ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Magnetic Resonance Imaging

''Adapted from ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging. A Report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society of Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology'' cmr = Appropriateness Scoring =
 * Score 7 to 9
 * Appropriate test for specific indication (test is generally acceptable and is a reasonable approach for the indication)
 * Score 4 to 6
 * Uncertain for specific indication (test may be generally acceptable and may be a reasonable approach for the indication).
 * Uncertainty also implies that more research and/or patient information is needed to classify the indication definitively
 * Score 1 to 3
 * Inappropriate test for that indication (test is generally acceptable and is not a reasonable approach for the indication).

= CMR Appropriateness Criteria by Indication =

Detection of CAD: Symptomatic
   
 * Evaluation of Chest Pain Syndrome
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR
 * Evaluation of Chest Pain Syndrome
 * Use of MR Coronary Angiography
 * Evaluation of Intra-Cardiac Structures
 * Use of MR Coronary Angiography
 * Acute Chest Pain
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment with Prior Test Results

 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment: Preoperative Evaluation for Non-Cardiac Surgery


Detection of CAD: Post-Revascularization (PCI or CABG)


Structure and Function
 
 * Evaluation of Ventricular and Valvular Function
 * Procedures may include LV/RV mass and volumes, MR angiography, quantification of valvular disease, and delayed contrast enhancement
 * Evaluation of Intra- and Extra-Cardiac Structures

Detection of Mycardial Scar and Viability

 * Evaluation of Myocardial Scar
 * Use of Late Gadolinium Enhancement

= CMR Appropriateness Criteria by Appropriateness Category =

Detection of CAD: Symptomatic

 * Evaluation of Chest Pain Syndrome
 * Use of Vasodilator Perfusion CMR of Dobutamine Stress Function CMR

Detection of CAD Symptomatic

 * Evaluation of Chest Pain Syndrome
 * Use of MR Coronary Angiography

Detection of CAD: Symptomatic

 * Acute Chest Pain
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment with Prior Test Results

 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment: Preoperative Evaluation for Non-Cardiac Surgery

 * Low Risk Surgery
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Detection of CAD: Post-Revascularization (PCI or CABG)

 * Evaluation of Chest Pain Syndrome
 * Use of MR Coronary Angiography

Detection of CAD: Symptomatic
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 * Evaluation of Chest Pain Syndrome
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Detection of CAD: Symptomatic
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 * Evaluation of Intra-Cardiac Structures
 * Use of MR Coronary Angiography

Risk Assessment with Prior Test Results
<blockquote style="background: white; padding: 1em;">
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Structure and Function
<blockquote style="background: white; padding: 1em;">
 * Evaluation of Ventricular and Valvular Function
 * Procedures may include LV/RV mass and volumes, MR angiography, quantification of valvular disease, and delayed contrast enhancement

Structure and Function
<blockquote style="background: white; padding: 1em;">
 * Evaluation of Intra- and Extra-Cardiac Structures

Detection of Myocardial Scar and Viability
<blockquote style="background: white; padding: 1em;">
 * Evaluation of Myocardial Scar
 * Use of Late Gadolinium Enhancement

Detection of CAD
<blockquote style="background: white; padding: 1em;">
 * Evaluation of Chest Pain Syndrome
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Detection of CAD: Symptomatic
<blockquote style="background: white; padding: 1em;">
 * Acute Chest Pain
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment with Prior Test Results
<blockquote style="background: white; padding: 1em;">
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Risk Assessment: Preoperative Evaluation for Non-Cardiac Surgery
<blockquote style="background: white; padding: 1em;">
 * Intermediate or High Risk Surgery
 * Use of Vasodilator Perfusion CMR or Dobutamine Stress Function CMR

Structure and Function
<blockquote style="background: white; padding: 1em;">
 * Evaluation of Ventricular and Valvular Function
 * Procedures may include LV/RV mass and volumes, MR angiography, quantification of valvular disease, and delayed contrast enhancement

Evaluation of Myocardial Scar
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 * Use of Late Gadolinium Enhancement

= Reference =
 * 1) cmr pmid=17010819