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CompletedNCT00640068ACICUpdated Apr 3, 2014

Advanced Cardiovascular Imaging Consortium

An observational study in Chest Pain, Coronary Occlusion and Coronary Artery Disease, sponsored by William Beaumont Hospitals. Completed at 50 sites in United States. Per ClinicalTrials.gov, last updated 2014-04-03.

Sponsored by William Beaumont Hospitals · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
42,926
Sex
All
01

Study 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.

Read the detailed description

This study is a collaborative quality assurance initiative organized by Blue Cross Blue Shield of Michigan and Blue Cross Network (BCBSM/BCN) for initiation of insurance coverage of coronary artery CT scanning (CCTA), a relatively new procedure that can provide non-invasive coronary angiograms. While this procedure has promise in that it can rapidly diagnose patients with unknown chest pain and reduce the cost of medical care, there is substantial potential for abuse and excess cost and inappropriate care if not appropriately used.

The Consortium's objectives are to educate participating sites of the clinical uses of CCTA as well as other best-practice recommendations; to create a database (Registry) to develop evidence of the best-practice utilization of CCTA; to provide a feedback mechanism to the sites about the positive or negative evidence of best-practice utilization of CCTA; to develop strategies to improve the utilization of CCTA; to monitor the CQI process of the individual participating sites; to reduce cost and improve safety and efficiency in in the care of patients with acute chest pain, indeterminate stress tests results, and to assess coronary bypass graft patency.

02

Conditions studied

  • Chest Pain
  • Coronary Occlusion
  • Coronary Artery Disease

Keywords

  • coronary artery disease
  • chest pain
  • coronary artery bypass graft
  • stress test
  • Coronary Angiography
03

In context

Coronary Artery Disease

5,598 studies on the registry are indexed under Coronary Artery Disease; 957 are open to participants now.

This study's enrollment of 42,926 is above the median of 336 across 1,947 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

William Beaumont Hospitals is the lead sponsor of 111 studies on the registry; none are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 30 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
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

Inclusion criteria

(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.

Exclusion criteria

Exclusion Criteria:

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.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
42,926 participants (actual)

Groups and cohorts

  • 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.

06

What researchers measure

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

    Time frame: 5 years

Secondary outcomes

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

    Time frame: 5 years

07

Study locations

50 sites
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • St. Joseph Mercy Hospital Ann Arbor
    Ann Arbor, Michigan 48706, United States
  • Bay Regional Medical Center
    Bay City, Michigan 48708, United States
  • DMC Huron Valley-Sinai
    Commerce, Michigan 48382, United States
  • Oakwood Hospital
    Dearborn, Michigan 48124, United States
  • Harper University Hospital
    Detroit, Michigan 48201, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • St. John Hospital and Medical Center
    Detroit, Michigan 48236, United States
  • McLaren Flint
    Flint, Michigan 48532, United States
  • McLaren Regional Medical Center
    Flint, Michigan 48532, United States
  • Premier Medical Clinics
    Flint, Michigan 48532, United States
  • Garden City Hospital
    Garden City, Michigan 48135, United States
  • North Ottawa Community Hospital
    Grand Haven, Michigan 49417, United States
  • East Beltline Imaging
    Grand Rapids, Michigan 49525, United States
  • Henry Ford Cottage Hospital
    Grosse Pointe, Michigan 48043, United States
  • William Beaumont Hospital - Grosse Pointe
    Grosse Pointe, Michigan 48230, United States
  • Hillsdale Community Health Center
    Hillsdale, Michigan 49242, United States
  • Bronson Hospital
    Kalamazoo, Michigan 49007, United States
  • Borgess Medical Center
    Kalamazoo, Michigan 49048, United States
  • Sparrow Health System
    Lansing, Michigan 48909, United States
  • Ingham Regional Medical Center
    Lansing, Michigan 48910, United States
  • Thoracic and Cardiovascular Institute, P.C.
    Lansing, Michigan 48910, United States
  • McLaren Lapeer Region
    Lapeer, Michigan 48446, United States
  • St. John Oakland
    Madison Heights, Michigan 48071, United States
  • Marquette General Health System
    Marquette, Michigan 49855, United States
  • Mercy Memorial
    Monroe, Michigan 48162, United States
  • McLaren Macomb
    Mount Clemens, Michigan 48043, United States
  • Hackley Hospital
    Muskegon, Michigan 49442, United States
  • Northern Michigan Hospital
    Petoskey, Michigan 49770, United States
  • Pontiac Osteopathic Hospital
    Pontiac, Michigan 48124, United States
  • St. Joseph Mercy Hospital Oakland
    Pontiac, Michigan 48341, United States
  • Crittenton Hospital
    Rochester, Michigan 48307, United States
  • William Beaumont Hospital-Royal Oak
    Royal Oak, Michigan 48073, United States
  • Covenant Healthcare
    Saginaw, Michigan 48602, United States
  • Chippewa County War Memorial
    Sault Saint Marie, Michigan 49783, United States
  • St. John Providence Hospital
    Southfield, Michigan 48075, United States
  • Southgate Radiology & Southgate CT
    Southgate, Michigan 48195, United States
  • Lakeland Regional Health System
    St. Joseph, Michigan 49085, United States
  • St. Joseph Health System - Tawas
    Tawas City, Michigan 48764, United States
  • Heritage (Oakwood) Hospital
    Taylor, Michigan 48180, United States
  • Munson Medical Center
    Traverse City, Michigan 49684, United States
  • Oakwood Southshore Medical Center
    Trenton, Michigan 48183, United States
  • William Beaumont Hospital, Troy
    Troy, Michigan 48085-1117, United States
  • St. John Macomb
    Warren, Michigan 48093, United States
  • Oakwood Annapolis Hospital
    Wayne, Michigan 48184, United States
  • Henry Ford West Bloomfield Hospital
    West Bloomfield, Michigan 48322, United States
  • Health First Imaging
    West Bloomfield, Michigan 48323, United States
  • West Branch Regional Medical Center
    West Branch, Michigan 48661, United States
  • Henry Ford Wyandotte Hospital
    Wyandotte, Michigan 48192, United States
  • Michigan Heart, P.C.
    Ypsilanti, Michigan 48197, United States
08

References and documents

Publications

  • 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. PubMed 26093928 ↗
  • 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. PubMed 23926193 ↗
  • 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. PubMed 22424004 ↗
  • 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. PubMed 22322086 ↗
  • 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. PubMed 21775504 ↗
  • 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. PubMed 19509381 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00640068
Lead sponsor
William Beaumont Hospitals
Collaborators
Blue Cross Blue Shield of Michigan Foundation
Responsible party
Kavitha Chinnaiyan (Medical Director of Noninvasive Cardiology Education; Program Director, ACIC, William Beaumont Hospitals) — Principal investigator
First posted
Mar 20, 2008
Start date
Jul 2007
Primary completion
Apr 2014
Completion
Apr 2014
Last update
Apr 3, 2014

Study contacts

Kavitha Chinnaiyan, MD
study director · William Beaumont Hospitals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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