- high diagnostic accuracy, often equivalent to the gold standard of ICA.
- requires thin detector collimation (detector width of 0.625 or less), thin slice reconstruction (image thickness ≤1.0 mm)
- cardiac gating (often requiring
- beta blockers for ideal heart rate).
- Coronary CTA provides unparalleled spatial resolution compared to other non-invasive modalities.
The accuracy and reliability of corona
Pundziute G, et al – 16 month follow up and found that the first year rate of MACE in patients with normal coronary arteries on coronary CTA was 0%.
Links and References
- 1. Budoff MJ, et al Diagnostic performance of 64- multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter
ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52:1724 – 1732.2.
- Miller JM, et al Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med. 2008;359: 2324 – 2336.
- 3. Meijboom WB, et al Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter,
- Pundziute G, et al Prognostic value of multislice computed tomography coronary angiography in patients with
known or suspected coronary artery disease. JACC 2007; 49: 62-70.