Department of Diagnostic Radiology, Faculty of Medicine, Mansoura University, Elgomheryia street, Mansoura, 3512, Egypt.
Emerg Radiol. 2021 Dec;28(6):1185-1203. doi: 10.1007/s10140-021-01973-8. Epub 2021 Aug 13.
The aim of this work is to review Coronary Artery Disease Imaging Reporting and Data System (CAD-RADS) that was designed to standardize reporting language and improve the communication of data among radiologists and clinicians. Stenotic lesions are graded into 5 grades ranging from 0 (no stenosis) to 5 (total occlusion), where the highest grade represents the final score. The expert consensus platform has added 4 special modifiers (non-diagnostic, stent, graft, and vulnerability) to aid patient management through linking these scores with decision algorithm and treatment plan. Adherence to standard imaging protocol; knowledge of normal, variant, and anomalous anatomy; and skillful evaluation of stenosis are important for proper utilization of this reporting system. Lastly, radiologists should be aware of the inherited benefits, limitations, and common pitfalls of this classification system.
本研究旨在回顾冠状动脉疾病成像报告和数据系统（CAD-RADS），该系统旨在标准化报告语言，并提高放射科医生和临床医生之间的数据交流。狭窄病变分为 5 个等级，从 0（无狭窄）到 5（完全闭塞），其中最高等级表示最终评分。专家共识平台增加了 4 个特殊修饰符（非诊断性、支架、移植物和易损性），通过将这些评分与决策算法和治疗计划联系起来，辅助患者管理。遵守标准成像协议；了解正常、变异和异常解剖结构；以及熟练评估狭窄程度，对于正确使用该报告系统非常重要。最后，放射科医生应该意识到该分类系统的固有优势、局限性和常见缺陷。
