ACR AC Portal

Home Asymptomatic Patient at Risk for Coronary Artery Disease

Variants

Asymptomatic patient. High risk for coronary artery disease. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

CAD high risk, asymptomatic, initial imaging

3084019

CT coronary calcium

1-10 mSv
☢☢☢

May be appropriate

CTA coronary arteries with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

US echocardiography transthoracic resting

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US echocardiography transthoracic stress

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Radiography chest

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually not appropriate

MRA coronary arteries without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA coronary arteries without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function and morphology without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function and morphology without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function with stress without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI heart function with stress without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

SPECT or SPECT/CT MPI rest and stress

10-30 mSv
☢☢☢☢

10-30 mSv [ped]
☢☢☢☢☢

Usually not appropriate