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European Heart Journal Advance Access published online on September 3, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm348
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Replacing diagnostic catheterization with coronary CT angiography: the final frontier

U. Joseph Schoepf1,2,*, Pal Suranyi1, Christian Thilo1,2, Philip Costello1 and Peter L. Zwerner1,2

1 Department of Radiology, Medical University of South Carolina, Charleston, SC 29425, USA
2 Department of Medicine, Division of Cardiology, Medical University of South Carolina, Charleston, SC 29425, USA

* Corresponding author. Tel: +1 843 792 2633; fax: +1 843 792 0275. E-mail address: schoepf@musc.edu

This editorial refers to ‘Diagnostic accuracy of dual-source multi-slice CT: coronary angiography in patients with an intermediate pre-test likelihood for coronary artery disease’ by A. Leber et al., doi:10.1093/eurheartj/ehm294

The first 10% of the full text of this article appears below.

Since the inception of coronary multi-detector-row computed tomography (MDCT) angiography a decade ago, authors of scholarly articles worldwide have hypothesized, theorized, and prophesied, that non-invasive coronary CT angiography (CTA) will largely replace invasive diagnostic coronary catheterization in the near future. Even in the early days, with limited technology, such as 4-slice or 16-slice CT, there was sound reason for this belief. Comparison of 4-slice coronary CTA with invasive coronary angiography yielded a spectacular negative predictive value of 97%.1 In later years, even the most scrupulous comparative trials on 16-slice coronary CTA confirmed . . . [Full Text of this Article]


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Related articles in EHJ:

Diagnostic accuracy of dual-source multi-slice CT-coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease
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EHJ 2007 28: 2354-2360. [Abstract] [FREE Full Text]