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. Author manuscript; available in PMC: 2016 Sep 1.
Published in final edited form as: J Cardiovasc Comput Tomogr. 2015 Mar 21;9(5):438–445. doi: 10.1016/j.jcct.2015.03.004

Table 3. Per-patient diagnostic performance of Combined Coronary CTA + myocardial CTP and coronary CTA alone for detection of flow-limiting stenosis*.

Overall Previous CAD No previous CAD

CTA CTA+CTP CTA CTA+CTP CTA CTA+CTP
Sensitivity, % 93 (88-97) 78 (70-84) 89 (80-95) 71 (60-80) 98 (91-100) 87 (76-94)
Specificity, % 54 (47-60) 73 (67-79) 27 (17-40) 57 (44-70) 63 (56-70) 79 (73-85)
PPV, % 55 (48-61) 64 (56-71) 61 (52-70) 68 (57-78) 49 (40-58) 60 (49-70)
NPV, % 93 (87-96) 85 (79-89) 65 (44-83) 60 (47-72) 99 (95-100) 95 (90-98)
Accuracy % 69 (64-73) 75 (70-79) 62 (54-70) 65 (56-73) 72 (66-78) 81 (76-86)
*

Gold-standard definition for disease is a ≥50% stenosis by QCA with related SPECT SSS (Summed Stress Score) ≥ 1 in one of the three vessels: LAD, LCX, or RCA.

p<0.05 for difference from CTA alone by McNemar's test. Statistical comparisons of PPV and NPV were not performed.

CAD – Coronary Artery Disease; CTA – Computed Tomography Angiography; CTP – Computed Tomography Perfusion; PPV – Positive Predictive Value; NPV – Negative Predictive Value.