2017 multimodality appropriate use criteria for noninvasive cardiac imaging: Expert consensus of the Asian society of cardiovascular imaging

ASCI Practice Guideline Working Group

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by aseparate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making.

Original languageEnglish
Pages (from-to)871-880
Number of pages10
JournalKorean Journal of Radiology
Volume18
Issue number6
DOIs
Publication statusPublished - 2017 Nov 1

Fingerprint

Multimodal Imaging
Guidelines
Single-Photon Emission-Computed Tomography
Exercise Test
Radionuclide Imaging
Positron-Emission Tomography
Echocardiography
Coronary Artery Disease
Heart Diseases
Electrocardiography
Magnetic Resonance Spectroscopy
Computed Tomography Angiography
Clinical Decision-Making

Keywords

  • Appropriate use criteria
  • Multimodality
  • Noninvasive cardiac imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

2017 multimodality appropriate use criteria for noninvasive cardiac imaging : Expert consensus of the Asian society of cardiovascular imaging. / ASCI Practice Guideline Working Group.

In: Korean Journal of Radiology, Vol. 18, No. 6, 01.11.2017, p. 871-880.

Research output: Contribution to journalReview article

@article{2dbf1cf20e194a2291aa23eb3347dcd7,
title = "2017 multimodality appropriate use criteria for noninvasive cardiac imaging: Expert consensus of the Asian society of cardiovascular imaging",
abstract = "In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by aseparate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making.",
keywords = "Appropriate use criteria, Multimodality, Noninvasive cardiac imaging",
author = "{ASCI Practice Guideline Working Group} and Beck, {Kyongmin Sarah} and Kim, {Jeong A.} and Choe, {Yeon Hyeon} and Hian, {Sim Kui} and John Hoe and Hong, {Yoo Jin} and Kim, {Sung Mok} and Kim, {Tae Hoon} and Kim, {Young Jin} and Kim, {Yun Hyeon} and Sachio Kuribayashi and Jongmin Lee and Lilian Leong and Lim, {Tae Hwan} and Bin Lu and Park, {Jae Hyung} and Hajime Sakuma and Yang, {Dong Hyun} and Yaw, {Tan Swee} and Wan, {Yung Liang} and Zhaoqi Zhang and Shihua Zhao and Hwan-Seok Yong",
year = "2017",
month = "11",
day = "1",
doi = "10.3348/kjr.2017.18.6.871",
language = "English",
volume = "18",
pages = "871--880",
journal = "Korean Journal of Radiology",
issn = "1229-6929",
publisher = "Korean Radiological Society",
number = "6",

}

TY - JOUR

T1 - 2017 multimodality appropriate use criteria for noninvasive cardiac imaging

T2 - Expert consensus of the Asian society of cardiovascular imaging

AU - ASCI Practice Guideline Working Group

AU - Beck, Kyongmin Sarah

AU - Kim, Jeong A.

AU - Choe, Yeon Hyeon

AU - Hian, Sim Kui

AU - Hoe, John

AU - Hong, Yoo Jin

AU - Kim, Sung Mok

AU - Kim, Tae Hoon

AU - Kim, Young Jin

AU - Kim, Yun Hyeon

AU - Kuribayashi, Sachio

AU - Lee, Jongmin

AU - Leong, Lilian

AU - Lim, Tae Hwan

AU - Lu, Bin

AU - Park, Jae Hyung

AU - Sakuma, Hajime

AU - Yang, Dong Hyun

AU - Yaw, Tan Swee

AU - Wan, Yung Liang

AU - Zhang, Zhaoqi

AU - Zhao, Shihua

AU - Yong, Hwan-Seok

PY - 2017/11/1

Y1 - 2017/11/1

N2 - In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by aseparate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making.

AB - In 2010, the Asian Society of Cardiovascular Imaging (ASCI) provided recommendations for cardiac CT and MRI, and this document reflects an update of the 2010 ASCI appropriate use criteria (AUC). In 2016, the ASCI formed a new working group for revision of AUC for noninvasive cardiac imaging. A major change that we made in this document is the rating of various noninvasive tests (exercise electrocardiogram, echocardiography, positron emission tomography, single-photon emission computed tomography, radionuclide imaging, cardiac magnetic resonance, and cardiac computed tomography/angiography), compared side by side for their applications in various clinical scenarios. Ninety-five clinical scenarios were developed from eight selected pre-existing guidelines and classified into four sections as follows: 1) detection of coronary artery disease, symptomatic or asymptomatic; 2) cardiac evaluation in various clinical scenarios; 3) use of imaging modality according to prior testing; and 4) evaluation of cardiac structure and function. The clinical scenarios were scored by aseparate rating committee on a scale of 1–9 to designate appropriate use, uncertain use, or inappropriate use according to a modified Delphi method. Overall, the AUC ratings for CT were higher than those of previous guidelines. These new AUC provide guidance for clinicians choosing among available testing modalities for various cardiac diseases and are also unique, given that most previous AUC for noninvasive imaging include only one imaging technique. As cardiac imaging is multimodal in nature, we believe that these AUC will be more useful for clinical decision making.

KW - Appropriate use criteria

KW - Multimodality

KW - Noninvasive cardiac imaging

UR - http://www.scopus.com/inward/record.url?scp=85031302391&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031302391&partnerID=8YFLogxK

U2 - 10.3348/kjr.2017.18.6.871

DO - 10.3348/kjr.2017.18.6.871

M3 - Review article

C2 - 29089819

AN - SCOPUS:85031302391

VL - 18

SP - 871

EP - 880

JO - Korean Journal of Radiology

JF - Korean Journal of Radiology

SN - 1229-6929

IS - 6

ER -