Journal of Nuclear Cardiology

, Volume 20, Issue 3, pp 473–478

SPECT vs CT: CT is not the first line test for the diagnosis and prognosis of stable coronary artery disease

Controversies in Nuclear Cardiology

References

  1. 1.
    World Health Organization. Global Health observatory data repository. Noncommunicable diseases mortality data. Web. 13 Jan 2013.Google Scholar
  2. 2.
    Centers for Medicare & Medicaid Services. Data compendium. www.cms.gov/DataCompendium/. Accessed 2 Feb 2013.
  3. 3.
    GAO. Medicare Part B imaging services. Rapid spending growth shift to physician offices indicate need for CMS to consider additional management practices. www.gao.gov/new.items/d08452.pdf. Accessed 2 Feb 2013.
  4. 4.
    Jaarsma C, Leiner T, Bekkers SC, Crijns HJ, Wildberger JE, Nagel E, et al. Diagnostic performance of noninvasive myocardial perfusion imaging using single-photon emission computed tomography, cardiac magnetic resonance, and positron emission tomography imaging for the detection of obstructive coronary artery disease: A meta-analysis. Ned Tijdschr Geneeskd 2013;157(3):A5395.Google Scholar
  5. 5.
    Al Moudi M, Sun Z, Lenzo N. Diagnostic value of SPECT, PET and PET/CT in the diagnosis of coronary artery disease: A systematic review. Biomed Imaging Interv J 2011;7(2):e9.PubMedGoogle Scholar
  6. 6.
    Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol 2008;52(21):1724-32.PubMedCrossRefGoogle Scholar
  7. 7.
    Meijboom WB, Meijs MF, Schuijf JD, et al. Diagnostic accuracy of 64-slice computed tomography coronary angiography: A prospective, multicenter, multivendor study. J Am Coll Cardiol 2008;52:2135-44.PubMedCrossRefGoogle Scholar
  8. 8.
    Hachamovitch R, Berman DS, Kiat H, Cohen I, Friedman JD, Shaw JL. Value of stress myocardial perfusion single photon emission computed tomography in patients with normal resting electrocardiograms: An evaluation of incremental prognostic value and cost-effectiveness. Circulation 2002;105:823-9.PubMedCrossRefGoogle Scholar
  9. 9.
    Duvall WL, Wijetunga MN, Klein TM, et al. The prognosis of a normal stress-only Tc-99m myocardial perfusion imaging study. J Nucl Cardiol 2010;17:370-7.PubMedCrossRefGoogle Scholar
  10. 10.
    Elhendy A, Schinkel A, Bax JJ, van Domburg RT, Poldermans D. Long-term prognosis after a normal exercise stress Tc-99m sestamibi SPECT study. J Nucl Cardiol 2003;10:261-6.PubMedCrossRefGoogle Scholar
  11. 11.
    Shaw JL, Hendel RC, Heller GV, Gorges-neto S, Cerqueira M, Berman DS. Prognostic estimation of coronary artery disease risk with resting perfusion abnormalities and stress ischemia on myocardial perfusion SPECT. J Nucl Cardiol 2008;15:762-73.PubMedGoogle Scholar
  12. 12.
    Kang X, Berman DS, Lewin HC, Cohen I, Friedman JD, Germano G, et al. Incremental prognostic value of myocardial perfusion single photon emission computed tomography in patients with diabetes mellitus. Am Heart J 1999;138:1025-32.PubMedCrossRefGoogle Scholar
  13. 13.
    Abdulla J, Asferg C, Kofoed KF. Prognostic value of absence or presence of coronary artery disease determined by 64-slice computed tomography coronary angiography a systematic review and meta-analysis. Int J Cardiovasc Imaging 2011;27:413-20.PubMedCrossRefGoogle Scholar
  14. 14.
    Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA. ACCF/SCAI/STS/AATS/AHA/ASNC/HFSA/SCCT 2012 appropriate use criteria for coronary revascularization focused update: A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, American Society of Nuclear Cardiology, and the Society of Cardiovascular Computed Tomography. J Am Coll Cardiol 2012;59:857-81.PubMedCrossRefGoogle Scholar
  15. 15.
    Moroi M, Yamashina A, Tsukamoto K, Nishimura T, J-ACCESS Investigators. Coronary revascularization does not decrease cardiac events in patients with stable ischemic heart disease but might do in those who showed moderate to severe ischemia. Int J Cardiol 2012;158:246-52.PubMedCrossRefGoogle Scholar
