table 1
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Table 2
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Notes

This work is supported by a Grant from National Strategic Coordiating Center for Clinical Research, Republic of Korea (A102065).

References

1. ASCI CCT & CMR Guideline Working Group. Tsai IC, Choi BW, Chan C, Jinzaki M, Kitagawa K, et al. ASCI 2010 appropriateness criteria for cardiac computed tomography: a report of the Asian Society of Cardiovascular Imaging Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging Guideline Working Group. Int J Cardiovasc Imaging. 2010; 26:Suppl 1. 1–15.
2. Taylor AJ, Cerqueira M, Hodgson JM, Mark D, Min J, O'Gara P, et al. 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. J Am Coll Cardiol. 2010; 56:1864–1894.
3. Paech DC, Weston AR. A systematic review of the clinical effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of suspected coronary artery disease. BMC Cardiovasc Disord. 2011; 11:32.
4. Arbab-Zadeh A, Miller JM, Rochitte CE, Dewey M, Niinuma H, Gottlieb I, et al. Diagnostic accuracy of computed tomography coronary angiography according to pre-test probability of coronary artery disease and severity of coronary arterial calcification. The CORE-64 (Coronary Artery Evaluation Using 64-Row Multidetector Computed Tomography Angiography) International Multicenter Study. J Am Coll Cardiol. 2012; 59:379–387.
5. Dedic A, Genders TS, Ferket BS, Galema TW, Mollet NR, Moelker A, et al. Stable angina pectoris: head-to-head comparison of prognostic value of cardiac CT and exercise testing. Radiology. 2011; 261:428–436.
6. Chang SA, Choi SI, Choi EK, Kim HK, Jung JW, Chun EJ, et al. Usefulness of 64-slice multidetector computed tomography as an initial diagnostic approach in patients with acute chest pain. Am Heart J. 2008; 156:375–383.
7. Rubinshtein R, Halon DA, Gaspar T, Jaffe R, Karkabi B, Flugelman MY, et al. Usefulness of 64-slice cardiac computed tomographic angiography for diagnosing acute coronary syndromes and predicting clinical outcome in emergency department patients with chest pain of uncertain origin. Circulation. 2007; 115:1762–1768.
8. Madder RD, Raff GL, Hickman L, Foster NJ, McMurray MD, Carlyle LM, et al. Comparative diagnostic yield and 3-month outcomes of "triple rule-out" and standard protocol coronary CT angiography in the evaluation of acute chest pain. J Cardiovasc Comput Tomogr. 2011; 5:165–171.
9. Schlett CL, Banerji D, Siegel E, Bamberg F, Lehman SJ, Ferencik M, et al. Prognostic value of CT angiography for major adverse cardiac events in patients with acute chest pain from the emergency department: 2-year outcomes of the ROMICAT trial. JACC Cardiovasc Imaging. 2011; 4:481–491.
10. Samad Z, Hakeem A, Mahmood SS, Pieper K, Patel MR, Simel DL, et al. A meta-analysis and systematic review of computed tomography angiography as a diagnostic triage tool for patients with chest pain presenting to the emergency department. J Nucl Cardiol. 2012; 19:364–376.
11. Nasir K, Budoff MJ, Wong ND, Scheuner M, Herrington D, Arnett DK, et al. Family history of premature coronary heart disease and coronary artery calcification: Multi-Ethnic Study of Atherosclerosis (MESA). Circulation. 2007; 116:619–626.
12. Nasir K, Michos ED, Rumberger JA, Braunstein JB, Post WS, Budoff MJ, et al. Coronary artery calcification and family history of premature coronary heart disease: sibling history is more strongly associated than parental history. Circulation. 2004; 110:2150–2156.
13. Detrano R, Guerci AD, Carr JJ, Bild DE, Burke G, Folsom AR, et al. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med. 2008; 358:1336–1345.
14. Budoff MJ, Nasir K, McClelland RL, Detrano R, Wong N, Blumenthal RS, et al. Coronary calcium predicts events better with absolute calcium scores than age-sex-race/ethnicity percentiles: MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol. 2009; 53:345–352.
15. Cademartiri F, Maffei E, Palumbo A, Seitun S, Martini C, Tedeschi C, et al. Coronary calcium score and computed tomography coronary angiography in high-risk asymptomatic subjects: assessment of diagnostic accuracy and prevalence of non-obstructive coronary artery disease. Eur Radiol. 2010; 20:846–854.
16. Khan R, Jang IK. Evaluation of coronary allograft vasculopathy using multi-detector row computed tomography: a systematic review. Eur J Cardiothorac Surg. 2012; 41:415–422.
17. Bhatti S, Hakeem A, Yousuf MA, Al-Khalidi HR, Mazur W, Shizukuda Y. Diagnostic performance of computed tomography angiography for differentiating ischemic vs nonischemic cardiomyopathy. J Nucl Cardiol. 2011; 18:407–420.
18. Catalán P, Leta R, Hidalgo A, Montiel J, Alomar X, Viladés D, et al. Ruling out coronary artery disease with noninvasive coronary multidetector CT angiography before noncoronary cardiovascular surgery. Radiology. 2011; 258:426–434.
