ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography

Allen J. Taylor, Manuel Cerqueira, John Mc B. Hodgson, Daniel Mark, James Min, Patrick O'Gara, Geoffrey D. Rubin, Christopher M. Kramer, Allen J. Taylor, Daniel Berman, Alan Brown, Farooq A. Chaudhry, Ricardo C. Cury, Milind Y. Desai, Andrew J. Einstein, Antoinette S. Gomes, Robert Harrington, Udo Hoffmann, Rahul Khare, John LesserChristopher McGann, Alan Rosenberg, Robert Schwartz, Marc Shelton, Gerald W. Smetana, Sidney C. Smith, Michael J. Wolk, Joseph M. Allen, Steven Bailey, Pamela S. Douglas, Robert C. Hendel, Christopher M. Kramer, James Min, Manesh R. Patel, Leslee Shaw, Raymond F. Stainback

Research output: Contribution to journalArticlepeer-review

212 Scopus citations


The American College of Cardiology Foundation (ACCF), along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical scenarios where cardiac computed tomography (CCT) is frequently considered. The present document is an update to the original CCT/cardiac magnetic resonance (CMR) appropriateness criteria published in 2006, written to reflect changes in test utilization, to incorporate new clinical data, and to clarify CCT use where omissions or lack of clarity existed in the original criteria (1).The indications for this review were drawn from common applications or anticipated uses, as well as from current clinical practice guidelines. Ninety-three clinical scenarios were developed by a writing group and scored by a separate technical panel on a scale of 1 to 9 to designate appropriate use, inappropriate use, or uncertain use.In general, use of CCT angiography for diagnosis and risk assessment in patients with low or intermediate risk or pretest probability for coronary artery disease (CAD) was viewed favorably, whereas testing in high-risk patients, routine repeat testing, and general screening in certain clinical scenarios were viewed less favorably. Use of noncontrast computed tomography (CT) for calcium scoring was rated as appropriate within intermediate- and selected low-risk patients. Appropriate applications of CCT are also within the category of cardiac structural and functional evaluation. It is anticipated that these results will have an impact on physician decision making, performance, and reimbursement policy, and that they will help guide future research.

Original languageEnglish (US)
Pages (from-to)407.e1-407.e33
JournalJournal of Cardiovascular Computed Tomography
Issue number6
StatePublished - 2010
Externally publishedYes


  • ACCF Appropriate Use Criteria
  • Computed tomographic angiography
  • Computed tomography
  • Coronary artery bypass graft surgery
  • Coronary artery disease
  • Coronary calcium score
  • Coronary heart disease
  • Electrocardiogram
  • Estimated metabolic equivalents of exercise
  • Heart failure
  • Myocardial infarction
  • Percutaneous coronary intervention
  • Perioperative evaluation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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