Original ArticleASNC Imaging Indications (ASNC-I2): Multisocietal indications for radionuclide imaging in the multimodality context—Series rationale and methodology
Section snippets
Series Rationale
The ASNC-I2 Series will fill an important gap and serve as a unique educational resource and practice tool in the context of existing guidelines, practice points, and appropriate use (AUC) documents that will be of high clinical value to ASNC members and other interested parties. The field has greatly benefited from AUC documents issued by the American College of Cardiology (ACC), American College of Radiology (ACR), and others.1,2 However, ASNC believes there are several areas related to
Proposed Document Content
Documents in the ASNC-I2 Series will follow a standard structure as shown in Table 1. These sections will be authored by the appropriate content experts. A disease overview will be provided first; this summary is particularly important as many diseases that may be covered in the ASNC-I2 Series are multifaceted systemic disorders. Brief sections on clinical and biomarker criteria for diagnosing cardiovascular involvement will constitute a section on the non-imaging evaluation of cardiac
Methodology
The clinical expert section of the ASNC-I2 Series will adhere to a rigorous methodology that incorporates elements of the original RAND/UCLA Appropriateness Method and refinements made in prior radionuclide imaging and other cardiovascular appropriateness documents.3, 4, 5, 6, 7, 8 An overview of the process flow is provided in Figure 2. The writing group and clinical expert rating panel will be carefully assembled from recommended members of participating imaging and clinical societies. A
Summary
Appropriate Use documents have been beneficial in major cardiovascular conditions but have not been undertaken in less common and complex diseases with systemic and cardiovascular manifestations. Morover, there are additional specific understudied populations that could benefit from appropriateness analysis. The ASNC Imaging Indications (ASNC-I2) Series seeks to facilitate the application of radionuclide imaging in an appropriate clinical and multimodality context using a multidisciplinary,
New Knowledge Gained
This manuscript provides the rationale and detailed methodology for a novel assessment of indications for radionuclide imaging in the multimodality context in complex systemic diseases and special populations. Readers will understand the background, design, implementation, and optimal application of this valuable series addition to the ASNC diverse portfolio of Guidelines and Information Statements.
Disclosures
Jamieson Bourque has received consulting honoraria from Pfizer and GE Healthcare and has an investment interest in Locus Health. Andrew Einsten has received research grants from GE Healthcare and Roche Medical Systems. He has been a speaker for Ionetix.
Funding
Sharmila Dorbala reports research grant support from GE Healthcare, Pfizer, and Attralus. She has received consulting honoraria from GE Healthcare, Pfizer, Attralus, and Ionetix. There are no funding sources to disclose.
References (19)
- et al.
ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons
J Nucl Cardiol
(2014) - et al.
ACR Appropriateness Criteria® Chest Pain-Possible Acute Coronary Syndrome
J Am Coll Radiol
(2020) - et al.
ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons
J Am Coll Cardiol
(2014) - et al.
Appropriate use of cardiovascular technology: 2013 ACCF appropriate use criteria methodology update: a report of the American College of Cardiology Foundation appropriate use criteria task force
J Am Coll Cardiol
(2013) - et al.
ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 Appropriate Use Criteria for Cardiac Radionuclide Imaging: A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine
J Am Coll Cardiol
(2009) - et al.
ASNC/AHA/ASE/EANM/HFSA/ISA/SCMR/SNMMI Expert Consensus Recommendations for Multimodality Imaging in Cardiac Amyloidosis: Part 2 of 2-Diagnostic Criteria and Appropriate Utilization
J Nucl Cardiol
(2019) - et al.
ASNC/AHA/ASE/EANM/HFSA/ISA/SCMR/SNMMI expert consensus recommendations for multimodality imaging in cardiac amyloidosis: Part 1 of 2-evidence base and standardized methods of imaging
J Nucl Cardiol
(2019) - et al.
ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, 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
J Am Coll Cardiol
(2017) - et al.
The RAND/UCLA Appropriateness Method User’s Manual
(2001)
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