Noninvasive imaging for coronary artery disease: A technology assessment for the Medicare Coverage Advisory Commission

64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis

“…The authors reported that in patient-based analysis the 64-slice CT studies showed high sensitivities and specificities compared with the reference standard of conventional coronary angiography 6. A technology assessment by Patel and colleagues,54 undertaken for the USA Medicare Coverage Advisory Commission included CT angiography (16-slice or higher) and identified six 64-slice CT studies 14 18 19 21 27 30. The authors concluded that the sensitivity and specificity of 64-slice CT in patient-based analysis looked promising 54.…”

“…A technology assessment by Patel and colleagues,54 undertaken for the USA Medicare Coverage Advisory Commission included CT angiography (16-slice or higher) and identified six 64-slice CT studies 14 18 19 21 27 30. The authors concluded that the sensitivity and specificity of 64-slice CT in patient-based analysis looked promising 54. Systematic reviews and meta-analyses by Sun and colleagues55 (four-slice or higher) and Hamon and colleagues53 (16-slice or higher) identified seven14 18 19 21 26 27 30 and nine13 18 19 21 22 26 27 30 32 64-slice CT studies, respectively.…”

The Year in Cardiac Imaging

“…Kim et al (95) reported that CT had a sensitivity of 93% and a specificity of 85% for the detection of left atrial appendage thrombus or severe spontaneous echo contrast by transesophageal echocardiography in 223 patients; CT detected all cases of thrombus. Patel et al (96) reported that CT had a sensitivity of 100% and a specificity of 72% compared with echocardiography in 72 patients. Shapiro et al (97) reported that CT had a sensitivity of 80% and a specificity of 73%.…”

ACCF/AHA/ACP 2009 Competence and Training Statement: A Curriculum on Prevention of Cardiovascular Disease

“…Technical limitations, overall sensitivity, specificity, accuracy, and risks of various screening tests (73, 78, 81, 86, 87). Radiation exposure from coronary CTA may increase the risk of breast cancer, but the amount of ionizing radiation associated with the test is considerably less than that associated with a stress radionuclide exam (88).…”