CardiacEducationTrainee

CAD-RADS 2.0 Update for Coronary CTA Evaluation and Management

Reporting systems & Fleischner (PubMed)May 11

CAD-RADS 2.0 expands stenosis categories (0-5), adds plaque burden grading (P1-P4), and new CT ischemia modifier (I+/-). Management: functional testing for CAD-RADS 3-5; invasive angiography for CAD-RADS 3/I+, 4A, 4B, 5. Educational review with teaching cases.

  • New modifiers: high-risk plaque (HRP), CT ischemia (I+ or I-), and overall plaque amount (P1-P4).
  • Management pathways: CAD-RADS 3/I+ or 4A-5 are directed to invasive coronary angiography.
  • The review aims to explain the updated classification and its implications for patient management using teaching cases.

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