Coronary computed tomographic imaging in women: An expert consensus statement from the Society of Cardiovascular Computed Tomography

for the SCCT Women's Committee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This expert consensus statement from the Society of Cardiovascular Computed Tomography (SCCT) provides an evidence synthesis on the use of computed tomography (CT) imaging for diagnosis and risk stratification of coronary artery disease in women. From large patient and population cohorts of asymptomatic women, detection of any coronary artery calcium that identifies females with a 10-year atherosclerotic cardiovascular disease risk of >7.5% may more effectively triage women who may benefit from pharmacologic therapy. In addition to accurate detection of obstructive coronary artery disease (CAD), CT angiography (CTA) identifies nonobstructive atherosclerotic plaque extent and composition which is otherwise not detected by alternative stress testing modalities. Moreover, CTA has superior risk stratification when compared to stress testing in symptomatic women with stable chest pain (or equivalent) symptoms. For the evaluation of symptomatic women both in the emergency department and the outpatient setting, there is abundant evidence from large observational registries and multi-center randomized trials, that CT imaging is an effective procedure. Although radiation doses are far less for CT when compared to nuclear imaging, radiation dose reduction strategies should be applied in all women undergoing CT imaging. Effective and appropriate use of CT imaging can provide the means for improved detection of at-risk women and thereby focus preventive management resulting in long-term risk reduction and improved clinical outcomes.

Original languageEnglish (US)
JournalJournal of Cardiovascular Computed Tomography
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Consensus
Tomography
Coronary Artery Disease
Radiation
Triage
Atherosclerotic Plaques
Risk Reduction Behavior
Chest Pain
Registries
Hospital Emergency Service
Coronary Vessels
Outpatients
Cardiovascular Diseases
Calcium
Population

Keywords

  • Atherosclerosis
  • Coronary CTA
  • Sex differences
  • Suspected coronary disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

@article{0047978984214b3eb3d88c9475e34836,
title = "Coronary computed tomographic imaging in women: An expert consensus statement from the Society of Cardiovascular Computed Tomography",
abstract = "This expert consensus statement from the Society of Cardiovascular Computed Tomography (SCCT) provides an evidence synthesis on the use of computed tomography (CT) imaging for diagnosis and risk stratification of coronary artery disease in women. From large patient and population cohorts of asymptomatic women, detection of any coronary artery calcium that identifies females with a 10-year atherosclerotic cardiovascular disease risk of >7.5{\%} may more effectively triage women who may benefit from pharmacologic therapy. In addition to accurate detection of obstructive coronary artery disease (CAD), CT angiography (CTA) identifies nonobstructive atherosclerotic plaque extent and composition which is otherwise not detected by alternative stress testing modalities. Moreover, CTA has superior risk stratification when compared to stress testing in symptomatic women with stable chest pain (or equivalent) symptoms. For the evaluation of symptomatic women both in the emergency department and the outpatient setting, there is abundant evidence from large observational registries and multi-center randomized trials, that CT imaging is an effective procedure. Although radiation doses are far less for CT when compared to nuclear imaging, radiation dose reduction strategies should be applied in all women undergoing CT imaging. Effective and appropriate use of CT imaging can provide the means for improved detection of at-risk women and thereby focus preventive management resulting in long-term risk reduction and improved clinical outcomes.",
keywords = "Atherosclerosis, Coronary CTA, Sex differences, Suspected coronary disease",
author = "{for the SCCT Women's Committee} and Truong, {Quynh A.} and Sarah Rinehart and Suhny Abbara and Stephan Achenbach and Berman, {Daniel S.} and Renee Bullock-Palmer and Patricia Carrascosa and Chinnaiyan, {Kavitha M.} and Damini Dey and Maros Ferencik and Gudrun Fuechtner and Harvey Hecht and Jacobs, {Jill E.} and Lee, {Sang Eun} and Jonathan Leipsic and Fay Lin and Aloha Meave and Francesca Pugliese and Sierra-Gal{\'a}n, {Lilia M.} and Williams, {Michelle C.} and Villines, {Todd C.} and Shaw, {Leslee J.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.jcct.2018.10.019",
language = "English (US)",
journal = "Journal of Cardiovascular Computed Tomography",
issn = "1934-5925",
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T1 - Coronary computed tomographic imaging in women

T2 - An expert consensus statement from the Society of Cardiovascular Computed Tomography

AU - for the SCCT Women's Committee

AU - Truong, Quynh A.

