[Computed tomography coronary angiography : What does the nonradiologist expect from the radiologist?]

Abstract

Background: Coronary computed tomography angiography (CCTA) has become a central tool for the primary diagnosis of stable coronary artery disease (CAD). Its integration into the service catalog of the German statutory health insurance will not only transform the way patients are examined and treated but also enhance the collaboration between nonradiologists and radiologists.

Objective: This article explores the requirements nonradiologists have for CCTA and identifies ways to promote successful interdisciplinary communication.

Materials and methods: The study addresses criteria for proper patient selection and preparation for CCTA. It considers the perspectives and needs of patients and various medical specialties, highlighting essential aspects of interdisciplinary communication.

Results: CCTA enables precise clarification of CAD and should be used for patients with a pretest probability of chronic CAD between 15 and 50%. Clear action plans in the diagnostic report are crucial to assist general practitioners and cardiologists in treatment planning. Patients expect clear information about the procedure, possible risks, and results.

Conclusion: Close collaboration between various medical disciplines is essential for the successful implementation of CCTA. Clear, structured diagnostic reports with annotated images, along with regular case discussions and feedback loops, can improve report interpretation and interdisciplinary communication. Patient-friendly reports can make diagnostic results more understandable and enhance patient adherence.