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New approaches for assessing coronary changes in multi-layer spiral computed tomography

https://doi.org/10.15829/1560-4071-2019-12-124-130

Abstract

The article presents an overview of qualitative and quantitative methods for coronary calcification assessment by computed tomography (CT). Coronary calcium is one of the well-known predictors of coronary artery disease and its complications. Coronary artery calcification is a common significant finding on routine and low-dose CT. In the review, the Coronary Artery Calcium Data and Reporting System (CAC-DRS) and the Coronary Artery Disease Reporting and Data System (CAD-RADS) are analyzed. Recommendations are given for the further management of patients with stable or acute chest pain in accordance with the CAD-RADS classification. The main aim of CAD-RADS is the standardization of accounting for coronary computed tomography angiography (CCTA) results for facilitating the interpretation by clinicians and subsequent management of patients. Such an approach should lead to an increase of healthcare quality.

About the Authors

A. E. Nikolaev
Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies
Russian Federation

Researcher of the Department of quality of radiology,

SPIN: 1320-1651

Moscow



A. N. Shapiev
https://russjcardiol.elpub.ru/jour/user/register#privacyStatement
Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies
Russian Federation

Analyst of the Department coordination of research activity division

SPIN: 1662-0349

Moscow



I. A. Blokhin
Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies
Russian Federation

Researcher of the Department of quality of radiology, 

SPIN: 3306-1387

Moscow



D. M. Ramazanova
I. M. Sechenov First Moscow State Medical University
Russian Federation

Resident Department of reconstructive and plastic surgery, university clinical hospital №1

Moscow



A. N. Shapieva
B. V. Petrovsky National Research Centre of Surgery
Russian Federation

Cardiologist, Cardiac Electrophysiology Department

Moscow

 



V. A. Gombolevskij
Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies
Russian Federation

PhD, head of the Radiology Quality Development Division.

SPIN: 6810-3279

Moscow



L. A. Nizovtsova
Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies
Russian Federation

MD. Med., Professor, Chief researcher of the Radiology Quality Development Division.

SPIN: 9957-8107

Moscow



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Review

For citations:


Nikolaev A.E., Shapiev A.N., Blokhin I.A., Ramazanova D.M., Shapieva A.N., Gombolevskij V.A., Nizovtsova L.A. New approaches for assessing coronary changes in multi-layer spiral computed tomography. Russian Journal of Cardiology. 2019;(12):124-130. (In Russ.) https://doi.org/10.15829/1560-4071-2019-12-124-130

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)