News | Computed Tomography (CT) | January 18, 2021

New Expert Consensus Document on Coronary CT Imaging of Atherosclerotic Plaque

SCCT and NASCI consensus provides a comprehensive review of evidence on imaging of coronary atherosclerosis 

Coronary CT angiography images courtesy of Canon Medical Systems.

Coronary CT angiography images courtesy of Canon Medical Systems.

January 18, 2020) — The Society of Cardiovascular Computed Tomography (SCCT), in collaboration with the North American Society of Cardiovascular Imaging (NASCI), recently released a new expert consensus document on coronary CT imaging of atherosclerotic plaque. 
 
This document, which is published in the Journal of Cardiovascular Computed Tomography and co-published in NASCI’s International Journal of Cardiovascular Imaging,[1] provides a comprehensive review of the available evidence on imaging of coronary atherosclerosis and standardized definitions for high-risk plaque (HRP) features and distilled evidence on the effectiveness of risk stratification into usable practice points.
 
According to Leslee Shaw, Ph.D., MSCCT, chair and lead author of the expert consensus: “Coronary computed tomographic angiography (CCTA) provides a wealth of clinically meaningful information. This consensus will serve as a guide given that previously, there has been no uniform agreement on how to identify and quantify the presence or absence of nonobstructive atherosclerosis and high-risk plaque features as precursors for incident coronary events or their use in evidence-based clinical decision-making.” 

Growing evidence over the past decade has accumulated regarding the prognostic significance of nonobstructive and obstructive atherosclerotic plaque and its importance for estimating patient risk and guiding preventive care. Rigorous documentation of atherosclerosis on CCTA provides a vital opportunity to make recommendations for preventive care and to initiate and guide an effective care strategy for at-risk patients.
 
Shaw goes on to say “This consensus acknowledges both the advantages and limitations of current methods used to assess atherosclerotic plaque in an effort to identify future research that may be needed in this area as further advancements are made and the field rapidly evolves.” 
 
This statement focuses on the following principal issues that will influence how we think about imaging coronary atherosclerotic plaque:
   • CT Imaging of Atherosclerotic Plaque: Risk prediction in stable and unstable chest pain syndromes
   • Evidence Gaps in Coronary Atherosclerotic Plaque Imaging and Future Research Needs
   • CT Plaque Imaging to Direct Risk-Reducing Preventive or Disease-Modifying Therapies:    Observational evidence on CCTA-guided preventive strategies
   • Minimum Data Elements for Structured Reporting For Coronary Atherosclerotic Plaque
Consensus Summary and Recommendations
 
Read the full expert consensus document here. 
 
For more information: www.SCCT.org

 

Reference:

1. Leslee J. Shaw, Ron Blankstein, Jeroen J. Bax, et al. Society of Cardiovascular Computed Tomography / North American Society of Cardiovascular Imaging – Expert Consensus Document on Coronary CT Imaging of Atherosclerotic Plaque. Journal of Cardiovascular Computed Tomography. Published November  9, 2020. DOI:https://doi.org/10.1016/j.jcct.2020.11.002.

 

Related Content

National Imaging Solutions, a recognized leader in medical imaging and radiology solutions, announced it has acquired DynaRad — the oldest manufacturer of portable X-ray systems in the US. This new investment will allow National Imaging Solutions to support its customers by supplying them with DynaRad portable X-ray machines, including a mobile field X-ray device using nanotube technology.
News | Radiology Business | May 11, 2021
May 11, 2021 — ...
News | Radiation Therapy | May 06, 2021
May 6, 2021 — Individuals living with severe...
Research finds that a commonly used risk-prediction model for lung cancer does not accurately identify high-risk Black patients who could benefit from early screening

Getty Images

News | Lung Imaging | May 05, 2021
May 5, 2021 — Lung cancer is the third most common cance
The Women’s Heart Attack Research Program (HARP) study shows combining OCT and cardiac MRI can help detect the underlying cause of heart attacks in women who did not have blocked arteries.

The Women’s Heart Attack Research Program (HARP) study shows combining OCT and cardiac MRI can help detect the underlying cause of heart attacks in women who did not have blocked arteries.

News | Cardiac Imaging | April 30, 2021
April 30, 2021 — In almost 10 percent of...
Spectral DLR enables improved assessment of lumen stenosis in the presence of calcified plaque. Interactive monochromatic image display enables improved opacification of the injected contrast with low keV images and reduced calcium blooming artifacts with high keV images

Spectral DLR enables improved assessment of lumen stenosis in the presence of calcified plaque. Interactive monochromatic image display enables improved opacification of the injected contrast with low keV images and reduced calcium blooming artifacts with high keV images. The range of monochromatic energy levels (35-135 keV) can be visualized in real time through an image slider in the application that can be integrated in to a PACS.

News | Cardiac Imaging | April 21, 2021
April 21, 2021 — Meeting the growing cardiovascular needs of healthcare providers today, ...
Low-dose #CT #lung #scans are used to #screen for #lung_cancer in high-risk people such as heavy #smokers

Getty Images

News | Lung Imaging | April 16, 2021
April 17, 2021 — A deep learning algorithm accurately predicts the risk of death from...
CDC and FDA Call for Pause on Janssen COVID-19 Vaccine Due to Rare Blood Clots #COVID19 #Janssen
Feature | Coronavirus (COVID-19) | April 15, 2021 | By Dave Fornell
April 15, 2021 — The U.S.