Why the study?
Continuous technical improvements and growing evidence have expanded the clinical role of CCT, creating an urgent need for an updated guide on its appropriate use across different clinical settings.
This joint SIRM-SIC consensus document establishes updated appropriateness criteria for the clinical use of Cardiac Computed Tomography in various cardiovascular conditions.
Updates CCT appropriateness criteria for CHD, prevention, pre-surgical assessment, and CAD; extends prior guidance with A-E graded consensus for practice and trials.
In 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.
No takes yet. Share an insight, caveat, or question.
Esposito et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: