Clinical quantitative coronary artery stenosis and coronary atherosclerosis imaging: a Consensus Statement from the Quantitative Cardiovascular Imaging Study Group

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dc.contributor.authorMezquita, Aldo J. Vazquez
dc.contributor.authorBiavati, Federico
dc.contributor.authorFalk, Volkmar
dc.contributor.authorAlkadhi, Hatem
dc.contributor.authorHajhosseiny, Reza
dc.contributor.authorMaurovich-Horvat, Pal
dc.contributor.authorManka, Robert
dc.contributor.authorKozerke, Sebastian
dc.contributor.authorStuber, Matthias
dc.contributor.authorDerlin, Thorsten
dc.contributor.authorChannon, Keith M.
dc.contributor.authorIsgum, Ivana
dc.contributor.authorCoenen, Adriaan
dc.contributor.authorFoellmer, Bernhard
dc.contributor.authorDey, Damini
dc.contributor.authorVolleberg, Rick H. J. A.
dc.contributor.authorMeinel, Felix G.
dc.contributor.authorDweck, Marc R.
dc.contributor.authorPiek, Jan J.
dc.contributor.authorvan de Hoef, Tim
dc.contributor.authorLandmesser, Ulf
dc.contributor.authorGuagliumi, Giulio
dc.contributor.authorGiannopoulos, Andreas A.
dc.contributor.authorBotnar, Rene M.
dc.contributor.authorKhamis, Ramzi
dc.contributor.authorWilliams, Michelle C.
dc.contributor.authorNewby, David E.
dc.contributor.authorDewey, Marc
dc.date.accessioned2025-01-20T20:07:38Z
dc.date.available2025-01-20T20:07:38Z
dc.date.issued2023
dc.description.abstractIn this Consensus Statement, Dewey and the other members of the Quantitative Cardiovascular Imaging Study Group provide clinical consensus recommendations on the optimal use of different imaging techniques in various patient populations to detect and assess coronary artery stenosis and atherosclerosis.
dc.description.abstractThe detection and characterization of coronary artery stenosis and atherosclerosis using imaging tools are key for clinical decision-making in patients with known or suspected coronary artery disease. In this regard, imaging-based quantification can be improved by choosing the most appropriate imaging modality for diagnosis, treatment and procedural planning. In this Consensus Statement, we provide clinical consensus recommendations on the optimal use of different imaging techniques in various patient populations and describe the advances in imaging technology. Clinical consensus recommendations on the appropriateness of each imaging technique for direct coronary artery visualization were derived through a three-step, real-time Delphi process that took place before, during and after the Second International Quantitative Cardiovascular Imaging Meeting in September 2022. According to the Delphi survey answers, CT is the method of choice to rule out obstructive stenosis in patients with an intermediate pre-test probability of coronary artery disease and enables quantitative assessment of coronary plaque with respect to dimensions, composition, location and related risk of future cardiovascular events, whereas MRI facilitates the visualization of coronary plaque and can be used in experienced centres as a radiation-free, second-line option for non-invasive coronary angiography. PET has the greatest potential for quantifying inflammation in coronary plaque but SPECT currently has a limited role in clinical coronary artery stenosis and atherosclerosis imaging. Invasive coronary angiography is the reference standard for stenosis assessment but cannot characterize coronary plaques. Finally, intravascular ultrasonography and optical coherence tomography are the most important invasive imaging modalities for the identification of plaques at high risk of rupture. The recommendations made in this Consensus Statement will help clinicians to choose the most appropriate imaging modality on the basis of the specific clinical scenario, individual patient characteristics and the availability of each imaging modality.
dc.fuente.origenWOS
dc.identifier.doi10.1038/s41569-023-00880-4
dc.identifier.eissn1759-5010
dc.identifier.issn1759-5002
dc.identifier.urihttps://doi.org/10.1038/s41569-023-00880-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91828
dc.identifier.wosidWOS:001027180700001
dc.issue.numero10
dc.language.isoen
dc.pagina.final714
dc.pagina.inicio696
dc.revistaNature reviews cardiology
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleClinical quantitative coronary artery stenosis and coronary atherosclerosis imaging: a Consensus Statement from the Quantitative Cardiovascular Imaging Study Group
dc.typeartículo
dc.volumen20
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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