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QJM 2008 101(1):65-67; doi:10.1093/qjmed/hcm102
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© The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Multislice computed tomography coronary angiography for triaging patients with positive radionuclide myocardial perfusion imaging

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

Sir,

Myocardial perfusion imaging using single-photon emission computed tomography (SPECT) is the most commonly applied diagnostic imaging modality in patients with suspected coronary artery disease in the US, with more than 9 million procedures performed annually.1 The positive predictive value of SPECT is limited, and in a considerable number of patients with suspected perfusion deficits conventional coronary angiography shows no significant coronary stenoses. Multislice computed tomography (MSCT) coronary angiography allows the non-invasive assessment of coronary artery stenoses, and has a high negative predictive value.2–4 Thus, MSCT might be applied as a secondary gate-keeper in patients with positive SPECT, prior to deciding whether to perform conventional coronary . . . [Full Text of this Article]

M. Dewey and B. Hamm

Department of Radiology

H-P. Dübel and W. Rutsch

Department of Cardiology
Charité Medical School
Humboldt University and Free University
Berlin
Germany

email: marc.dewey@charite.de


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