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Cardiothoracic Imaging

Coronary CTA, lung nodule and lung cancer screening systems.

CAD-RADS 2.0 (Coronary CTA)
CAD-RADS 2.0 (2022)

Standardized coronary CTA reporting: assigns a stenosis category (0, 1, 2, 3, 4A, 4B, 5, or N), an overall plaque-burden grade (P1–P4), and modifiers (N, HRP, I, S, G, E), then pairs the composite code with management suggestions for stable or acute chest pain.

Fleischner Incidental Pulmonary Nodules
Fleischner Society (2017)

Follow-up recommendations for pulmonary nodules found incidentally on CT in adults 35 years or older, combining nodule number, composition (solid, part-solid, or pure ground-glass), mean size, and clinical risk of malignancy.

Lung-RADS v2022 (Screening LDCT)
Lung-RADS v2022

ACR Lung-RADS v2022 categories (0, 1, 2, 3, 4A, 4B) for lung cancer screening LDCT, covering solid, part-solid, and ground-glass nodules as well as juxtapleural nodules, airway nodules, and atypical pulmonary cysts, with size, growth, and stepped-management rules.

Brock (PanCan) Pulmonary Nodule Malignancy Risk
McWilliams 2013 (NEJM), models 1a/1b/2a/2b

Estimates the probability that a pulmonary nodule found on a baseline screening low-dose CT is malignant, using the McWilliams (PanCan/Brock University) logistic models. Implements all four published variants (parsimonious and full, each with or without spiculation).

Mayo Clinic Solitary Pulmonary Nodule Model
Swensen 1997 (Mayo Clinic)

Estimates the pre-test probability that a radiologically indeterminate solitary pulmonary nodule is malignant from age, smoking, remote cancer history, nodule diameter, spiculation and upper-lobe location (Swensen 1997).

Qanadli CT Pulmonary Obstruction Index
Qanadli 2001 (AJR)

Quantifies pulmonary arterial clot burden in acute PE as a percentage obstruction index. Each thrombus scores points equal to the number of segmental branches distal to it, weighted 1 for partial and 2 for total occlusion; the index is Σ(n·d)/40 × 100%.

RV/LV Diameter Ratio on CTPA
ESC 2019 / Quiroz 2004 / Kang 2011

Computes the right-to-left ventricular diameter ratio on CT pulmonary angiography and bands it against the >0.9 (4-chamber adverse events), >1.0 (ESC RV-dysfunction criterion) and ≥1.5 (marked dilatation) thresholds, with measurement-plane guidance.

Coronary Artery Calcium (Agatston) Score Categories
Agatston 1990 + MESA 2006 + 2018 AHA/ACC

Bands a total Agatston coronary artery calcium score into the standard categories (0, 1–99, 100–399, ≥400) with guideline-based risk interpretation, statin-decision context from the 2018 AHA/ACC guideline, and MESA age/sex/ethnicity percentile guidance.

Herder Model (Mayo + FDG-PET) for SPN Malignancy Risk
Herder 2005 (Chest) / BTS 2015

Estimates the probability that an indeterminate solid pulmonary nodule is malignant by combining the six Mayo Clinic predictors (age, smoking, remote cancer history, diameter, spiculation, upper-lobe location) with the qualitative FDG-PET uptake grade. This is the model the BTS 2015 guideline uses to re-assess risk after PET-CT.

Nodule Volume Doubling Time (VDT)
BTS 2015 / NELSON (van Klaveren 2009)

Computes the volume doubling time of a pulmonary nodule from two scans a known interval apart, from either a diameter pair (volume ∝ d³) or a measured volume pair. Reports VDT in days, percentage volume change, the ≥25% volume / ≥2 mm diameter growth criteria, and the BTS/NELSON growth bands.

BTS 2015 Pulmonary Nodule Guideline Navigator
BTS 2015 (Callister, Thorax)

Walks a pulmonary nodule through the British Thoracic Society 2015 pathway by type (solid, pure ground-glass, part-solid), size/volume, persistence and Brock/Herder risk, returning the guideline-recommended next step — discharge, surveillance CT with interval, PET-CT, biopsy or resection.

MESA Coronary Calcium Percentile
MESA / McClelland 2006 + 2018 AHA/ACC

Places an Agatston coronary artery calcium score in the MESA reference distribution for the patient’s age, sex and ethnicity (White/Black/Hispanic/Chinese), reporting the approximate percentile alongside the standard 0 / 1–99 / 100–399 / ≥400 categories and the peer probability of any detectable calcium.

CO-RADS
CO-RADS 2020 (Dutch Radiological Society / Prokop et al.)

Assigns a single CT suspicion category (0–6) for pulmonary involvement by COVID-19 based on the overall imaging pattern. This is a gestalt classification, not a summed points score.

Fleischner / ATS 2018 UIP CT Pattern
Fleischner Society 2018 / ATS-ERS-JRS-ALAT 2018

Classifies HRCT of fibrosing ILD into Typical UIP, Probable UIP, Indeterminate for UIP, or Most consistent with non-IPF diagnosis using the 2018 four-tier criteria shared by the Fleischner Society white paper and ATS/ERS/JRS/ALAT guideline.

Lung Cancer TNM Staging (9th Edition)
IASLC / UICC / AJCC TNM 9th Edition (2025)

Looks up the overall stage group from T, N, and M categories using the IASLC 9th edition (effective 2025). Incorporates N2a/N2b and M1c1/M1c2 subdivisions and the rearranged IIA–IIIB groupings.

Bhalla / Brasfield Score (CF)
Bhalla 1991 CT score; Brasfield 1980 CXR score

Dual-mode severity score for cystic fibrosis lung disease: modified Bhalla thin-section CT score (structural change, 0–25 inverted scale) or classic Brasfield chest radiograph score (25 minus deductions).