CAD-RADS 2.0 Update for Coronary CTA Evaluation and Management

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.

Educational review; primary CAD-RADS 2.0 guideline document not directly reviewed.

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.