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.