Table 4. Diagnostic Performance of CT-FFR, Coronary CTA and QCA against Invasive FFR.
Per vessel analysis | Per patient analysis | |||
---|---|---|---|---|
CT-FFR | CCTA (>50%) | QCA (>50%) | CT-FFR | |
Pearson’s correlation coefficient |
0.64, p<0.0001 | N/A | N/A | 0.70, p<0.0001 |
True positive | 17 | 12 | 4 | 13 |
False positive | 8 | 9 | 2 | 5 |
True negative | 29 | 28 | 35 | 17 |
False negative | 6 | 11 | 19 | 4 |
Sensitivity % | 73.9 | 52.2 | 17.4 | 76.5 |
Specificity % | 78.4 | 75.7 | 94.6 | 77.3 |
PPV % | 68.0 | 57.1 | 66.7 | 72.2 |
NPV % | 82.9 | 71.8 | 64.8 | 81.0 |
Accuracy % | 76.7 | 66.7 | 65.0 | 76.9 |
ROC AUC (95% CI) Comparison against ROC AUC for CT-FFR to predict FFR |
0.83 (0.72-0.93) | 0.64 (0.51.-0.76) p = 0.01 |
0.56 (0.47-0.65) p <0.001 |
0.81 (0.67 to 0.95) |
Bland-Altman analysis (mean bias ± SD) | 0.059 ± 0.110 (-0.16-0.27) | N/A | N/A | 0.064 ± 0.110 (-0.15-0.28) |
Values are presented as n (%) or mean ± SD. CCTA, coronary computed tomography angiography; NPV, negative predictive value; PPV, positive predictive value; ROC AUC, area under the receiver-operating characteristic curve.