Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System
Coronary artery disease (CAD) narrows vessel lumens at the sites of atherosclerosis, increasing the risk of myocardial ischemia or infarction. Early and accurate diagnosis of CAD is crucial to significantly improve prognosis and management. CT angiography (CTA) is a noninvasive imaging technique...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2024-03-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2023.0141 |
| _version_ | 1797236819010519040 |
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| author | Hyewon Park Yu-Whan Oh Ki Yeol Lee Hwan Seok Yong Cherry Kim Sung Ho Hwang |
| author_facet | Hyewon Park Yu-Whan Oh Ki Yeol Lee Hwan Seok Yong Cherry Kim Sung Ho Hwang |
| author_sort | Hyewon Park |
| collection | DOAJ |
| description | Coronary artery disease (CAD) narrows vessel lumens at the sites of atherosclerosis, increasing
the risk of myocardial ischemia or infarction. Early and accurate diagnosis of CAD is crucial to
significantly improve prognosis and management. CT angiography (CTA) is a noninvasive imaging
technique that enables assessment of vascular structure and stenosis with high resolution
and contrast. Coronary CTA is useful in the diagnosis of CAD. Recently, the CAD-reporting
and data system (CAD-RADS), a diagnostic classification system based on coronary CTA, has
been developed to improve intervention efficacy in patients suspected of CAD. While the CADRAD
is based on CTA, it includes borderline categories where interpreting the coronary artery
status solely based on CTA findings may be challenging. This review introduces CTA findings
that fall within the CAD-RADS categories that necessitate additional tests to decide to perform
invasive coronary angiography and discusses appropriate management strategies. |
| first_indexed | 2024-04-24T17:09:54Z |
| format | Article |
| id | doaj.art-d735641646194f24a41e02264f35f76f |
| institution | Directory Open Access Journal |
| issn | 2951-0805 |
| language | English |
| last_indexed | 2024-04-24T17:09:54Z |
| publishDate | 2024-03-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj.art-d735641646194f24a41e02264f35f76f2024-03-28T13:38:11ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-03-01852297307https://doi.org/10.3348/jksr.2023.0141Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data SystemHyewon ParkYu-Whan OhKi Yeol LeeHwan Seok YongCherry KimSung Ho HwangCoronary artery disease (CAD) narrows vessel lumens at the sites of atherosclerosis, increasing the risk of myocardial ischemia or infarction. Early and accurate diagnosis of CAD is crucial to significantly improve prognosis and management. CT angiography (CTA) is a noninvasive imaging technique that enables assessment of vascular structure and stenosis with high resolution and contrast. Coronary CTA is useful in the diagnosis of CAD. Recently, the CAD-reporting and data system (CAD-RADS), a diagnostic classification system based on coronary CTA, has been developed to improve intervention efficacy in patients suspected of CAD. While the CADRAD is based on CTA, it includes borderline categories where interpreting the coronary artery status solely based on CTA findings may be challenging. This review introduces CTA findings that fall within the CAD-RADS categories that necessitate additional tests to decide to perform invasive coronary angiography and discusses appropriate management strategies.https://doi.org/10.3348/jksr.2023.0141coronary artery diseaseatherosclerosiscoronarycoronary stenosisatherosclerotic plaquect angiography |
| spellingShingle | Hyewon Park Yu-Whan Oh Ki Yeol Lee Hwan Seok Yong Cherry Kim Sung Ho Hwang Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System Journal of the Korean Society of Radiology coronary artery disease atherosclerosis coronary coronary stenosis atherosclerotic plaque ct angiography |
| title | Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System |
| title_full | Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System |
| title_fullStr | Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System |
| title_full_unstemmed | Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System |
| title_short | Visualization of Borderline Coronary Artery Lesions by CT Angiography and Coronary Artery Disease Reporting and Data System |
| title_sort | visualization of borderline coronary artery lesions by ct angiography and coronary artery disease reporting and data system |
| topic | coronary artery disease atherosclerosis coronary coronary stenosis atherosclerotic plaque ct angiography |
| url | https://doi.org/10.3348/jksr.2023.0141 |
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