Table 2.
Test | N patients | Sensitivity | Specificity | PPV | NPV | Accuracy | Reference |
---|---|---|---|---|---|---|---|
ICA (quantitative) | 79 | 57 % | 69 % | 49 % | 76 % | 65 % | Meijboom [35] |
CTCA (quantitative) | 79 | 45 % | 79 % | 54 % | 73 % | 67 % | Meijboom [35] |
CTCA (visual) | 79 | 94 % | 48 % | 49 % | 43 % | 64 % | Meijboom [35] |
CTCA (visual) | 107 | 75 % | 95 % | 76 % | 94 % | 91 % | Kajander [37] |
CTCA (visual) | 103 | 91 % | 40 % | 47 % | 89 % | 59 % | Koo [36] |
MPI-SPECT | 139 | 48–62 % | 80–90 % | 61–62 % | 70–90 % | 67–84 % | Forster [39], Melikian [40] |
MPI-PET | 107 | 95 % | 92 % | 78 % | 98 % | 92 % | Kajander [37] |
MPI-MR | 195 | 82 %–97 % | 60–98 % | 65–98 % | 86–96 % | 76–90 % | Kirschbaum [41], Watkins [43], *Lockie [42] |
MPI-PET + CTCA | 107 | 93 % | 99 % | 96 % | 99 % | 98 % | Kajander [37] |
MPI-CT + CTCA | 42 | 68 % | 98 % | 97 % | 77 % | 84 % | Ko [50] |
CT-FFR | 103 | 88 % | 82 % | 74 % | 92 % | 84 % | Koo [36] |
The diagnostic performance on a per-vessel-territory level of various non-invasive tests for the detection of a stenosis with a fractional flow reserve (FFR) < 0.80 (*except for FFR < 0.75 in Lockie et al.)
As the reported diagnostic performance of the various tests varies considerably across studies, several CTCA studies have been listed separately and a range is reported for MPI-MR. Abbreviations as for Table 1. CT-FFR = CT fractional flow reserve