AU - Rinehart, Sarah

AU - Abbara, Suhny

AU - Achenbach, Stephan

AU - Berman, Daniel S.

AU - Bullock-Palmer, Renee

AU - Carrascosa, Patricia

AU - Chinnaiyan, Kavitha M.

AU - Dey, Damini

AU - Ferencik, Maros

AU - Fuechtner, Gudrun

AU - Hecht, Harvey

AU - Jacobs, Jill E.

AU - Lee, Sang Eun

AU - Leipsic, Jonathan

AU - Lin, Fay

AU - Meave, Aloha

AU - Pugliese, Francesca

AU - Sierra-Galán, Lilia M.

AU - Williams, Michelle C.

AU - Villines, Todd C.

AU - Shaw, Leslee J.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - This expert consensus statement from the Society of Cardiovascular Computed Tomography (SCCT) provides an evidence synthesis on the use of computed tomography (CT) imaging for diagnosis and risk stratification of coronary artery disease in women. From large patient and population cohorts of asymptomatic women, detection of any coronary artery calcium that identifies females with a 10-year atherosclerotic cardiovascular disease risk of >7.5% may more effectively triage women who may benefit from pharmacologic therapy. In addition to accurate detection of obstructive coronary artery disease (CAD), CT angiography (CTA) identifies nonobstructive atherosclerotic plaque extent and composition which is otherwise not detected by alternative stress testing modalities. Moreover, CTA has superior risk stratification when compared to stress testing in symptomatic women with stable chest pain (or equivalent) symptoms. For the evaluation of symptomatic women both in the emergency department and the outpatient setting, there is abundant evidence from large observational registries and multi-center randomized trials, that CT imaging is an effective procedure. Although radiation doses are far less for CT when compared to nuclear imaging, radiation dose reduction strategies should be applied in all women undergoing CT imaging. Effective and appropriate use of CT imaging can provide the means for improved detection of at-risk women and thereby focus preventive management resulting in long-term risk reduction and improved clinical outcomes.

AB - This expert consensus statement from the Society of Cardiovascular Computed Tomography (SCCT) provides an evidence synthesis on the use of computed tomography (CT) imaging for diagnosis and risk stratification of coronary artery disease in women. From large patient and population cohorts of asymptomatic women, detection of any coronary artery calcium that identifies females with a 10-year atherosclerotic cardiovascular disease risk of >7.5% may more effectively triage women who may benefit from pharmacologic therapy. In addition to accurate detection of obstructive coronary artery disease (CAD), CT angiography (CTA) identifies nonobstructive atherosclerotic plaque extent and composition which is otherwise not detected by alternative stress testing modalities. Moreover, CTA has superior risk stratification when compared to stress testing in symptomatic women with stable chest pain (or equivalent) symptoms. For the evaluation of symptomatic women both in the emergency department and the outpatient setting, there is abundant evidence from large observational registries and multi-center randomized trials, that CT imaging is an effective procedure. Although radiation doses are far less for CT when compared to nuclear imaging, radiation dose reduction strategies should be applied in all women undergoing CT imaging. Effective and appropriate use of CT imaging can provide the means for improved detection of at-risk women and thereby focus preventive management resulting in long-term risk reduction and improved clinical outcomes.

KW - Atherosclerosis

KW - Coronary CTA

KW - Sex differences

KW - Suspected coronary disease

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JO - Journal of Cardiovascular Computed Tomography

JF - Journal of Cardiovascular Computed Tomography

SN - 1934-5925

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