Table 1.
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.