心脏CT检查适应征和降低辐射剂量共识.pptVIP

心脏CT检查（CCT)共识认识 解放军总医院放射科 杨 立 正常冠状动脉 正常冠状动脉 左冠经交通支与右冠相连 2010 Appropriate Use Criteria for  CCT The Aim of guideline Guideline 起草团队 Cardiac Computed Tomography Writin Group 7 people Official American College of Cardiology Foundation Representative; Official American Society of Nuclear Cardiology Representative; Official Society for Cardiovascular Angiography and Interventions Representative; Official Society of Cardiovascular Computed Tomography Representative; Official American Heart Association Representative; Official American College of Radiology Representative; Official North American Society for Cardiovascular Imaging Representative Guideline 起草团队 Technical Panel 19 people Official American Society of Echocardiography Representative; Official Society for Cardiovascular Magnetic Resonance Representative; Official American College of Emergency Physicians Representative; Official Heart Rhythm Society Representative; Official Health Plan Representative; Official American College of Physicians Representative 基本概念 An appropriate imaging study is one in which the expected incremental information, combined with clinical judgment, exceeds the expected negative consequences* by a sufficiently wide margin for a specific indication that the procedure is generally considered acceptable care and a reasonable approach for the indication. （适应征或成像检查）适当是指，针对某一特定指征，通过该项检查并与临床资料结合，所获得的增量信息远远超过可能遇见的负面结果，方被认为是合理、可接受的。 检查合适程度评分 Score 7 to 9: Appropriate test for specific indication (test is generally acceptable and is a reasonable approach for the indication). Score 4 to 6: Uncertain for specific indication (test may be generally acceptable and may be a reasonable approach for the indication). (Uncertainty also implies that more research and/or patient information is needed to classify the indication definitively.) Score 1 to 3: Inappropriate test for specific indicatio