Coronary Artery Calcium Data and Reporting System (CAC-DRS): A Primer
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The Coronary Artery Calcium Data and Reporting System (CAC-DRS) is a standardized reporting method for calcium scoring on computed tomography. CAC-DRS is applied on a per-patient basis and represents the total calcium score with the number of vessels involved. There are 4 risk categories ranging from CAC-DRS 0 to CAC-DRS 3. CAC-DRS also provides risk prediction and treatment recommendations for each category. The main strengths of CAC-DRS include a detailed and meaningful representation of CAC, improved communication between physicians, risk stratification, appropriate treatment recommendations, and uniform data collection, which provides a framework for education and research. The major limitations of CAC-DRS include a few missing components, an overly simple visual approach without any standard reference, and treatment recommendations lacking a basis in clinical trials. This consistent yet straightforward method has the potential to systemize CAC scoring in both gated and non-gated scans.
Abstract
The Coronary Artery Calcium Data and Reporting System (CAC-DRS) is a standardized reporting method for calcium scoring on computed tomography. CAC-DRS is applied on a per-patient basis and represents the total calcium score with the number of vessels involved. There are 4 risk categories ranging from CAC-DRS 0 to CAC-DRS 3. CAC-DRS also provides risk prediction and treatment recommendations for each category. The main strengths of CAC-DRS include a detailed and meaningful representation of CAC, improved communication between physicians, risk stratification, appropriate treatment recommendations, and uniform data collection, which provides a framework for education and research. The major limitations of CAC-DRS include a few missing components, an overly simple visual approach without any standard reference, and treatment recommendations lacking a basis in clinical trials. This consistent yet straightforward method has the potential to systemize CAC scoring in both gated and non-gated scans.
참고문헌 (104)
- Greenland P, "ACCF", AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain : a report of the American College of Cardiology Foundation Clinical Expert Consensus Task Force(ACCF, J Am Coll Cardiol, pp.2007, 49[DOI]
- Schmermund A, "Natural history and topographic pattern of progression of coronary calcification in symptomatic patients : an electron-beam CT study", Arterioscler Thromb Vasc Biol, 21, pp.421~426 (2001)
- Taylor AJ, "ACCF", SCCT, AHA, pp.ASE, ASNC[DOI]
- Greenland P, "2010 ACCF", AHA guideline for assessment of cardiovascular risk in asymptomatic adults : a report of the American College of Cardiology Foundation, J Am Coll Cardiol, pp.2010, 56[DOI]
- Budoff MJ, "Assessment of coronary artery disease by cardiac computed tomography : a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology", Circulation, 114, pp.1761~1791 (2006)
- Sandfort V, "CT calcium scoring. History, current status and outlook", Diagn Interv Imaging, 98, pp.3~10 (2017)
- Blaha MJ, "Coronary artery calcium scoring : Is it time for a change in methodology?", JACC Cardiovasc Imaging, 10, pp.923~937 (2017)
- Hecht HS, "CAC-DRS: Coronary Artery Calcium Data and Reporting System. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT)", J Cardiovasc Comput Tomogr, 12, pp.185~191 (2018)
- Agatston AS, "Quantification of coronary artery calcium using ultrafast computed tomography", J Am Coll Cardiol, 15, pp.827~832 (1990)
- Hoff JA, "Age and gender distributions of coronary artery calcium detected by electron beam tomography in 35, 246 adults", Am J Cardiol, 87, pp.1335~1339 (2001)
- Budoff MJ, "Long-term prognosis associated with coronary calcification : observations from a registry of 25, 253 patients", J Am Coll Cardiol, 49, pp.1860~1870 (2007)
- Achenbach S, "Variability of repeated coronary artery calcium measurements by electron beam tomography", Am J Cardiol, 87, pp.210~213 (2001)
- Hong C, "Coronary artery calcium : accuracy and reproducibility of measurements with multi-detector row CT--assessment of effects of different thresholds and quantification methods", Radiology, 227, pp.795~801 (2003)
