ACR Appropriateness Criteria® Chest Pain-Possible Acute Coronary Syndrome

Cardiac Imaging in Myocarditis: Current Evidence and Future Directions

“…Chest radiography is considered usually appropriate in the setting of chest pain in patients with low to intermediate probability for acute coronary syndrome according to the ACR Appropriateness Criteria. 34 Chest radiography can be useful in identifying potential sequelae of myocarditis including pulmonary edema in the context of heart failure and presence of a moderate to large pericardial effusion in the context of myopericarditis. 35…”

ACR Appropriateness Criteria® Syncope

“…There is no relevant literature that examines the use of Tc-99m SPECT or SPECT/CT MPI rest only study in this clinical scenario. If a patient has acute chest pain associated with syncope or presyncope and likely has symptoms related to coronary artery pathology based on detailed history and physical examination along with corresponding ECG and targeting laboratory studies, please refer to the ACR Appropriateness CriteriaÒ topic on "Chest Pain-Possible Acute Coronary Syndrome" [35] to guide imaging.…”

“…If a patient has syncope or presyncope with cardiac symptoms (eg, chest pain, congenital or acquired cardiac pathology, coronary artery pathology, nonspecific chest pain, infiltrative heart disease, aortic dissection, pulmonary embolism [PE]), please refer to the relevant ACR Appropriateness CriteriaÒ topics on "Acute Nonspecific Chest Pain-Low Probability of Coronary Artery Disease" [32], "Chronic Chest Pain-Noncardiac Etiology Unlikely-Low to Intermediate Probability of Coronary Artery Disease" [33], "Chronic Chest Pain-High Probability of Coronary Artery Disease" [34], "Chest Pain-Possible Acute Coronary Syndrome" [35], "Suspected New-Onset and Known Nonacute Heart Failure" [36], "Nonischemic Myocardial Disease With Clinical Manifestations (Ischemic Cardiomyopathy Already Excluded)" [37], "Dyspnea-Suspected Cardiac Origin" [38] "Known or Suspected Congenital Heart Disease in the Adult" [39], "Acute Chest Pain-Suspected Aortic Dissection" [40] or "Suspected Pulmonary Embolism" [41], to guide imaging, rather than due to symptoms of syncope.…”

CAD-RADS™ 2.0 - 2022 Coronary Artery Disease-Reporting and Data System

“…Coronary CT Angiography (CCTA) has undergone significant technical advancements and clinical validation in the last decade, and several professional societies have issued guidelines, expert consensus documents, and Appropriateness Criteria for CCTA. [1][2][3][4][5][6][7][8][9][10][11] Training physicians and technologists in image acquisition and interpretation is essential for fostering quality. 12 Such training should also include an approach to standardized reporting in order to decrease variability among practitioners and ensure that test results are appropriately used in patient management decisions.…”