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. 2011 Mar 11;32(7):799–809. doi: 10.1093/eurheartj/ehq481

Table 1.

Perfusion-cardiovascular magnetic resonance and stress dobutamine-cardiovascular magnetic resonance: diagnostic performance

Study n (n) Reference CM type/dose Stress Analysis Sensitivity Specificity AUC
Perfusion-CMR
 Single6 57 CXA (≥50%) Gd-DTPA-BMA/0.1 mmol/kg Dip (stress only) Upslope subendo 87 85 0.91
 Single6 43 PET (CFR) Gd-DTPA-BMA/0.1 mmol/kg Dip (stress only) Upslope subendo 91 94 0.93
 Single7 92 CXA (≥70%) Gd-DTPA/0.05 mmol/kg Adeno (rest/stress) Upslope PRI 88 82 0.91
 Single8 79 CXA (≥50%) Gd-BOPTA/0.05 mmol//kg Adeno (stress/rest) Visual 91 62
 Single14 84 CXA (≥75%)a Gd-DTPA/0.025 mmol/kg Adeno (rest/stress) Upslope PRI 86 87 0.92
 Single15 104 CXA (≥70%) Gd-DTPA/0.75 mmol/kg Dip (stress/rest) Visual 90 85 0.90
 Single9 51 CXA (≥50%) Gadobutrol/0.1 mmol/kg Adeno (stress only) Visual 0.85
 Multicentre16 50 CXA (≥50%) Gd-DTPA/0.05 mmol/kg ATP (stress/rest) Visual 86 75 0.88
 Multicentre12 80 (24) CXA (≥50%) Gd-DTPA-BMA/0.1 mmol/kg Adeno (stress only) Upslope subendo 91 78 0.91
 Low dose12 80 (29) CXA (≥50%) Gd-DTPA-BMA/0.05 mmol/kg Adeno (stress only) Upslope subendo 0.53
 MR-IMPACT10 212 (42) CXA (≥50%) Gd-DTPA-BMA/0.075 mmol/kg Adeno (stress only) Visual 85 67 0.86

Stress dobutamine-CMR
 Single29 186 CXA (≥50%) Dobutamine Visual 86 86
 Single30 41b CXA (≥50%) Dobutamine Visual 83 83
 Single31 22 CXA (≥75%)a Dobutamine Visual 88 83
 Single32 27 CXA (≥70%) Treadmill Visual 79 85
 Single8 79 CXA (≥50%) Dobutamine Visual 89 80
 Single23c 150 CXA (≥50%) Dobutamine Visual 78 87
 Single33 40 CXA (≥50%) Dobutamine Visual 89 75
 Single34 204d CXA (≥70%) Dobutamine Visual 85 86

n: in CM dose-finding studies (n) indicates participants in a specific dose group; PRI, perfusion reserve index.

aArea stenosis.

bPatients with negative dobutamine-CMR: CXA was not performed, but a follow-up of 6 months, where no cardiac death occurred.

cReproducibility study: for sensitivity and specificity, means are given.

dWomen only.