- Lu B, "Causes of interscan variability of coronary artery calcium measurements at electron-beam CT", Acad Radiol, 9, pp.654~661 (2002)
- Callister TQ, "Coronary artery disease : improved reproducibility of calcium scoring with an electron-beam CT volumetric method", Radiology, 208, pp.807~814 (1998)
- Hoffmann U, "Evidence for lower variability of coronary artery calcium mineral mass measurements by multi-detector computed tomography in a community-based cohort--consequences for progression studies", Eur J Radiol, 57, pp.396~402 (2006)
- Hong C, "Coronary artery calcium : absolute quantification in nonenhanced and contrast-enhanced multi-detector row CT studies", Radiology, 223, pp.474~480 (2002)
- Ferencik M, "Coronary calcium quantification using various calibration phantoms and scoring thresholds", Invest Radiol, 38, pp.559~566 (2003)
- Brown ER, "Coronary calcium coverage score : determination, correlates, and predictive accuracy in the Multi-Ethnic Study of Atherosclerosis", Radiology, 247, pp.669~675 (2008)
- Chiles C, "Association of coronary artery calcification and mortality in the National Lung Screening Trial : a comparison of three scoring methods", Radiology, 276, pp.82~90 (2015)
- Sonavane S, "Comparison of visual scoring of coronary artery calcium(CAC)on coronary computed tomography angiogram(CCTA)to Agatston score", J Heart Circ (2015)[DOI]
- Einstein AJ, "Agreement of visual estimation of coronary artery calcium from low-dose CT attenuation correction scans in hybrid PET", CT and SPECT, J Am Coll Cardiol, pp.2010, 56[DOI]
- Huang YL, "Reliable categorisation of visual scoring of coronary artery calcification on low-dose CT for lung cancer screening : validation with the standard Agatston score", Eur Radiol, 23, pp.1226~1233 (2013)
- "J Cardiovasc Comput Tomogr", 2017, 170~
- Groen JM, "The influence of heart rate, slice thickness, and calcification density on calcium scores using 64-slice multidetector computed tomography : a systematic phantom study", Invest Radiol, 42, pp.848~855 (2007)
- Ruzsics B, "Coronary CT angiography : automatic cardiac-phase selection for image reconstruction", Eur Radiol, 19, pp.1906~1913 (2009)
- Gerber TC, "Ionizing radiation in cardiac imaging : a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention", Circulation, 119, pp.1056~1065 (2009)
- Daniell AL, "Concordance of coronary artery calcium estimates between MDCT and electron beam tomography", AJR Am J Roentgenol, 185, pp.1542~1545 (2005)
- Knez A, "Determination of coronary calcium with multi-slice spiral computed tomography : a comparative study with electron-beam CT", Int J Cardiovasc Imaging, 18, pp.295~303 (2002)
- Hamby RI, "Coronary artery calcification : clinical implications and angiographic correlates", Am Heart J, 87, pp.565~570 (1974)
- Nakazato R, "Coronary artery calcium scoring using a reduced tube voltage and radiation dose protocol with dual-source computed tomography", J Cardiovasc Comput Tomogr, 3, pp.394~400 (2009)
- Gräni C, "Ultra-low-dose coronary artery calcium scoring using novel scoring thresholds for low tube voltage protocols-a pilot study", Eur Heart J Cardiovasc Imaging, 19, pp.1362~1371 (2018)
- Jakobs TF, "Ultra-low-dose coronary artery calcium screening using multislice CT with retrospective ECG gating", Eur Radiol, 13, pp.1923~1930 (2003)
- Choi AD, "Prospective evaluation of the influence of iterative reconstruction on the reproducibility of coronary calcium quantification in reduced radiation dose 320 detector row CT", J Cardiovasc Comput Tomogr, 10, pp.359~363 (2016)
- den Harder AM, "Submillisievert coronary calcium quantification using model-based iterative reconstruction : a within-patient analysis", Eur J Radiol, 85, pp.2152~2159 (2016)
- Matsuura N, "Radiation dose reduction at coronary artery calcium scoring by using a low tube current technique and hybrid iterative reconstruction", J Comput Assist Tomogr, 39, pp.119~124 (2015)
- Schindler A, "Iterative image reconstruction techniques for CT coronary artery calcium quantification : comparison with traditional filtered back projection in vitro and in vivo", Radiology, 270, pp.387~393 (2014)
