Diagnostic performance of Coronary Magnetic Resonance Angiography (CMRA) and Coronary Computed Tomography Angiography (CCTA) using a threshold of CAD-RADS ≥ 3 (moderate stenosis) to determine threshold to invasive coronary angiography and coronary revascularization
Referral to invasive coronary angiography (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.69–0.97) | 0.53 (0.41–0.65) | 0.40 (0.27–0.54) | 0.92 (0.80–0.98) | 0.62 (0.52–0.72) | 0.70 (0.58–0.82) |
CCTA | 0.80 (0.59–0.93) | 0.60 (0.48–0.72) | 0.42 (0.28–0.57) | 0.89 (0.77–0.96) | 0.65 (0.55–0.75) | 0.70 (0.59–0.81) |
Referral to invasive coronary angiography (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.69–0.97) | 0.53 (0.41–0.65) | 0.40 (0.27–0.54) | 0.92 (0.80–0.98) | 0.62 (0.52–0.72) | 0.70 (0.58–0.82) |
CCTA | 0.80 (0.59–0.93) | 0.60 (0.48–0.72) | 0.42 (0.28–0.57) | 0.89 (0.77–0.96) | 0.65 (0.55–0.75) | 0.70 (0.59–0.81) |
Undergo coronary revascularization (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.62–0.98) | 0.48 (0.37–0.60) | 0.25 (0.15–0.39) | 0.95 (0.83–0.99) | 0.55 (0.44–0.65) | 0.68 (0.55–0.80) |
CCTA | 0.94 (0.70–1.00) | 0.58 (0.47–0.69) | 0.25 (0.15–0.39) | 0.98 (0.89–1.00) | 0.64 (0.54–0.74) | 0.76 (0.65–0.87) |
Undergo coronary revascularization (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.62–0.98) | 0.48 (0.37–0.60) | 0.25 (0.15–0.39) | 0.95 (0.83–0.99) | 0.55 (0.44–0.65) | 0.68 (0.55–0.80) |
CCTA | 0.94 (0.70–1.00) | 0.58 (0.47–0.69) | 0.25 (0.15–0.39) | 0.98 (0.89–1.00) | 0.64 (0.54–0.74) | 0.76 (0.65–0.87) |
CAD-RADS, Coronary Artery Disease–Reporting and Data System; CCTA, Coronary Computed Tomography Angiography; CMRA, Coronary Magnetic Resonance Angiography; NPV, Negative Predictive Value; PPV, Positive Predictive Value.
Diagnostic performance of Coronary Magnetic Resonance Angiography (CMRA) and Coronary Computed Tomography Angiography (CCTA) using a threshold of CAD-RADS ≥ 3 (moderate stenosis) to determine threshold to invasive coronary angiography and coronary revascularization
Referral to invasive coronary angiography (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.69–0.97) | 0.53 (0.41–0.65) | 0.40 (0.27–0.54) | 0.92 (0.80–0.98) | 0.62 (0.52–0.72) | 0.70 (0.58–0.82) |
CCTA | 0.80 (0.59–0.93) | 0.60 (0.48–0.72) | 0.42 (0.28–0.57) | 0.89 (0.77–0.96) | 0.65 (0.55–0.75) | 0.70 (0.59–0.81) |
Referral to invasive coronary angiography (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.69–0.97) | 0.53 (0.41–0.65) | 0.40 (0.27–0.54) | 0.92 (0.80–0.98) | 0.62 (0.52–0.72) | 0.70 (0.58–0.82) |
CCTA | 0.80 (0.59–0.93) | 0.60 (0.48–0.72) | 0.42 (0.28–0.57) | 0.89 (0.77–0.96) | 0.65 (0.55–0.75) | 0.70 (0.59–0.81) |
Undergo coronary revascularization (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.62–0.98) | 0.48 (0.37–0.60) | 0.25 (0.15–0.39) | 0.95 (0.83–0.99) | 0.55 (0.44–0.65) | 0.68 (0.55–0.80) |
CCTA | 0.94 (0.70–1.00) | 0.58 (0.47–0.69) | 0.25 (0.15–0.39) | 0.98 (0.89–1.00) | 0.64 (0.54–0.74) | 0.76 (0.65–0.87) |
Undergo coronary revascularization (CAD-RADS ≥ 3) . | ||||||
---|---|---|---|---|---|---|
. | Sensitivity . | Specificity . | PPV . | NPV . | Diagnostic accuracy . | AUC . |
CMRA | 0.88 (0.62–0.98) | 0.48 (0.37–0.60) | 0.25 (0.15–0.39) | 0.95 (0.83–0.99) | 0.55 (0.44–0.65) | 0.68 (0.55–0.80) |
CCTA | 0.94 (0.70–1.00) | 0.58 (0.47–0.69) | 0.25 (0.15–0.39) | 0.98 (0.89–1.00) | 0.64 (0.54–0.74) | 0.76 (0.65–0.87) |
CAD-RADS, Coronary Artery Disease–Reporting and Data System; CCTA, Coronary Computed Tomography Angiography; CMRA, Coronary Magnetic Resonance Angiography; NPV, Negative Predictive Value; PPV, Positive Predictive Value.
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