Table 4. Diagnostic Performance of Different Imaging Modalities for Coronary Artery Disease in Patients without Coronary Stent.
CCTA | DE-CTP | SPECT | CCTA + DE-CTP | CCTA + SPECT | |
---|---|---|---|---|---|
Per-vascular territory analysis | |||||
Sensitivity | 100 (92–100) (20/20) |
100 (92–100) (20/20) |
70 (56–81) (14/20) |
100 (92–100) (20/20) |
70 (56–81) (14/20) |
Specificity | 84 (71–92) (21/25) |
88 (75–95) (22/25) |
96 (86–99) (24/25) |
96 (86–99) (24/25) |
100 (92–100) (25/25) |
PPV | 83 (70–92) (20/24) |
87 (74–94) (20/23) |
93 (82–98) (14/15) |
95 (85–99) (20/21) |
100 (92–100) (14/14) |
NPV | 100 (92–100) (21/21) |
100 (92–100) (22/22) |
80 (66–89) (24/30) |
100 (92–100) (24/24) |
81 (67–90) (25/31) |
Accuracy | 91 (79–97) (41/45) |
93 (82–98) (42/45) |
84 (71–92) (38/45) |
98 (88–100) (44/45) |
87 (74–94) (39/45) |
AUC (95% CI) | 0.92 (0.85–0.99) | 0.94 (0.87–1.0) | 0.83 (0.72–0.94) | 0.98 (0.94–1.0) | 0.85 (0.75–0.95) |
Per-patient analysis | |||||
Sensitivity | 100 (80–100) (12/12) |
100 (80–100) (12/12) |
83 (58–95) (10/12) |
100 (80–100) (12/12) |
83 (58–95) (10/12) |
Specificity | 33 (15–58) (1/3) |
67 (42–85) (2/3) |
100 (80–100) (3/3) |
67 (42–85) (2/3) |
100 (80–100) (3/3) |
PPV | 86 (61–96) (12/14) |
92 (69–99) (12/13) |
100 (80–100) (10/10) |
92 (69–99) (12/13) |
100 (80–100) (10/10) |
NPV | 100 (80–100) (1/1) |
100 (80–100) (2/2) |
60 (36–80) (3/5) |
100 (80–100) (2/2) |
60 (36–80) (3/5) |
Accuracy | 87 (62–96) (13/15) |
93 (70–99) (14/15) |
87 (62–96) (13/15) |
93 (70–99) (14/15) |
87 (62–96) (13/15) |
AUC (95% CI) | 0.67 (0.34–0.99) | 0.83 (0.51–1.0) | 0.92 (0.81–1.0) | 0.83 (0.51–1.0) | 0.92 (0.81–1.0) |
Values of sensitivities, specificities, PPVs, NPVs, and accuracies are % (95% CI). AUC = area under the receiver operating characteristic curve, CCTA = coronary computed tomography angiography, CI = confidence interval, DE-CTP = dual-energy computed tomography perfusion, NPV = negative predictive value, PPV = positive predictive value, SPECT = single-photon emission computed tomography