TABLE 3.
Per-patient and per-vessel diagnostic performance of coronary CTA and CT-FFR.
| Per-patient |
Per-vessel |
|||||
| CTA stenosis ≥ 50% | CT-FFR ≤ 0.8 | P Value | CTA stenosis ≥ 50% | CT-FFR ≤ 0.8 | P Value | |
| Sensitivity (%) | 88.9 (143/161) [85.1, 94.2] |
90.7 (146/161) [86.4, 95.2] |
0.474 | 89.3 (151/169) [84.3, 93.2] |
89.9 (152/169) [84.1, 94.3] |
1.000 |
| Specificity (%) | 37.2 (58/156) [25.5, 39.2] |
90.4 (141/155) [90.1, 98.3] |
<0.0001 | 35.5 (70/197) [29.4, 43.3] |
87.8 (173/197) [80.1, 90.5] |
<0.0001 |
| Accuracy (%) | 63.4 (201/317) [56.2, 67.3] |
90.5 (288/317) [87.7, 94.2] |
<0.0001 | 60.4 (221/366) [55.5, 65.1] |
88.8 (325/366) [85.4, 92.6] |
<0.0001 |
| PPV (%) | 59.3 (143/241) [52.3, 64.5] |
90.7 (146/161) [84.2, 94.7] |
<0.0001 | 54.3 (151/278) [48.3, 60.1] |
87.3 (152/174) [81.1, 91.6] |
<0.0001 |
| NPV (%) | 76.3 (58/76) [65.2, 85.4] |
90.4 (141/156) [85.3, 95.5] |
0.04 | 79.5 (70/88) [70.2, 87.6] |
91.1 (173/190) [89.4, 96.2] |
0.006 |
| AUC | 0.64 [0.58, 0.69] |
0.92 [0.88, 0.95] |
<0.0001 | 0.66 [0.60, 0.70] |
0.89 [0.86, 0.92] |
<0.0001 |
Numerators and denominators are in parentheses; 95% confidence intervals are in brackets.
NPV, negative predictive value; PPV, positive predictive value; AUC, area under the curve; CTA, computed tomographic angiography; CT-FFR, fractional flow reserve derived from computed tomography.