  16. 16.
    De Bruyne B, Pijls NH, Kalesan B, Barbato E, Tonino PA, Piroth Z, et al. Fractional flow reserve-guided PCI versus medical therapy in stable coronary disease. N Engl J Med 2012;367:991-1001.PubMedCrossRefGoogle Scholar
  17. 17.
    Shaw LJ, Berman DS, Maron DJ, Mancini GB, Hayes SW, Hartigan PM, et al. Optimal medical therapy with or without percutaneous coronary intervention to reduce ischemic burden: Results from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial nuclear substudy. Circulation 2008;117:1283-91.PubMedCrossRefGoogle Scholar
  18. 18.
    Berman DS, Kang X, Slomka PJ, et al. Underestimation of extent of ischemia by gated SPECT myocardial perfusion imaging in patients with left main coronary artery disease. J Nucl Cardiol 2007;14:521-8.PubMedCrossRefGoogle Scholar
  19. 19.
    Hachamovitch R, Di Carli MF. Nuclear cardiology will remain the “gatekeeper” over CT angiography. J Nucl Cardiol 2007;14:634-44.PubMedCrossRefGoogle Scholar
  20. 20.
    Tamarappoo BK, Gutstein A, Cheng VY, et al. Assessment of the relationship between stenosis severity and distribution of coronary artery stenoses on multislice computed tomographic angiography and myocardial ischemia detected by single photon emission computed tomography. J Nucl Cardiol 2010;17:791-802.PubMedCrossRefGoogle Scholar
  21. 21.
    The Organisation for Economic Co-operation and Development (OECD) health data 2012—Frequently requested data. 2012. Web. 13 Jan 2013.Google Scholar
  22. 22.
    Fuchs TA, Stehli J, Fiechter M, et al. First experience with monochromatic coronary computed tomography angiography from a 64-slice CT scanner with Gemstone Spectral Imaging (GSI). J Cardiovasc Comput Tomogr 2013;7:25-31.PubMedCrossRefGoogle Scholar
  23. 23.
    Chang SM, Nabi F, Xu J, et al. Normal stress-only versus standard stress/rest myocardial perfusion imaging: Similar patient mortality with reduced radiation exposure. J Am Coll Cardiol 2010;55:221-30.PubMedCrossRefGoogle Scholar
  24. 24.
    Duvall WL, Croft LB, Godiwala T, et al. Reduced isotope dose with rapid SPECT MPI imaging: Initial experience with a CZT SPECT camera. J Nucl Cardiol 2010;17:1009-14.PubMedCrossRefGoogle Scholar
  25. 25.
    Einstein AJ. Radiation risk from coronary artery disease imaging: How do different diagnostic tests compare? Heart 2008;94:1519-21.PubMedCrossRefGoogle Scholar
  26. 26.
    Min JK, Gilmore A, Budoff MJ, Berman DS, O’Day K. Cost-effectiveness of coronary CT angiography versus myocardial perfusion SPECT for evaluation of patients with chest pain and no known coronary artery disease. Radiology 2010;254:801-8.PubMedCrossRefGoogle Scholar
  27. 27.
    Sharples L, Hughes V, Crean A, Dyer M, Buxton M, Goldsmith K, et al. Cost-effectiveness of functional cardiac testing in the diagnosis and management of coronary artery disease: A randomised controlled trial. The CECaT trial. Health Technol Assess 2007;11(49):iii-iv, ix-115.Google Scholar
  28. 28.
    Shaw LJ, Hachamovitch R, Berman DS, Marwick TH, Lauer MS, Heller GV, et al. The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angina patients: An observational assessment of the value of precatheterization ischemia. Economics of Noninvasive Diagnosis (END) Multicenter Study Group. J Am Coll Cardiol 1999;33:661-9.PubMedCrossRefGoogle Scholar
  29. 29.
    Genders TS, Ferket BS, Dedic A, Galema TW, Mollet NR, de Feyter PJ, et al. Coronary computed tomography versus exercise testing in patients with stable chest pain: Comparative effectiveness and costs. Int J Cardiol 2012. doi:10.1016/j.ijcard.2012.03.151.

Copyright information

© American Society of Nuclear Cardiology 2013

Authors and Affiliations

  1. 1.Maine Medical Center, Department of Cardiac ServicesTufts University School of MedicineSouth PortlandUSA

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