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冠状动脉疾病报告和数据系统(CAD-RADS):优势与局限。

Coronary Artery Disease-Reporting and Data System (CAD-RADS): strengths and limitations.

机构信息

Department of Radiology, Al-Wakra Hospital, Hamad Medical Corporation, PO Box: 82228, Doha, Qatar; Department of Radiology, Weil Cornell Medical College, Doha, Qatar.

Department of Radiology, Al-Wakra Hospital, Hamad Medical Corporation, PO Box: 82228, Doha, Qatar.

出版信息

Clin Radiol. 2019 Jun;74(6):411-417. doi: 10.1016/j.crad.2019.01.003. Epub 2019 Feb 11.

DOI:10.1016/j.crad.2019.01.003
PMID:30765109
Abstract

A new standardised reporting system was introduced recently for coronary computed tomography (CT) angiography interpretation called CAD-RADS (Coronary Artery Disease-Reporting and Data System). Like any other new reporting platform, CAD-RADS has both advantages and disadvantages. Consistency in reporting, better clarity of communication, and more streamlined clinical recommendations are the major strengths of CAD-RADS. It has many limitations such as misinterpretation of CT angiography findings inherent to any CT angiography examination and unique disadvantages like misclassification of abnormalities, potential to misguide the referring physicians by suggesting management based on a single score. In addition, CAD-RADS does not include the details on location and extent of disease in the coronary arteries, coronary anomalies and other cardiac and extra cardiac findings.

摘要

最近引入了一种新的冠状动脉计算机断层扫描(CT)血管造影解读标准化报告系统,称为 CAD-RADS(冠状动脉疾病报告和数据系统)。像任何其他新的报告平台一样,CAD-RADS 既有优点也有缺点。报告的一致性、更好的沟通清晰度和更精简的临床推荐是 CAD-RADS 的主要优势。它也有许多局限性,例如任何 CT 血管造影检查中 CT 血管造影结果的误解,以及独特的缺点,如异常的错误分类,根据单一评分建议管理可能会误导转诊医生。此外,CAD-RADS 不包括冠状动脉疾病、冠状动脉异常以及其他心脏和心脏外发现的位置和程度的详细信息。

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