Table 4.
References | Equipment |
Normal MBF (ml/100 ml/min) |
Ischemic MBF (ml/100 ml/min) |
Cutoff value (ml/100 ml/min) |
Reference standard | Diagnostic accuracy | Sen | Spe | PPV | NPV |
Objects (MI, revascularization) |
---|---|---|---|---|---|---|---|---|---|---|---|
Bamberg et al. (5) | 2nd DSCT | 104.8 ± 34.0 | 73.2 ± 26.0 | 75 | FFR ≤ 0.75 + ICA ≥ 85% DS | N/A | N/A | N/A | N/A | N/A | Yes, yes |
Greif et al. (19) | 2nd DSCT | 122.7 ± 34.0 | 78.7 ± 26.1 | 75 | FFR ≤ 0.80 + ICA ≥ 90% DS | 78.2 | 95.1 | 74.0 | 49.3 | 98.3 | Yes, yes |
Rossi et al. (20) | 2nd DSCT | 109 | 62 | 78 | FFR ≤ 0.75 + ICA ≥ 90% DS | 90 | 88 | 90 | 77 | 95 | No, yes |
Kono et al. (21) | 2nd DSCT | 116.3 ± 27 | 25.6 ± 22.5 | 103.1 | FFR ≤ 0.80 | 68.1 | 88.9 | 47.8 | 62.5 | 81.5 | No, no |
Wichmann et al. (25) | 2nd DSCT | 140 ± 38.4 | 80.7 ± 33.7 | 103 | CCTA ≥ 50% DS | 62.9 | 82.4 | 80.5 | 60.1 | 92.8 | No, no |
Li et al. (12) | 3st DSCT | 169 ± 34 | 75 ± 20 | 99 | FFR ≤ 0.80 + ICA ≥ 90% DS | 94 | 96 | 93 | 92 | 96 | No, no |
Li et al. (22) | 3st DSCT | 133 | 78 | 89.5 | FFR ≤ 0.80 | 90.5 | 84.3 | 97.7 | 97.7 | 84.3 | No, no |
Coenen et al. (15) | 3st DSCT | 108 | 79 | 91 | MRI | 68 | 75 | 61 | 63 | 73 | No, no |
Rossi et al. (24) | 2nd DSCT | 161 | 92 (74–109) | 106 | FFR ≤ 0.80 + ICA ≥ 80% DS | N/A | 75 | 88.3 | 68.3 | 91.3 | No, no |
Pontone et al. (23) | Revolution CT | 130 ± 46 | 96 ± 32 | 101 | FFR ≤ 0.80 + ICA ≥ 80% DS | 78 | 86 | 75 | 60 | 93 | No, no |
Yi et al. (10) | 3st DSCT | 147.5 ± 25.6 | 91.5 ± 29.9 | N/A | FFR ≤ 0.80 + ICA ≥ 80% DS | 92 | 83 | 99 | 98 | 90 | No, no |
Current study | 3st DSCT | 164 ± 24 | 96 ± 21 | 116 | FFR ≤ 0.75 + ICA ≥ 80% DS | 85.9 | 91.0 | 83.2 | 94.8 | 73.5 | No, no |
CCTA, Coronary computed tomography angiography; CT-MPI, computed tomography myocardial perfusion imaging; DS, diameter stenosis; DSCT, dual-source CT scanner; FFR, fractional flow reserve; ICA, interventional coronary angiography; MBF, myocardial blood flow; MI, myocardial infarction; NPV, negative predictive value; N/A, not reported; PPV, positive predictive value; Sen, sensitivity; Spe, specificity.