Advanced Cardiovascular Imaging Consortium

NCT00640068 | Completed

• 1 other identifier: 2007-236
• Study Type: observational
• Target: 42,926
• Locations: 1 country
• Sites: 50

Brief Summary

The ACIC is a Collaborative Quality Improvement (CQI) program involving the collection of data related to: indications for Coronary Computed Tomography (CCTA), patient health characteristics, acquisition techniques of CCTA scans, physician interpretation of results and short-term outcomes over a 90 day period.

Conditions

Chest Pain; Coronary Occlusion; Coronary Artery Disease

Keywords

coronary artery disease; chest pain; coronary artery bypass graft; stress test; Coronary Angiography

Outcome Measures

Primary Outcomes (1)

• Educate participating sites on appropriate use of CCTA

  To educate participating sites in the clinical uses of CCTA recommended by the ACC/ACR as well as other best-practices

  5 years

Secondary Outcomes (1)

• To monitor the CQI process of individual participating sites and the ACIC as a whole.

  5 years

Study Arms (1)

1

All patients in whom a clinical CCTA was ordered by their physician at a participating site. Patient must have a prescription for CCTA ordered by their physician.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Referral from other healthcare provider or support staff (e.g. physician office, clinics), Emergency Room, self referral with prescription

You may qualify if:

• (Patient must meet one criteria)
• Patient has had a CCTA examination ordered by a referring physician at a participating site.
• Patient is a self referral.

You may not qualify if:

• Clinical contraindications to CCTA are present as determined by attending physician or staff, including but not limited to:
• Pregnancy or potential pregnancy.
• Renal failure or dysfunction.
• Inability to receive beta blockers.
• Allergy to iodinated contrast without prior premedication.
• Unwillingness to participate.
• Inability to read or understand Patient Information Sheet.
• Age less than 18 years without parent or guardian's evaluation of Patient Information Sheet. Underage and other vulnerable populations are included as the CQI process is intended to detect and correct adverse consequences of CCTA, e.g., excessive radiation, and protect such patients.

Sponsors & Collaborators

• Corewell Health East: lead
• Blue Cross Blue Shield of Michigan Foundation: collaborator

Study Sites (50)

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

St. Joseph Mercy Hospital Ann Arbor

Ann Arbor, Michigan, 48706, United States

Location

Bay Regional Medical Center

Bay City, Michigan, 48708, United States

Location

DMC Huron Valley-Sinai

Commerce, Michigan, 48382, United States

Location

Oakwood Hospital

Dearborn, Michigan, 48124, United States

Location

Harper University Hospital

Detroit, Michigan, 48201, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

St. John Hospital and Medical Center

Detroit, Michigan, 48236, United States

Location

McLaren Flint

Flint, Michigan, 48532, United States

Location

McLaren Regional Medical Center

Flint, Michigan, 48532, United States

Location

Premier Medical Clinics

Flint, Michigan, 48532, United States

Location

Garden City Hospital

Garden City, Michigan, 48135, United States

Location

North Ottawa Community Hospital

Grand Haven, Michigan, 49417, United States

Location

East Beltline Imaging

Grand Rapids, Michigan, 49525, United States

Location

Henry Ford Cottage Hospital

Grosse Pointe, Michigan, 48043, United States

Location

William Beaumont Hospital - Grosse Pointe

Grosse Pointe, Michigan, 48230, United States

Location

Hillsdale Community Health Center

Hillsdale, Michigan, 49242, United States

Location

Bronson Hospital

Kalamazoo, Michigan, 49007, United States

Location

Borgess Medical Center

Kalamazoo, Michigan, 49048, United States

Location

Sparrow Health System

Lansing, Michigan, 48909, United States

Location

Ingham Regional Medical Center

Lansing, Michigan, 48910, United States

Location

Thoracic and Cardiovascular Institute, P.C.

