News | February 27, 2013

Society of Cardiovascular CT Releases List of Five Things Physicians and Patients Should Question

February 27, 2013 —  The Society of Cardiovascular Computed Tomography (SCCT) has released a list of five interventions whose appropriateness physicians and patients should discuss as part of Choosing Wisely. The list includes:

  1. Do not use coronary artery calcium scoring for asymptomatic patients with known coronary artery disease (including stents and bypass grafts).
  2. Do not order coronary artery calcium scoring for preoperative evaluation for any surgery, irrespective of patient risk.
  3. Do not order coronary artery calcium scoring for screening purposes on low risk asymptomatic individuals except for those with a family history of premature coronary artery disease.
  4. Do not routinely order coronary computed tomography angiography for screening asymptomatic individuals.
  5. Do not use coronary computed tomography angiography in high risk* emergency department patients presenting with acute chest pain.

 

*Risk defined by the Thrombolysis In Myocardial Infarction (TIMI) risk score for unstable angina/acute coronary syndromes.

The goal of Choosing Wisely is to promote conversations between physicians and patients about utilizing the most appropriate tests and treatments and avoiding care that may provide no benefit. SCCT identified these interventions after careful review of evidence and clinical guidelines.

A committee panel made up of expert members of its existing Guidelines Committee and Publications and Statements committee was formed and dedicated to recommending between five and 10 questions that should be considered when ordering Coronary CT angiography and coronary artery calcium scoring. The panel reviewed and referred to SCCT's currently existing and published guidelines, appropriate use criteria and support statements. Once questions were chosen, the list was referred to the SCCT Board of Directors and Executive Board for final review, edits and approval. 

"The Society of Cardiovascular Computed Tomography is pleased to participate with the Choosing Wisely campaign in raising physician and public awareness relating to the proper use of CT for imaging the heart," says John Lesser, current president of SCCT. "We believe that through the choosing wisely campaign, we can minimize the ordering of unnecessary CT scans. By identifying five indications to avoid when ordering cardiac CT scans, we should improve the likelihood that a scan is chosen based on the evidence of its utility in a specific situation."

SCCT encourages all cardiologists and radiologists to read the "Five Things Physicians and Patients Should Question" lists and to engage their patients in conversations about reducing inappropriate tests and procedures with a goal of improving care and avoiding harm.

For more information: www.SCCT.org, www.choosingwisely.org

Related Content

iSchemaView Brings RAPID Imaging Platform to Australia and New Zealand
News | Stroke | July 13, 2018
iSchemaView has signed Diagnostic Imaging Australia (DIA) to be the exclusive distributor for the RAPID cerebrovascular...
HeartFlow Announces New Commercial Coverage With UnitedHealthcare
News | Computed Tomography (CT) | July 03, 2018
HeartFlow Inc. announced that UnitedHealthcare now covers the HeartFlow FFRct Analysis, extending access to their 45...
Post-Mortem CT Angiography Illuminates Causes of Death
News | CT Angiography (CTA) | June 25, 2018
Computed tomography (CT) angiography is a useful adjunct to autopsy that is likely to increase the quality of post-...
360 Photos | 360 View Photos | June 14, 2018
This is a 360 degree image from the Canon Aquilion 64-slice...
360 Photos | 360 View Photos | May 02, 2018
This is a 360 degree image from the Canon Aquilion One 320-slice computed tomography (CT) system installed at...
iSchemaView Receives FDA Clearance for Rapid CTA
Technology | CT Angiography (CTA) | May 01, 2018
Cerebrovascular imaging analysis company iSchemaView received final clearance from the U.S. Food and Drug...
HeartFlow FFRct Analysis Added to ITP Payment Program in the U.K.
News | CT Angiography (CTA) | April 25, 2018
HeartFlow Inc. announced that the National Health Service (NHS) England has chosen the HeartFlow FFRct (fractional flow...
New Policy Decisions Give Millions Access to HeartFlow FFRct Analysis
News | Cardiac Imaging | February 01, 2018
February 1, 2018 – HeartFlow announced that seven new commercial payers issued positive medical policies covering the
Overlay Init