ReviewDer Radiologe2020
[Update on coronary CT-more than just anatomical imaging? : Current guidelines and functional CT techniques for the quantification of stenoses].
Review in Der Radiologe, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 2 citations in OpenAlex.
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronary CT angiography (cCTA) has a high negative predictive value for ruling out significant coronary stenoses. However, it is limited in determining hemodynamic significance of a stenosis and hence to prove the indication for therapy.
objectivesWhen and how is cCTA used according to current guidelines? Which functional CT techniques are available to test for hemodynamic significance of coronary stenoses? MATERIALS AND
methodsThe value of cCTA is explained on the basis of current guidelines by the European Society of Cardiology (ESC) for the diagnosis of chronic coronary syndromes. Functional CT techniques which test for hemodynamic significance of coronary stenoses are myocardial CT-perfusion (CT‑P) and CT-based fractional flow reserve (CT-FFR).
resultsThe new ESC guidelines classify cCTA as a class 1 recommendation for diagnosing coronary artery disease in symptomatic patients with low clinical likelihood. If clinical likelihood is high or an at least moderate stenosis is detected with cCTA, noninvasive functional (stress) imaging is preferred. There is a large body of evidence for CT‑P and CT-FFR as functional tests.
conclusionIn the current guidelines, cCTA is highly recommended for the diagnosis of coronary artery disease. The functional CT techniques CT‑P and CT-FFR have shown high diagnostic accuracy for myocardial ischemia of coronary stenoses in many clinical studies. However, these methods are not part of current guidelines yet and clinical adoption is still low.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.