| Coronary computed tomography angiography---a promising imaging modality in diagnosing coronary artery disease. | |
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MedLine Citation:
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PMID: 18490228 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Traditionally, information on coronary artery lesions is obtained from invasive coronary angiography (CAG). The clinical applicability and diagnostic performance of the newly developed 64-slice multislice computed tomography (MSCT) scanner in coronary angiographic evaluation is not well evaluated. METHODS: Coronary computed tomography angiography (CCTA) was performed in 345 patients (119 women, 226 men; mean age, 59.64 +/- 11.67 years). Concomitant CAG was performed in 53 patients. The diagnostic performance of CCTA for detecting significant lesions was compared with that of CAG by 3 independent cardiologists. RESULTS: All CCTA was performed without complication. Comparison between CCTA and CAG was made in the 53 patients who underwent both studies. Sensitivity, specificity and the positive and negative predictive values for the 53 patients were: 81%, 99%, 87% and 99%, respectively. CONCLUSION: The 64-slice MSCT, developed in recent years, allows reliable noninvasive evaluation of coronary artery morphology, including plaque, stenosis and congenital anomaly. The diagnostic accuracy of MSCT scans for detecting lesions makes it a good imaging substitute for CAG in the evaluation of these coronary segments. |
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Authors:
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Shu-Chen Han; Ching-Chang Fang; Yi Chen; Chi-Liang Chen; Shih-Pu Wang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Chinese Medical Association : JCMA Volume: 71 ISSN: 1726-4901 ISO Abbreviation: J Chin Med Assoc Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-20 Completed Date: 2008-08-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101174817 Medline TA: J Chin Med Assoc Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 241-6 Citation Subset: IM |
Affiliation:
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Department of Radiology, Tainan Municipal Hospital, Tainan, Taiwan, ROC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Coronary Angiography / methods* Coronary Artery Disease / radiography* Coronary Stenosis / radiography Coronary Vessel Anomalies / radiography Female Humans Male Middle Aged Sensitivity and Specificity Tomography, X-Ray Computed / methods* |
| Comments/Corrections | |
Comment In:
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J Chin Med Assoc. 2008 May;71(5):232-3
[PMID:
18490226
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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