Abstract

This document is 1 of 2 companion appropriate use criteria (AUC) documents developed by the American College of Cardiology, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. This document addresses the evaluation and use of multimodality imaging in the diagnosis and management of valvular heart disease, whereas the second, companion document addresses this topic with regard to structural heart disease. Although there is clinical overlap, the documents addressing valvular and structural heart disease are published separately, albeit with a common structure. The goal of the companion AUC documents is to provide a comprehensive resource for multimodality imaging in the context of valvular and structural heart disease, encompassing multiple imaging modalities.

Using standardized methodology, the clinical scenarios (indications) were developed by a diverse writing group to represent patient presentations encountered in everyday practice and included common applications and anticipated uses. Where appropriate, the scenarios were developed on the basis of the most current American College of Cardiology/American Heart Association guidelines.

A separate, independent rating panel scored the 92 clinical scenarios in this document on a scale of 1 to 9. Scores of 7 to 9 indicate that a modality is considered appropriate for the clinical scenario presented. Midrange scores of 4 to 6 indicate that a modality may be appropriate for the clinical scenario, and scores of 1 to 3 indicate that a modality is considered rarely appropriate for the clinical scenario.

The primary objective of the AUC is to provide a framework for the assessment of these scenarios by practices that will improve and standardize physician decision making. AUC publications reflect an ongoing effort by the American College of Cardiology to critically and systematically create, review, and categorize clinical situations where diagnostic tests and procedures are utilized by physicians caring for patients with cardiovascular diseases. The process is based on the current understanding of the technical capabilities of the imaging modalities examined.

中文翻译：

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ACC / AATS / AHA / ASE / ASNC / HRS / SCAI / SCCT / SCMR / STS 2017瓣膜性心脏病多模态成像的适当使用标准

摘要

本文档是美国心脏病学会，美国胸外科协会，美国心脏协会，美国超声心动图学会，美国核心病学会，心律学会，心血管学会制定的2个伴侣适当使用标准（AUC）文件中的1个血管造影和干预，心血管计算机断层扫描学会，心血管磁共振学会和胸外科医师学会。本文档介绍了多模态成像在瓣膜性心脏病的诊断和管理中的评估和应用，而第二本配套文档则针对结构性心脏病讨论了该主题。尽管临床上存在重叠，但有关瓣膜性和结构性心脏病的文件是分开发表的，尽管具有相同的结构。随附的AUC文件的目标是为瓣膜性和结构性心脏病的多模式成像提供全面的资源，其中包括多种成像模式。

使用标准化的方法，由不同的写作小组开发临床场景（适应症），以代表日常实践中遇到的患者演示，包括常见应用和预期用途。在适当的情况下，这些方案是根据最新的美国心脏病学会/美国心脏协会指南制定的。

一个独立的独立评估小组以1到9的评分对本文档中的92种临床情况进行了评分。7到9分表明该方法被认为适合于所呈现的临床情况。4到6分的中档得分表示该模式可能适合于临床情况，而1到3分的分数表明该模式很少被认为适合该临床情况。

AUC的主要目标是提供一种框架，通过实践来评估和评估这些情况，从而改善和规范医生的决策。AUC出版物反映了美国心脏病学院的不断努力，以严格而系统地创建，审查和分类临床情况，其中由临床医生使用这些方法进行诊断性检查和护理照料患有心血管疾病的患者。该过程基于对所检查成像模态的技术能力的当前了解。