Pictorial review with representative cases of CAD-RADS 2.0 classification in stable coronary artery disease
DOI:
https://doi.org/10.53903/01212095.360Abstract
Background: The Coronary Artery Disease Reporting and Data System (CAD-RADS) is a structured reporting framework designed to standardize coronary computed tomography angiography (CCTA) interpretations. A lack of standardized reporting can impede interdisciplinary communication and contribute to variability in clinical management. The implementation of CAD-RADS 2.0
contributes to standardizing CCTA reporting, reducing variability in interpretation and improving interdisciplinary communication, facilitating more accurate management of coronary artery disease. Objective: To describe and illustrate with our own cases the CAD-RADS 2.0 Reporting System to facilitate the understanding and application of this classification. Methods: A retrospective filtered search was conducted in our institution’s archive for patients who underwent CCTA between June 2, 2023, and March 26, 2024. Two cardiac imaging radiologists with more than 15 years of
experience reviewed the CCTA reports, the CAD-RADS 2.0 classification, and images for each patient in the archive, selecting by consensus the cases characteristic of each CAD-RADS 2.0 category to illustrate the application of this reporting system in a representative manner. Results:
Representative cases from the different categories of the updated CAD-RADS 2.0 classification were selected. Illustrations were included to facilitate the understanding of coronary anatomy and the characteristics of the different coronary lesions. Conclusion: The pictorial review provides a comprehensive and educational resource for understanding and applying the CAD-RADS 2.0 report system, combining a complete description of its categories and modifiers with high-quality images obtained through the clinical use of a state-of-the-art 320 detector row CT scanner in our Colombian population.
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