SCCT Expert Consensus on CCTA | 2026
SCCT Expert Consensus on CCTA | 2026
Source: SCCT Expert Consensus Document | JCCT | September 2, 2026
* Updated CCTA interpretation and reporting recommendations, replacing the 2014 guidance.
* Beyond stenosis: CCTA should assess not only coronary narrowing, but also plaque presence, type, burden, and high-risk features.
* CAD-RADS 2.0: a standardized system for grading and reporting coronary stenosis and plaque burden on CCTA.
* Also evaluates image quality/artifacts, total occlusions, stents, bypass grafts, coronary anomalies, and important cardiac/extracardiac findings.
* AI tools: increasingly used to identify coronary arteries, quantify plaque, and reduce imaging artifacts.
* New CT technologies: multi-energy and photon-counting CT can provide more detailed coronary and plaque assessment.
* Key message: Modern CCTA is moving beyond simply detecting stenosis toward a more complete assessment of coronary atherosclerosis.
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