19. Shrivastava V, Vundavalli S, Mitchell L, Dunning J. Is cardiac computed tomography a reliable alternative to percutaneous coronary angiography for patients awaiting valve surgery? Interact Cardiovasc Thorac Surg. 2007; 6:105–109.
20. Wazni OM, Tsao HM, Chen SA, Chuang HH, Saliba W, Natale A, et al. Cardiovascular imaging in the management of atrial fibrillation. J Am Coll Cardiol. 2006; 48:2077–2084.
21. Jonnalagadda N, Jain A, Calkins H, Tandri H. Role of cardiac imaging evaluation of patients with documented or suspected ventricular arrhythmias. J Nucl Cardiol. 2010; 17:145–152.
22. Ehara M, Terashima M, Kawai M, Matsushita S, Tsuchikane E, Kinoshita Y, et al. Impact of multislice computed tomography to estimate difficulty in wire crossing in percutaneous coronary intervention for chronic total occlusion. J Invasive Cardiol. 2009; 21:575–582.
23. Bonello L, Armero S, Jacquier A, Com O, Sarran A, Sbragia P, et al. Non-invasive coronary angiography for patients with acute atypical chest pain discharged after negative screening including maximal negative treadmill stress test. A prospective study. Int J Cardiol. 2009; 134:140–143.
24. Blankstein R, Ahmed W, Bamberg F, Rogers IS, Schlett CL, Nasir K, et al. Comparison of exercise treadmill testing with cardiac computed tomography angiography among patients presenting to the emergency room with chest pain: the Rule Out Myocardial Infarction Using Computer-Assisted Tomography (ROMICAT) study. Circ Cardiovasc Imaging. 2012; 5:233–242.
25. Versteylen MO, Joosen IA, Winkens MH, Laufer EM, Snijder RJ, Wildberger JE, et al. Combined use of exercise electrocardiography, coronary calcium score and cardiac CT angiography for the prediction of major cardiovascular events in patients presenting with stable chest pain. Int J Cardiol. 2013; 167:121–125.
26. Cademartiri F, La Grutta L, Palumbo A, Maffei E, Martini C, Seitun S, et al. Computed tomography coronary angiography vs. stress ECG in patients with stable angina. Radiol Med. 2009; 114:513–523.
27. Abidov A, Gallagher MJ, Chinnaiyan KM, Mehta LS, Wegner JH, Raff GL. Clinical effectiveness of coronary computed tomographic angiography in the triage of patients to cardiac catheterization and revascularization after inconclusive stress testing: results of a 2-year prospective trial. J Nucl Cardiol. 2009; 16:701–713.
28. Sarwar A, Shaw LJ, Shapiro MD, Blankstein R, Hoffmann U, Cury RC, et al. Diagnostic and prognostic value of absence of coronary artery calcification. JACC Cardiovasc Imaging. 2009; 2:675–688.
29. Budoff MJ, Shaw LJ, Liu ST, Weinstein SR, Mosler TP, Tseng PH, et al. Long-term prognosis associated with coronary calcification: observations from a registry of 25,253 patients. J Am Coll Cardiol. 2007; 49:1860–1870.
30. Abdulla J, Pedersen KS, Budoff M, Kofoed KF. Influence of coronary calcification on the diagnostic accuracy of 64-slice computed tomography coronary angiography: a systematic review and meta-analysis. Int J Cardiovasc Imaging. 2012; 28:943–953.
31. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, et al. ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol. 2007; 50:1707–1732.
32. Abir F, Kakisis I, Sumpio B. Do vascular surgery patients need a cardiology work-up? A review of pre-operative cardiac clearance guidelines in vascular surgery. Eur J Vasc Endovasc Surg. 2003; 25:110–117.
33. Hamon M, Lepage O, Malagutti P, Riddell JW, Morello R, Agostini D, et al. Diagnostic performance of 16- and 64-section spiral CT for coronary artery bypass graft assessment: meta-analysis. Radiology. 2008; 247:679–686.
34. Sun Z, Almutairi AM. Diagnostic accuracy of 64 multislice CT angiography in the assessment of coronary in-stent restenosis: a meta-analysis. Eur J Radiol. 2010; 73:266–273.
35. Sun Z, Davidson R, Lin CH. Multi-detector row CT angiography in the assessment of coronary in-stent restenosis: a systematic review. Eur J Radiol. 2009; 69:489–495.
36. Kim SY, Seo JB, Do KH, Heo JN, Lee JS, Song JW, et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics. 2006; 26:317–333. discussion 333-334.
37. Cademartiri F, La Grutta L, Malagò R, Alberghina F, Meijboom WB, Pugliese F, et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol. 2008; 18:781–791.
38. Leschka S, Oechslin E, Husmann L, Desbiolles L, Marincek B, Genoni M, et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics. 2007; 27:829–846.
