Meta-analysis: diagnostic accuracy of coronary CT angiography with prospective ECG gating based on step-and-shoot, Flash and volume modes for detection of coronary artery disease

Yang, Linfeng; Zhou, Tao; Zhang, Ruijie; Xu, Lin; Peng, Zhongmin; Ding, Juan; Wang, Sen; Li, Min; Sun, Gang

doi:10.1007/s00330-014-3221-y

Cited by 52 publications

(31 citation statements)

References 49 publications

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“…The diagnostic performance of coronary CTA has been investigated extensively in patients with stable coronary artery disease (CAD). Using invasive angiography as a reference, coronary CTA is more sensitive (98-100%) than any other noninvasive technique [30]. Because of its high negative predictive value (99-100%), coronary CTA is recommended in patients with a low to intermediate probability of CAD and in patients with an inconclusive functional test [31].…”

Section: Ecg-gated Ct: Improved Chest Pain Triage In Patients With Acmentioning

confidence: 99%

CT Evaluation of Chest Pain: Acute Coronary Syndrome and Acute Aortic Syndrome

Fleischmann

Hoffmann

2015

Diseases of the Chest and Heart 2015–2018

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Section: Ecg-gated Ct: Improved Chest Pain Triage In Patients With Acmentioning

confidence: 99%

CT Evaluation of Chest Pain: Acute Coronary Syndrome and Acute Aortic Syndrome

Fleischmann

Hoffmann

2015

Diseases of the Chest and Heart 2015–2018

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“…[60][61][62] The strength of cardiac CT is its high sensitivity superior to other imaging techniques (98-100%). 7 According to the Bayesian theorem and the high NPV (99-100%) of cardiac CT, the consensus is to consider the use of cardiac CT mainly in populations with low-tointermediate probability or after an inconclusive functional test owing to its excellent ability to rule out CAD.…”

Section: Cardiac Ctmentioning

confidence: 99%

“…6 In particular, owing to the rapid technological improvements, cardiac CT has become the most accurate tool for the non-invasive evaluation of CAD. 7 Current evidences derived from the first multicentre trials suggest that cardiac CT may be safely used for ruling out ACS in patients with low-tointermediate risk. 1,8 Furthermore, more recent advances in cardiac CT imaging enable integrated evaluation of anatomic and functional significance of CAD in a single examination.…”

Section: Introductionmentioning

confidence: 99%

Chest pain: coronary CT in the ER

Maffei¹,

Seitun²,

Guaricci³

et al. 2016

BJR

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Cardiac CT has developed into a robust clinical tool during the past 15 years. Of the fields in which the potential of cardiac CT has raised more interest is chest pain in acute settings. In fact, the possibility to exclude with high reliability obstructive coronary artery disease (CAD) in patients at low-to-intermediate risk is of great interest both from the clinical standpoint and from the management standpoint. Several other modalities, with or without imaging, have been used during the past decades in the settings of new onset chest pain or in acute chest pain for both diagnostic and prognostic assessment of CAD. Each one has advantages and disadvantages. Most imaging modalities also focus on inducible ischaemia to guide referral to invasive coronary angiography. The advent of cardiac CT has introduced a new practice diagnostic paradigm, being the most accurate non-invasive method for identification and exclusion of CAD. Furthermore, the detection of subclinical CAD and plaque imaging offer the opportunity to improve risk stratification. Moreover, recent advances of the latest generation CT scanners allow combining both anatomical and functional imaging by stress myocardial perfusion. The role of cardiac CT in acute settings is already important and will become progressively more important in the coming years.

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“…Coronary CT angiography (CCTA) is a well-established less invasive imaging modality for the diagnosis of coronary artery disease (CAD) with high diagnostic value having been reported in many studies [1][2][3][4][5][6][7][8][9][10]. In addition to the detection and assessment of coronary artery stenosis, CCTA allows characterization of coronary plaques in terms of plaque components [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

CT Virtual Intravascular Endoscopy in the Visualization of Coronary Plaques: A Pictorial Essay

Sun

2017

CMIR

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Coronary CT angiography has been increasingly used to diagnose coronary artery disease with high diagnostic value achieved. For further assessment of coronary lumen stenosis, coronary CT angiography allows characterization of coronary plaques in terms of plaque morphology and composition. Coronary plaques are commonly assessed on 2D axial and multiplanar reformatted images. However, these visualization tools are limited to viewing extraluminal changes in the coronary artery but fail to provide intraluminal appearances of the coronary wall due to presence of plaques. In this pictorial essay, we present various intraluminal appearances of coronary wall and plaques with use of 3D virtual intravascular endoscopy (VIE) visualization in relation to different types of plaques. VIE appearances of coronary stents in patients treated with coronary stenting are also briefly demonstrated to show both normal stents and in-stent restenosis.

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Meta-analysis: diagnostic accuracy of coronary CT angiography with prospective ECG gating based on step-and-shoot, Flash and volume modes for detection of coronary artery disease

Abstract: • The accuracy of CCTA with different prospective ECG gating is similar • CCTA with prospective ECG gating is effective to exclude coronary artery disease • The radiation dose of volume mode increases with higher heart rate.

Cited by 52 publications

References 49 publications

CT Evaluation of Chest Pain: Acute Coronary Syndrome and Acute Aortic Syndrome

CT Evaluation of Chest Pain: Acute Coronary Syndrome and Acute Aortic Syndrome

Chest pain: coronary CT in the ER

CT Virtual Intravascular Endoscopy in the Visualization of Coronary Plaques: A Pictorial Essay

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