The International Journal of Cardiovascular Imaging

, Volume 26, Supplement 1, pp 1–15

ASCI 2010 appropriateness criteria for cardiac computed tomography: a report of the Asian Society of Cardiovascular Imaging cardiac computed tomography and cardiac magnetic resonance imaging guideline Working Group

  • ASCI CCT & CMR Guideline Working Group
  • I-Chen Tsai
  • Byoung Wook Choi
  • Carmen Chan
  • Masahiro Jinzaki
  • Kakuya Kitagawa
  • Hwan Seok Yong
  • Wei Yu
Guideline

DOI: 10.1007/s10554-009-9577-4

Cite this article as:
ASCI CCT & CMR Guideline Working Group, Tsai, IC., Choi, B.W. et al. Int J Cardiovasc Imaging (2010) 26: 1. doi:10.1007/s10554-009-9577-4

Abstract

In Asia, the healthcare system, populations and patterns of disease differ from Western countries. The current reports on the criteria for cardiac CT scans, provided by Western professional societies, are not appropriate for Asian cultures. The Asian Society of Cardiovascular Imaging, the only society dedicated to cardiovascular imaging in Asia, formed a Working Group and invited 23 Technical Panel members representing a variety of Asian countries to rate the 51 indications for cardiac CT in clinical practice in Asia. The indications were rated as ‘appropriate’ (7–9), ‘uncertain’ (4–6), or ‘inappropriate’ (1–3) on a scale of 1–9. The median score was used for the final result if there was no disagreement. The final ratings for indications were 33 appropriate, 14 uncertain and 4 inappropriate. And 20 of them are highly agreed (19 appropriate and 1 inappropriate). Specifically, the Asian representatives considered cardiac CT as an appropriate modality for Kawasaki disease and congenital heart diseases in follow up and in symptomatic patients. In addition, except for some specified conditions, cardiac CT was considered to be an appropriate modality for one-stop shop ischemic heart disease evaluation due to its general appropriateness in coronary, structure and function evaluation. This report is expected to have a significant impact on the clinical practice, research and reimbursement policy in Asia.

Keywords

Appropriateness criteriaCardiac computed tomographyCT coronary angiographyGuidelineAsia

Supplementary material

Copyright information

© Springer Science+Business Media, B.V. 2010

Authors and Affiliations

  • ASCI CCT & CMR Guideline Working Group
  • I-Chen Tsai
    • 1
  • Byoung Wook Choi
    • 2
  • Carmen Chan
    • 3
  • Masahiro Jinzaki
    • 4
  • Kakuya Kitagawa
    • 5
  • Hwan Seok Yong
    • 6
  • Wei Yu
    • 7
  1. 1.Department of RadiologyTaichung Veterans General HospitalTaichungTaiwan
  2. 2.Department of Radiology, Research Institute of Radiological Science, Severance HospitalYonsei University Health SystemSeoulKorea
  3. 3.Division of Cardiology, Department of MedicineQueen Mary HospitalHong KongChina
  4. 4.Department of Diagnostic RadiologyKeio University School of MedicineTokyoJapan
  5. 5.Department of Diagnostic RadiologyMie University School of MedicineMieJapan
  6. 6.Department of RadiologyKorea University Guro HospitalSeoulKorea
  7. 7.Department of Radiology, Beijing Anzhen HospitalCapital Medical UniversityBeijingChina