39. Juergens KU, Fischbach R. Left ventricular function studied with MDCT. Eur Radiol. 2006; 16:342–357.
40. Sugeng L, Mor-Avi V, Weinert L, Niel J, Ebner C, Steringer-Mascherbauer R, et al. Multimodality comparison of quantitative volumetric analysis of the right ventricle. JACC Cardiovasc Imaging. 2010; 3:10–18.
41. Bomma C, Dalal D, Tandri H, Prakasa K, Nasir K, Roguin A, et al. Evolving role of multidetector computed tomography in evaluation of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Am J Cardiol. 2007; 100:99–105.
42. Goetti R, Feuchtner G, Stolzmann P, Donati OF, Wieser M, Plass A, et al. Delayed enhancement imaging of myocardial viability: low-dose high-pitch CT versus MRI. Eur Radiol. 2011; 21:2091–2099.
43. Sato A, Hiroe M, Nozato T, Hikita H, Ito Y, Ohigashi H, et al. Early validation study of 64-slice multidetector computed tomography for the assessment of myocardial viability and the prediction of left ventricular remodelling after acute myocardial infarction. Eur Heart J. 2008; 29:490–498.
44. Thilo C, Hanley M, Bastarrika G, Ruzsics B, Schoepf UJ. Integrative computed tomographic imaging of cardiac structure, function, perfusion, and viability. Cardiol Rev. 2010; 18:219–229.
45. Shah RG, Novaro GM, Blandon RJ, Whiteman MS, Asher CR, Kirsch J. Aortic valve area: meta-analysis of diagnostic performance of multi-detector computed tomography for aortic valve area measurements as compared to transthoracic echocardiography. Int J Cardiovasc Imaging. 2009; 25:601–609.
46. Chen JJ, Manning MA, Frazier AA, Jeudy J, White CS. CT angiography of the cardiac valves: normal, diseased, and postoperative appearances. Radiographics. 2009; 29:1393–1412.
47. Tsai IC, Lin YK, Chang Y, Fu YC, Wang CC, Hsieh SR, et al. Correctness of multi-detector-row computed tomography for diagnosing mechanical prosthetic heart valve disorders using operative findings as a gold standard. Eur Radiol. 2009; 19:857–867.
48. Anavekar NS, Bonnichsen CR, Foley TA, Morris MF, Martinez MW, Williamson EE, et al. Computed tomography of cardiac pseudotumors and neoplasms. Radiol Clin North Am. 2010; 48:799–816.
49. Hur J, Kim YJ, Lee HJ, Nam JE, Ha JW, Heo JH, et al. Dual-enhanced cardiac CT for detection of left atrial appendage thrombus in patients with stroke: a prospective comparison study with transesophageal echocardiography. Stroke. 2011; 42:2471–2477.
50. Verhaert D, Gabriel RS, Johnston D, Lytle BW, Desai MY, Klein AL. The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 2010; 3:333–343.
51. Saremi F, Tafti M. The role of computed tomography and magnetic resonance imaging in ablation procedures for treatment of atrial fibrillation. Semin Ultrasound CT MR. 2009; 30:125–156.
52. Jongbloed MR, Lamb HJ, Bax JJ, Schuijf JD, de Roos A, van der Wall EE, et al. Noninvasive visualization of the cardiac venous system using multislice computed tomography. J Am Coll Cardiol. 2005; 45:749–753.
53. Kamdar AR, Meadows TA, Roselli EE, Gorodeski EZ, Curtin RJ, Sabik JF, et al. Multidetector computed tomographic angiography in planning of reoperative cardiothoracic surgery. Ann Thorac Surg. 2008; 85:1239–1245.
54. Delgado V, Ng AC, van de Veire NR, van der Kley F, Schuijf JD, Tops LF, et al. Transcatheter aortic valve implantation: role of multi-detector row computed tomography to evaluate prosthesis positioning and deployment in relation to valve function. Eur Heart J. 2010; 31:1114–1123.
55. Willson AB, Webb JG, Labounty TM, Achenbach S, Moss R, Wheeler M, et al. 3-dimensional aortic annular assessment by multidetector computed tomography predicts moderate or severe paravalvular regurgitation after transcatheter aortic valve replacement: a multicenter retrospective analysis. J Am Coll Cardiol. 2012; 59:1287–1294.
56. Quaife RA, Chen MY, Kim M, Klein AJ, Jehle A, Kay J, et al. Pre-procedural planning for percutaneous atrial septal defect closure: transesophageal echocardiography compared with cardiac computed tomographic angiography. J Cardiovasc Comput Tomogr. 2010; 4:330–338.
57. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Park JJ. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging. 2005; 21:347–365. discussion 367.
58. Spevak PJ, Johnson PT, Fishman EK. Surgically corrected congenital heart disease: utility of 64-MDCT. AJR Am J Roentgenol. 2008; 191:854–861.
59. Carbone I, Cannata D, Algeri E, Galea N, Napoli A, De Zorzi A, et al. Adolescent Kawasaki disease: usefulness of 64-slice CT coronary angiography for follow-up investigation. Pediatr Radiol. 2011; 41:1165–1173.
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