- Hecht HS, "Low-vs. standard-dose coronary artery calcium scanning", Eur Heart J Cardiovasc Imaging, 16, pp.358~363 (2015)
- Apfaltrer G, "High-pitch low-voltage CT coronary artery calcium scoring with tin filtration : accuracy and radiation dose reduction", Eur Radiol, 28, pp.3097~3104 (2018)
- McQuiston AD, "Approaches to ultra-low radiation dose coronary artery calcium scoring based on 3rd generation dual-source CT : a phantom study", Eur J Radiol, 85, pp.39~47 (2016)
- Vonder M, "Feasibility of spectral shaping for detection and quantification of coronary calcifications in ultra-low dose CT", Eur Radiol, 27, pp.2047~2054 (2017)
- Picano E, "The appropriate and justified use of medical radiation in cardiovascular imaging : a position document of the ESC Associations of Cardiovascular Imaging, Percutaneous Cardiovascular Interventions and Electrophysiology", Eur Heart J, 35, pp.665~672 (2014)
- Tesche C, "Accuracy and radiation dose reduction using low-voltage computed tomography coronary artery calcium scoring with tin filtration", Am J Cardiol, 119, pp.675~680 (2017)
- Yoon HC, "Coronary artery calcium : alternate methods for accurate and reproducible quantitation", Acad Radiol, 4, pp.666~673 (1997)
- Fallavollita JA, "Fast computed tomography detection of coronary calcification in the diagnosis of coronary artery disease. Comparison with angiography in patients < 50 years old", Circulation, 89, pp.285~290 (1994)
- Brown SJ, "Impact of motion artefact on the measurement of coronary calcium score", Br J Radiol, 73, pp.956~962 (2000)
- Vliegenthart R, "Coronary calcification at electron-beam CT : effect of section thickness on calcium scoring in vitro and in vivo", Radiology, 229, pp.520~525 (2003)
- Mao S, "Sensitivity to detect small coronary artery calcium lesions with varying slice thickness using electron beam tomography", Invest Radiol, 38, pp.183~187 (2003)
- Tang W, "The effects of particle size, slice thickness and reconstruction algorithm on coronary calcium quantitation using ultrafast computed tomography", Proc SPIE, 2168, pp.66~72 (1994)
- Mühlenbruch G, "Effect of varying slice thickness on coronary calcium scoring with multislice computed tomography in vitro and in vivo", Invest Radiol, 40, pp.695~699 (2005)
- Voros S, "Guideline for minimizing radiation exposure during acquisition of coronary artery calcium scans with the use of multidetector computed tomography : a report by the Society for Atherosclerosis Imaging and Prevention Tomographic Imaging and Prevention Councils in collaboration with the Society of Cardiovascular Computed Tomography", J Cardiovasc Comput Tomogr, 5, pp.75~83 (2011)
- Mahnken AH, "Variation of the coronary calcium score depending on image reconstruction interval and scoring algorithm", Invest Radiol, 37, pp.496~502 (2002)
- Kopp AF, "Reproducibility and accuracy of coronary calcium measurements with multi-detector row versus electron-beam CT", Radiology, 225, pp.113~119 (2002)
- Guerci AD, "Relation of coronary calcium score by electron beam computed tomography to arteriographic findings in asymptomatic and symptomatic adults", Am J Cardiol, 79, pp.128~133 (1997)
- Mendoza-Rodríguez V, "Volume of coronary calcified plaques by computed tomography and presence of significant stenosis by coronary angiography", Arch Cardiol Mex, 80, pp.181~186 (2010)
- Detrano R, "Coronary calcium as a predictor of coronary events in four racial or ethnic groups", N Engl J Med, 358, pp.1336~1345 (2008)
- Rumberger JA, "Electron beam computed tomographic coronary calcium score cutpoints and severity of associated angiographic lumen stenosis", J Am Coll Cardiol, 29, pp.1542~1548 (1997)
- Shabestari AA, "Agreement determination between coronary calcium-scoring and coronary stenosis significance on CTangiography", Iran J Radiol, 3, pp.85~90 (2006)
- Cheng YJ, "Comparison of coronary artery calcium detected by electron beam tomography in patients with to those without symptomatic coronary heart disease", Am J Cardiol, 92, pp.498~503 (2003)
- Guerci AD, "Comparison of electron beam computed tomography scanning and conventional risk factor assessment for the prediction of angiographic coronary artery disease", J Am Coll Cardiol, 32, pp.673~679 (1998)