Lansing, Michigan, 48910, United States

Location

McLaren Lapeer Region

Lapeer, Michigan, 48446, United States

Location

St. John Oakland

Madison Heights, Michigan, 48071, United States

Location

Marquette General Health System

Marquette, Michigan, 49855, United States

Location

Mercy Memorial

Monroe, Michigan, 48162, United States

Location

McLaren Macomb

Mount Clemens, Michigan, 48043, United States

Location

Hackley Hospital

Muskegon, Michigan, 49442, United States

Location

Northern Michigan Hospital

Petoskey, Michigan, 49770, United States

Location

Pontiac Osteopathic Hospital

Pontiac, Michigan, 48124, United States

Location

St. Joseph Mercy Hospital Oakland

Pontiac, Michigan, 48341, United States

Location

Crittenton Hospital

Rochester, Michigan, 48307, United States

Location

William Beaumont Hospital-Royal Oak

Royal Oak, Michigan, 48073, United States

Location

Covenant Healthcare

Saginaw, Michigan, 48602, United States

Location

Lakeland Regional Health System

Saint Joseph, Michigan, 49085, United States

Location

Chippewa County War Memorial

Sault Saint Marie, Michigan, 49783, United States

Location

St. John Providence Hospital

Southfield, Michigan, 48075, United States

Location

Southgate Radiology & Southgate CT

Southgate, Michigan, 48195, United States

Location

St. Joseph Health System - Tawas

Tawas City, Michigan, 48764, United States

Location

Heritage (Oakwood) Hospital

Taylor, Michigan, 48180, United States

Location

Munson Medical Center

Traverse City, Michigan, 49684, United States

Location

Oakwood Southshore Medical Center

Trenton, Michigan, 48183, United States

Location

William Beaumont Hospital, Troy

Troy, Michigan, 48085-1117, United States

Location

St. John Macomb

Warren, Michigan, 48093, United States

Location

Oakwood Annapolis Hospital

Wayne, Michigan, 48184, United States

Location

Henry Ford West Bloomfield Hospital

West Bloomfield, Michigan, 48322, United States

Location

Health First Imaging

West Bloomfield, Michigan, 48323, United States

Location

West Branch Regional Medical Center

West Branch, Michigan, 48661, United States

Location

Henry Ford Wyandotte Hospital

Wyandotte, Michigan, 48192, United States

Location

Michigan Heart, P.C.

Ypsilanti, Michigan, 48197, United States

Location

Related Publications (6)

• Burris AC 2nd, Boura JA, Raff GL, Chinnaiyan KM. Triple Rule Out Versus Coronary CT Angiography in Patients With Acute Chest Pain: Results From the ACIC Consortium. JACC Cardiovasc Imaging. 2015 Jul;8(7):817-25. doi: 10.1016/j.jcmg.2015.02.023. Epub 2015 Jun 17.

  PMID: 26093928 DERIVED

• Chinnaiyan KM, Boura JA, DePetris A, Gentry R, Abidov A, Share DA, Raff GL; Advanced Cardiovascular Imaging Consortium Coinvestigators. Progressive radiation dose reduction from coronary computed tomography angiography in a statewide collaborative quality improvement program: results from the Advanced Cardiovascular Imaging Consortium. Circ Cardiovasc Imaging. 2013 Sep;6(5):646-54. doi: 10.1161/CIRCIMAGING.112.000237. Epub 2013 Aug 7.

  PMID: 23926193 DERIVED

• Chinnaiyan KM, Depetris AM, Al-Mallah M, Abidov A, Ananthasubramaniam K, Gallagher MJ, Girard S, Goraya TY, Kazerooni EA, Patel S, Peyser P, Poopat C, Raff GL, Saba S, Song T, Share D. Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project. Am Heart J. 2012 Mar;163(3):346-53. doi: 10.1016/j.ahj.2011.11.018.

  PMID: 22424004 DERIVED

• Chinnaiyan KM, Raff GL, Goraya T, Ananthasubramaniam K, Gallagher MJ, Abidov A, Boura JA, Share D, Peyser PA. Coronary computed tomography angiography after stress testing: results from a multicenter, statewide registry, ACIC (Advanced Cardiovascular Imaging Consortium). J Am Coll Cardiol. 2012 Feb 14;59(7):688-95. doi: 10.1016/j.jacc.2011.10.886.

  PMID: 22322086 DERIVED

• Vanhecke TE, Madder RD, Weber JE, Bielak LF, Peyser PA, Chinnaiyan KM. Development and validation of a predictive screening tool for uninterpretable coronary CT angiography results. Circ Cardiovasc Imaging. 2011 Sep;4(5):490-7. doi: 10.1161/CIRCIMAGING.111.964205. Epub 2011 Jul 20.

  PMID: 21775504 DERIVED

• Raff GL, Chinnaiyan KM, Share DA, Goraya TY, Kazerooni EA, Moscucci M, Gentry RE, Abidov A; Advanced Cardiovascular Imaging Consortium Co-Investigators. Radiation dose from cardiac computed tomography before and after implementation of radiation dose-reduction techniques. JAMA. 2009 Jun 10;301(22):2340-8. doi: 10.1001/jama.2009.814.

  PMID: 19509381 DERIVED

MeSH Terms

Conditions

Chest Pain; Coronary Occlusion; Coronary Artery Disease

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases

Study Officials

• Kavitha Chinnaiyan, MD

  Corewell Health East

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Director of Noninvasive Cardiology Education; Program Director, ACIC

Study Record Dates

• First Submitted: March 14, 2008
• First Posted: March 20, 2008
• Study Start: July 1, 2007
• Primary Completion: April 1, 2014
• Study Completion: April 1, 2014
• Last Updated: April 3, 2014

Record last verified: 2014-04

Locations

US (50)