Multidetector Computed Tomography for the Diagnosis of Coronary Artery Disease: A Systematic Review

Stein, Paul D.; Beemath, Afzal; Kayali, Fadi; Skaf, Elias; Sanchez, Julia; Olson, R. E.

doi:10.1016/j.amjmed.2005.06.071

Cited by 132 publications

(70 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Stein and colleagues, 9 in a high-quality review published in 2006, found only one study of 64-slice CT, because their literature search was up to March 2005. The conclusions of their review were that:…”

Section: Previous Reports Reviewsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease

Mowatt¹,

Cummins²,

Waugh³

et al. 2008

Health Technol Assess

200

127

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) Programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs-led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, the public and consumer groups and professional bodies such as royal colleges and NHS trusts. These sugges...

show abstract

Section: Previous Reports Reviewsmentioning

confidence: 99%

“…A systematic review by Stein and colleagues 9 quoted an effective radiation dose of 11-22 mSv for 64-slice CT angiography, which could be reduced to 7-11 mSv by using ECG-controlled dose modulation. A study by Hausleiter and colleagues 8 on multislice CT radiation dose estimates reported an effective radiation dose of 11.0 (SD 4.1) mSv for 64-slice CT.…”

mentioning

confidence: 99%

Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease

Mowatt¹,

Cummins²,

Waugh³

et al. 2008

Health Technol Assess

200

127

View full text Add to dashboard Cite

show abstract

“…En önemli dezavantajlarından biri, BT anjiyografinin düzenli ve yavaş bir kalp ritmi gerektirmesidir. [17] Kalp nakli hastalarında taşikardi, farmakolojik ajanlarla kolaylıkla kırılamadığı için hastaların önemli bir kısmında kaliteli görüntü alınama-yacağını öne sürülmüştür. [18] Gerçekten de BT koroner anjiyografi sırasında ideal kalp hızı 65/dk'nın altında olmalıdır.…”

Section: Discussionunclassified

Evaluation of allograft vasculopathy by computed tomography coronary angiography in cardiac transplant recipients

Küçüker¹

2013

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Amaç: Bu çalışmada kalp nakli yapılmış hastalarda bilgisayarlı tomografi (BT) koroner anjiyografinin allogreft vaskü-lopati tanısındaki etkinliği araştırıldı.Ça lış m apla nı:Kalp nakli sonrası iki yılını doldurmuş ve son üç ay içerisinde kontrol koroner anjiyografisi yapıl-mış 10 hasta (9 erkek, 1 kadın; ort. yaş 41±9.2 yıl; dağılım 17-59 yıl) çalışmaya alındı. Bu hastalara BT koroner anjiyografi yapıldı. Tüm hastaların standart anjiyografileri aynı araştırmacı tarafından değerlendirildi. Ardından BT koroner anjiyogramlar, bu değerlendirmelerden habersiz ikinci bir araştırmacı tarafından değerlendirdi. Her iki değerlendirme sonucu, üçüncü bir araştırmacı tarafından karşılaştırıldı. Bul gu lar:Bilgisayarlı tomografi koroner anjiyografide sekiz hastada önemli bir patoloji gözlenmezken, iki hastada sol ön inen koroner arterde yaklaşık %50'lik darlık saptadı. Standart koroner anjiyografide de aynı hastalarda aynı yerleşimde ve benzer oranda sol ön inen koroner arter lezyonları saptandı. Tüm hastalarda standart koroner anjiyografi ve BT koroner anjiyografi sonuçları birbiriyle uyumluydu.So nuç: Bilgisayarlı tomografi koroner anjiyografi daha az invaziv olup, hasta için daha az risk taşımaktadır. Uygulama kolaylığı ve etkin maliyet gibi bazı avantajlara da sahiptir. Hastaneye yatış gerektirmez. Kalp nakli alıcılarında koroner allogreft vaskülopatinin rutin takibinde BT koroner anjiyografi, standart koroner anjiyografiye alternatif olarak kullanı-labilir.Anah tar söz cük ler: Allogreft vaskülopati; kalp nakli; bilgisayarlı tomografi koroner anjiyografi.Background: This study aims to investigate the efficacy of computed tomography (CT) coronary angiography for the diagnosis of allograft vasculopathy.

