High-risk coronary plaque underlies major adverse cardiovascular events, shifting coronary imaging beyond luminal stenosis toward plaque characterization. CCTA identifies vulnerable features including low-attenuation plaque, positive remodeling, spotty calcifications, and napkin-ring sign, while enabling quantification of plaque burden and composition. Dual-energy and photon-counting CT improve tissue characterization, whereas AI and radiomics support automated analysis. Integration with FFR-CT and CT or MR perfusion imaging links plaque vulnerability with functional ischemia. Beyond diagnosis, CCTA enables longitudinal monitoring of plaque remodeling and stabilization under therapy. This review summarizes the role of CCTA in risk stratification, therapeutic monitoring, and personalized coronary artery disease management.
Nicola Pegoraro, G. Muscogiuri, A. Carnevale et al.· Journal of Clinical Ultrasou...· 0 citations
The Reporting and Data Systems (RADS) framework has become a key driver of structured reporting and standardization in radiology. This review summarizes the development and local adaptation of major RADS systems in China. Established RADS frameworks (such as those for breast, liver, and lung imaging) are already widely implemented in clinical practice,while more recently introduced frameworks (including thyroid, prostate, and coronary artery disease RADS) are gaining broader adoption, whereas emerging frameworks (such as ovarian-adnexal, bone, colon, neck and lymph node RADS) remain at an early exploratory stage. Despite ongoing challenges related to the local adaptation of RADS frameworks , data sharing, and quality control, China's large imaging volume and rapid integration of artificial intelligence provide unique opportunities. Through continued efforts in the local adaptation and optimization of frameworks, multicenter validation, and intelligent automation, Chinese radiology practice is expected to contribute significantly to global radiology standardization.
Xiang Li, Jing-Yi Liu, Longjiang Zhang et al.· Journal of the American Coll...· 0 citations
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