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

    1 Citation (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{ab991768138140b19d0517b734ef84b1,
    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",
    publisher = "Elsevier Inc.",

    }

    TY - JOUR

    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

    UR - http://www.scopus.com/inward/record.url?scp=85055730107&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=85055730107&partnerID=8YFLogxK

    U2 - 10.1016/j.jcct.2018.10.019

    DO - 10.1016/j.jcct.2018.10.019

    M3 - Article

    C2 - 30392926

    AN - SCOPUS:85055730107

    JO - Journal of Cardiovascular Computed Tomography

    JF - Journal of Cardiovascular Computed Tomography

    SN - 1934-5925

    ER -