show abstract

“…Five metaanalyses on the diagnostic accuracy of CCTA for the detection of obstructive CAD, confirmed by the gold standard of invasive cardiac catheterization, have been published (20)(21)(22)(23)(24). The most recent study reported excellent accuracy statistics for 64-slice CCTA; the diagnostic sensitivity and specificity were 94% (range, 93%297%) and 85% (range, 80%290%), respectively (24).…”

Section: Comparative Diagnostic Accuracy Of Stress Nuclear Imaging Wimentioning

confidence: 94%

Risk Assessment and Predictive Value of Coronary Artery Disease Testing

Shaw

Narula²

2009

J Nucl Med

View full text Add to dashboard Cite

This review highlights and compares risk assessment, predictive accuracy, and economic outcomes for 3 commonly applied cardiac imaging procedures: stress myocardial perfusion SPECT or PET and coronary CT angiography (CCTA). This review highlights an expansive evidence base for stress myocardial perfusion imaging and reveals a decided advantage for higher-risk patients, notably those who have established coronary artery disease (CAD). It is likely that the use of CCTA will continue to expand, particularly for patients with more atypical symptoms and patients with a lower likelihood of CAD. Despite a high level of evidence, comparative research is not available across modalities that could definitively drive utilization of cardiac imaging modalities. Evi dence about the accuracy of a variety of noninvasive imaging tests for the identification of at-risk patients with known and suspected coronary artery disease (CAD) has been evolving. Most of the early published research on noninvasive cardiology, from the 1980s and early 1990s, focused on the diagnostic accuracy of a test. More recent research has focused on evaluating the ensuing risk in patients with normal and abnormal cardiac imaging findings. Further exploration has been aimed at the graded or directly proportional relationships between the extent and the severity of imaging risk markers and major adverse cardiovascular events. These relationships highlight a common theme throughout the literature of ever-increasing and worsening cardiac event risk with more extensive and severe imaging abnormalities. More recent topics in the prognosis literature are the utility of new technology, such as coronary CT angiography (CCTA), and its accuracy compared with that of conventional testing, such as stress nuclear imaging. For this report, we compare risk assessment, predictive accuracy, and economic outcomes for 3 commonly applied cardiac imaging procedures: stress myocardial perfusion SPECT or PET and CCTA. We further highlight the potential value of hybrid imaging with PET/CT or even sequential imaging with SPECT plus CT. CORRELATION BETWEEN MYOCARDIAL ISCHEMIA AND CORONARY ANATOMYEarly research focused on the accuracy of stress nuclear imaging for detecting obstructive coronary stenosis. Lessons learned from these evaluations were that the detection of obstructive stenosis was related to the severity of the stenosis, collateral flow, and underlying endothelial function. Documentation of high rates of false-positive results (i.e., ischemia with no obstructive CAD) with stress myocardial perfusion may be related to vascular dysfunction, an early marker of atherosclerosis. In addition, normal stress perfusion results in patients with CAD are related to many factors, including collateral blood flow or prior coronary revascularization. It is for these reasons that much of the recent imaging research has focused on risk determination. However, for discussion purposes, it is helpful to understand the relationship between ischemia and coronary anatomy. INDUCIBLE ISCHEMIA D...

show abstract

Multidetector Computed Tomography for the Diagnosis of Coronary Artery Disease: A Systematic Review

Cited by 132 publications

References 62 publications

Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease

Systematic review of the clinical effectiveness and cost-effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease

Evaluation of allograft vasculopathy by computed tomography coronary angiography in cardiac transplant recipients

Risk Assessment and Predictive Value of Coronary Artery Disease Testing

Contact Info

Product

Resources

About