Abstract
Background Coronary CTA is established as the first-line diagnostic imaging tool to exclude coronary artery disease (CAD) at low to intermediate risk. Reporting and interpretation of the findings gap between the referring physicians and radiologist are wide. Aim of the Work To evaluate the clinical efficacy of Computed Tomography (CT) coronary angiography by using Coronary Artery Disease - Reporting and Data System (CAD-RADS) versus invasive coronary angiography in the assessment of coronary artery stenosis severity. Patients and Methods The study included 24 patients suffered from typical chest pain or fatigue, 9 were female patients and 15 were male patients, with mean patient ages above 40 years old. The study was conducted at Ain Shams University Hospitals. Results The main goals of the CAD-RADS are to decrease variability between readers and enhance communication between interpreting and referring doctors, which affects the best patient care outcome. Many clinical case scenarios are not accurately addressed by CAD-RADS and in which classes of CAD-RADS category is not straightforward. Multiple scenarios are still vague and at the maximum point of conflict about the adoption of CAD-RADS role in practice. Conclusion Hoping the next new versions of CAD-RADS classification would have addressed those vague situations and scenarios.
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