Comparison of 320-row computed tomography coronary angiography with conventional angiography for the assessment of coronary artery disease with different atherosclerotic plaque characteristics.

Abstract:

OBJECTIVE:The objective of this study was to compare the accuracy of 320-row computed tomography angiography (CTA) with conventional coronary angiography. METHODS:Two hundred seventy-four patients with coronary artery disease who received both invasive coronary angiography and 320-row CTA were included. Stenosis of 50% or greater was considered obstructive. RESULTS:In patient-based analysis, accuracy of CTA was 89.4%, with sensitivity of 94.6% and specificity of 54.3%. In segment-based analysis, the overall (4110 segments) accuracy of CTA was 90.7%, with sensitivity of 66.5% and specificity of 95.8%. For the segments with plaques (1191 segments), accuracy of CTA was 80.1%, with sensitivity of 83.5% and specificity of 77.0%. For segments with no plaque (2919 segments), accuracy of CTA was 95.0%, with sensitivity of 0.7% and specificity of 100.0%. For the segments with stents (110 segments), the accuracy of CTA was 86.4%. CONCLUSIONS:A 320-row CTA has potential to detect coronary lesions with soft and intermediate plaques.

journal_name

J Comput Assist Tomogr

authors

Yang QH,Chen YJ,Liu QQ,Dong M,Wen L,Song X,Lv YJ,Gong YZ,Li XQ

doi

10.1097/RCT.0b013e31826ab24a

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

646-53

issue

6

eissn

0363-8715

issn

1532-3145

pii

00004728-201211000-00004

journal_volume

36

pub_type

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