Diagnostic Accuracy of Multidetector Computed Tomography Coronary Angiography in Patients With Dilated Cardiomyopathy

Andreini, Daniele; Pontone, Gianluca; Pepi, Mauro; Ballerini, G; Bartorelli, Antonio L.; Magini, Alessandra; Quaglia, C; Nobili, Enrica; Agostoni, Piergiuseppe

doi:10.1016/j.jacc.2007.01.086

Cited by 118 publications

(65 citation statements)

References 30 publications

(18 reference statements)

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“…Andreini et al assessed the diagnostic performance of multidetector computed tomography coronary angiography (MDCT-CA) for coronary artery evaluation in 325 patients, who also underwent invasive coronary angiography before TAVI. 47 MDCT-CA was performed using the same acquisition and dataset employed to standard MDCT aortic annulus evaluation. MDCT-CA showed high sensitivity, specificity, positive predictive value, negative predictive value, and accuracy for detecting ≥50% coronary artery stenosis.…”

Section: Nuclear Cardiology and Cardiac Computed Tomographymentioning

confidence: 99%

EuroEcho-Imaging 2016: highlights

Magné

Popescu

Bucciarelli-Ducci

et al. 2017

European Heart Journal - Cardiovascular Imaging

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Section: Nuclear Cardiology and Cardiac Computed Tomographymentioning

confidence: 99%

EuroEcho-Imaging 2016: highlights

Magné

Popescu

Bucciarelli-Ducci

et al. 2017

European Heart Journal - Cardiovascular Imaging

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“…87 Coronary MDCT in patients with HF has a high negative predictive value to confirm in a non-invasive way the absence of CAD, [88][89][90][91][92][93][94] especially in new-onset HF patients. Taking into account the significance of CAD in HF patients, MDCT may be one of the most important non-invasive tests to perform in these patients.…”

Section: Coronary Artery Diseasementioning

confidence: 99%

Novel Imaging Techniques for Heart Failure

Melero-Ferrer

López‐Vilella

Morillas-Climent

et al. 2016

Cardiac Failure Review

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Heart failure (HF) is an epidemic with an increasing prevalence and an absolute mortality rate of approximately 50 % within 5 years of diagnosis. Imaging plays a main role in HF diagnosis, assessment of aetiology and treatment guidance. This article reviews current HF applications for all the available non-invasive imaging modalities: echocardiography, cardiovascular magnetic resonance (CMR), nuclear imaging-positron emission tomography (PET) and single-photon emission computed tomography (SPECT) and computed tomography (CT). Echocardiography, with its recent developments, such as 3D echo, is the main imaging test used in the evaluation of HF patients, given its availability and reliability in assessing cardiac structure and function. CMR allows the characterisation of myocardial tissue, in addition to providing information on the structure and cardiac function, so it is a great help in the determination of HF aetiology and may predict patient outcomes. Nuclear imaging can detect ischaemia and viability and can obtain additional prognostic data. Cardiac CT is EchocardiographyAlthough echocardiography is a relatively 'ancient' technique, its versatility makes it unique in the provision of volumes, function, haemodynamics or valvular regurgitation. In addition, because of its availability, safety and low cost, echocardiography is the first and most widely used test for the diagnosis, selection of appropriate treatment and prognosis of HF.1 Echocardiography is also the most used imaging method in the reassessment of HF patients. It remains unclear when to repeat echocardiographic exams, but it is deemed appropriate at least in patients with worsening symptoms. Systolic FunctionGlobal left ventricular (LV) function is of paramount importance regarding therapeutic decisions. Visual estimation of ejection fraction (EF), the Teichholz and Simpson methods, have been widely validated. 2,3However, in 2D imaging, because of its operator-dependent nature, repeated testing has a high probability of producing variable volume and EF results.The apparition of 3D fully sampled matrix transthoracic echocardiography has enabled easier acquisition of images, 4 simplifying its routinary application. There have been many studies comparing 2D and 3D echocardiography (2DE and 3DE) and a 'reference' standard (generally CMR). A recent meta-analysis of all 3DE studies evaluating LV volumes and EF demonstrated that 3DE generally underestimated volumes, but not as significantly as 2DE. There was also less variability than 2D compared with CMR.5 Nonetheless, 3DE echocardiography may be challenging and not practical in patients with low image quality (e.g. critical patients), in whom 2DE measures are more realiable. 3DE is also a less standardised techique than 2DE, and because of this reason most laboratories use the more universally applicable 2DE measurements in clinical practice. Only recently, large analyses of LV parameters using 3DE in large cohorts of healthy individuals have been published to establish race, age and gender-specific ...

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“…Non-invasive diagnostic methods, such as the angiotomography, have good accuracy in diagnosing coronary artery disease and could be safer for the population of Chagasic patients in this study [10][11][12][13] . However, access to this diagnostic method is still limited for most patients with Chagas' disease, as they must be treated by the public health system, which does not subsidize this examination.…”

Section: Carvalho Et Al Asymptomatic Coronary Artery Disease In Chagamentioning

confidence: 99%

“…In such cases, the use of angiotomography is an interesting method for the diagnosis of coronary artery disease in patients with HF, as it is a noninvasive test, in addition to having high negative predictive value [10][11][12][13] . However, its applicability is still limited by the low availability and high cost 13 .…”

mentioning

confidence: 99%