JACC Cardiovasc Imaging. 2016 Sep;9(9):1099-1113. doi: 10.1016/j.jcmg.2016.05.005.
The intent of CAD-RADS - Coronary Artery Disease Reporting and Data System is to create a standardized method to communicate findings of coronary CT angiography (coronary CTA) in order to facilitate decision-making regarding further patient management. The suggested CAD-RADS classification is applied on a per-patient basis and represents the highest-grade coronary artery lesion documented by coronary CTA. It ranges from CAD-RADS 0 (Zero) for the complete absence of stenosis and plaque to CAD-RADS 5 for the presence of at least one totally occluded coronary artery and should always be interpreted in conjunction with the impression found in the report. Specific recommendations are provided for further management of patients with stable or acute chest pain based on the CAD-RADS classification. The main goal of CAD-RADS is to standardize reporting of coronary CTA results and to facilitate communication of test results to referring physicians along with suggestions for subsequent patient management. In addition, CAD-RADS will provide a framework of standardization that may benefit education, research, peer-review and quality assurance with the potential to ultimately result in improved quality of care.
CAD-RADS 的目的是创建一种标准化的方法来交流冠状动脉 CT 血管造影（冠状动脉 CTA）的结果，以便于针对进一步的患者管理做出决策。建议的 CAD-RADS 分类是基于每位患者的情况进行应用的，代表了冠状动脉 CTA 记录的最高级别的冠状动脉病变。它的范围从 CAD-RADS 0（零）表示完全没有狭窄和斑块，到 CAD-RADS 5 表示至少有一条完全闭塞的冠状动脉，并且应该始终与报告中的印象一起进行解释。根据 CAD-RADS 分类，为稳定或急性胸痛患者的进一步管理提供了具体建议。CAD-RADS 的主要目标是标准化冠状动脉 CTA 结果的报告，并促进将测试结果传达给转介医生，并提出后续患者管理的建议。此外，CAD-RADS 将提供一个标准化的框架，可能有益于教育、研究、同行评审和质量保证，最终有可能提高护理质量。