- Ghadri JR, "Inter-scan variability of coronary artery calcium scoring assessed on 64-multidetector computed tomography vs. dual-source computed tomography : a head-to-head comparison", Eur Heart J, 32, pp.1865~1874 (2011)
- Kramer CK, "Coronary artery calcium score prediction of all cause mortality and cardiovascular events in people with type 2 diabetes: systematic review and meta-analysis. BMJ 2013;346:f1654", BMJ, 346, pp.f1654~ (2013)
- Sara L, "II guidelines on cardiovascular magnetic resonance and computed tomography of the Brazilian Society of Cardiology and the Brazilian College of Radiology", Arq Bras Cardiol, 103, pp.1~86 (2014)
- Sarwar A, "Diagnostic and prognostic value of absence of coronary artery calcification", JACC Cardiovasc Imaging, 2, pp.675~688 (2009)
- Nasir K, "Interplay of coronary artery calcification and traditional risk factors for the prediction of allcause mortality in asymptomatic individuals", Circ Cardiovasc Imaging, 5, pp.467~473 (2012)
- Haberl R, "Multislice spiral computed tomographic angiography of coronary arteries in patients with suspected coronary artery disease : an effective filter before catheter angiography?", Am Heart J, 149, pp.1112~1119 (2005)
- Adelhoefer S, "Coronary artery calcium scoring : new insights into clinical interpretation-lessons from the CAC consortium", Radiol Cardiothorac Imaging, 2, pp.e200281~ (2020)
- Ferencik M, "Coronary artery calcium distribution is an independent predictor of incident major coronary heart disease events : results from the Framingham Heart Study", Circ Cardiovasc Imaging, 10, pp.e006592~ (2017)
- Carr JJ, "Association of coronary artery calcium in adults aged 32 to 46 years with incident coronary heart disease and death", JAMA Cardiol, 2, pp.391~399 (2017)
- Mitchell JD, "Impact of statins on cardiovascular outcomes following coronary artery calcium scoring", J Am Coll Cardiol, 72, pp.3233~3242 (2018)
- Handy CE, "The association of coronary artery calcium with noncardiovascular disease : the Multi-Ethnic Study of Atherosclerosis", JACC Cardiovasc Imaging, 9, pp.568~576 (2016)
- Li D, "Noncontrast cardiac computed tomography image-based vertebral bone mineral density : the Multi-Ethnic Study of Atherosclerosis(MESA)", Acad Radiol, 20, pp.621~627 (2013)
- Ehara S, "Coronary artery calcification revisited", J Atheroscler Thromb, 13, pp.31~37 (2006)
- Mizukoshi M, "Coronary superficial and spotty calcium deposits in culprit coronary lesions of acute coronary syndrome as determined by optical coherence tomography", Am J Cardiol, 112, pp.34~40 (2013)
- Cardoso L, "Changing views of the biomechanics of vulnerable plaque rupture : a review", Ann Biomed Eng, 42, pp.415~431 (2014)
- Abedin M, "Vascular calcification : mechanisms and clinical ramifications", Arterioscler Thromb Vasc Biol, 24, pp.1161~1170 (2004)
- Taylor HA, "Asymptomatic left main coronary artery disease in the Coronary Artery Surgery Study(CASS)registry", Circulation, 79, pp.1171~1179 (1989)
- Lahti SJ, "The association between left main coronary artery calcium and cardiovascular-specific and total mortality : the Coronary Artery Calcium Consortium", Atherosclerosis, 286, pp.172~178 (2019)
- Hecht H, "Clinical indications for coronary artery calcium scoring in asymptomatic patients : expert consensus statement from the Society of Cardiovascular Computed Tomography", J Cardiovasc Comput Tomogr, 11, pp.157~168 (2017)
- Stone NJ, "2013 ACC", AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults : a report of the American College of Cardiology, J Am Coll Cardiol, pp.2014, 63[DOI]
- Miedema MD, "Use of coronary artery calcium testing to guide aspirin utilization for primary prevention : estimates from the multi-ethnic study of atherosclerosis", Circ Cardiovasc Qual Outcomes, 7, pp.453~460 (2014)
- Blaha MJ, "Associations between C-reactive protein, coronary artery calcium, and cardiovascular events : implications for the JUPITER population from MESA, a populationbased cohort study", Lancet, 378, pp.684~692 (2011)
- Blaha MJ, "Role of coronary artery calcium score of zero and other negative risk markers for cardiovascular disease : the Multi-Ethnic Study of Atherosclerosis(MESA)", Circulation, 133, pp.849~858 (2016)
