Table 5

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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.80 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.80 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.94 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.94 (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.

Table 5

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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.80 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.80 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.94 (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)
 SensitivitySpecificityPPVNPVDiagnostic accuracyAUC
CMRA0.88 (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)
CCTA0.94 (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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