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.
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Technical panel members of ASCI 2010 cardiac CT appropriateness criteria
Shyh-Jye Chen, MD, PhD (Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan), Stephen Chi Wai Cheung, MBBS, MRCP, FRCR (Department of Radiology, Queen Mary Hospital, Hong Kong, China), Pow-Li Chia, MBBS, MRCP, MMed (Department of Cardiology, Tan Tock Seng Hospital, Singapore), Hyun Woo Goo, MD, PhD (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea), John Hoe, MD (Department of Radiology, Mount Elizabeth Hospital, Singapore), Xihong Hu, MD, PhD (Department of Radiology, Children’s Hospital, Fudan University, Shanghai, China), Gham Hur, MD, PhD (Departments of Diagnostic Radiology, Inje University Ilsanpaik Hospital, Korea), Sutipong Jongjirasiri, MD (Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand), Young Jin Kim, MD, PhD (Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University Health System, Seoul, Korea), Fumiko Kimura, MD (Department of Diagnostic Radiology, Saitama Medical University International Medical Center, Saitama, Japan), Sung Min Ko, MD (Department of Radiology, Konkuk University Hospital School of Medicine, Seoul, Korea), Wen-Jeng Lee, MD (Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan), Wen-Lieng Lee, MD, PhD (Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan), Gladys Goh Lo, MD, DABR, FHKAM(Rad), FHKCR (Department of Diagnostic & Interventional Radiology, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong, China), Hoang Minh Loi, MD, PhD (Department of Radiology, Hue Central Hospital, Hue Medical University, Hue, Vietnam), Oraporn See, MD, FACC,FSGC, FASE (Cardiology Division, Ramathibodi Hospital, Mahidol University and Heart Institute, Samitivej Sukumvit Hospital, Bangkok, Thailand), Kui-Hian Sim, MBBS, FRACP (Department of Cardiology, Sarawak General Hospital. Kuching, Malaysia), Wei-Lin Tsai, MD (Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan), Nguyen Khoi Viet, MD (Radiology Department, Bach Mai Hospital, Hanoi, Vietnam), Chi-Ming Wong, MB., FRCP., FHKAM, FACC, FSCAI (Department of Cardiology, Sir Run Run Shaw Heart Centre, St. Teresa’s Hospital, Hong Kong, China), Ming-Ting Wu, MD (Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan), Zhi-Gang Yang, MD, PhD (Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China), Kunihiro Yoshioka, MD, PhD (Department of Radiology, Iwate Medical University, Iwate, Japan).
Appendices
Appendix 1
ASCI CCT appropriateness criteria (by indication)
See Tables 1,2,3,4,5,6,7,8,9,10,11, and 12.
Appendix 2
ASCI CCT appropriateness criteria (by appropriateness category)
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ASCI CCT & CMR Guideline Working Group., Tsai, IC., Choi, B.W. et al. 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. Int J Cardiovasc Imaging 26 (Suppl 1), 1–15 (2010). https://doi.org/10.1007/s10554-009-9577-4
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DOI: https://doi.org/10.1007/s10554-009-9577-4