- Nasir K, "Implications of coronary artery calcium testing among statin candidates according to American College of Cardiology", American Heart Association cholesterol management guidelines : MESA(Multi-Ethnic Study of Atherosclerosis), 2015, pp.66, 1657~1668
- Oudkerk M, "Coronary artery calcium screening : current status and recommendations from the European Society of Cardiac Radiology and North American Society for Cardiovascular Imaging", Eur Radiol, 18, pp.2785~2807 (2008)
- Puri R, "Impact of statins on serial coronary calcification during atheroma progression and regression", J Am Coll Cardiol, 65, pp.1273~1282 (2015)
- Wilson PW, "Prediction of coronary heart disease using risk factor categories", Circulation, 97, pp.1837~1847 (1998)
- D’Agostino RB Sr, "General cardiovascular risk profile for use in primary care : the Framingham Heart Study", Circulation, 117, pp.743~753 (2008)
- Greenland P, "Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals", JAMA, 291, pp.210~215 (2004)
- Arad Y, "Coronary calcification, coronary disease risk factors, C-reactive protein, and atherosclerotic cardiovascular disease events : the St. Francis Heart Study", J Am Coll Cardiol, 46, pp.158~165 (2005)
- Becker A, "Predictive value of coronary calcifications for future cardiac events in asymptomatic individuals", Am Heart J, 155, pp.154~160 (2008)
- Budoff MJ, "Coronary calcium predicts events better with absolute calcium scores than age-sex-race", ethnicity percentiles : MESA(Multi-Ethnic Study of Atherosclerosis), 2009, pp.53, 345~352
- Taylor AJ, "Coronary calcium independently predicts incident premature coronary heart disease over measured cardiovascular risk factors : mean threeyear outcomes in the Prospective Army Coronary Calcium(PACC)project", J Am Coll Cardiol, 46, pp.807~814 (2005)
- McClelland RL, "10-year coronary heart disease risk prediction using coronary artery calcium and traditional risk factors : derivation in the MESA(Multi-Ethnic Study of Atherosclerosis)with validation in the HNR(Heinz Nixdorf Recall)Study and the DHS(Dallas Heart Study)", J Am Coll Cardiol, 66, pp.1643~1653 (2015)
- Motoyama S, "Multislice computed tomographic characteristics of coronary lesions in acute coronary syndromes", J Am Coll Cardiol, 50, pp.319~326 (2007)
- Kim SY, "The culprit lesion score on multidetector computed tomography can detect vulnerable coronary artery plaque", Int J Cardiovasc Imaging, 26, pp.245~252 (2010)
- Kitagawa T, "Comprehensive evaluation of noncalcified coronary plaque characteristics detected using 64-slice computed tomography in patients with proven or suspected coronary artery disease", Am Heart J, 154, pp.1191~1198 (2007)
- Blaha MJ, "Improving the CAC score by addition of regional measures of calcium distribution : Multi-Ethnic Study of Atherosclerosis", JACC Cardiovasc Imaging, 9, pp.1407~1416 (2016)
- Tota-Maharaj R, "Usefulness of regional distribution of coronary artery calcium to improve the prediction of all-cause mortality", Am J Cardiol, 115, pp.1229~1234 (2015)
- Williams M, "Prognostic value of number and site of calcified coronary lesions compared with the total score", JACC Cardiovasc Imaging, 1, pp.61~69 (2008)
- Dzaye O, "Validation of the Coronary Artery Calcium Data and Reporting System(CAC-DRS) : dual importance of CAC score and CAC distribution from the Coronary Artery Calcium(CAC)consortium", J Cardiovasc Comput Tomogr, 14, pp.12~17 (2020)
- Osawa K, "Coronary artery calcification scoring system based on the coronary artery calcium data and reporting system(CAC-DRS)predicts major adverse cardiovascular events or all-cause death in patients with potentially curable lung cancer without a history of cardiovascular disease", Heart Vessels, 35, pp.1483~1493 (2020)
- Galper BZ, "Strategies for primary prevention of coronary heart disease based on risk stratification by the ACC", AHA lipid guidelines, ATP III guidelines, coronary calcium scoring, and C-reactive protein, and a global treat-all strategy : a comparative--effectiveness modeling study, 2015, pp.10, e0138092~
- Stone NJ, "2013 ACC", AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults : a report of the American College of Cardiology, Circulation, pp.2014, 129[DOI]
