Journal of Cardiovascular Computed Tomography
Volume 4, Issue 6 , Pages 384-390 , November 2010

What is the optimal number of readers needed to achieve high diagnostic accuracy in coronary computed tomographic angiography? A comparison of alternate reader combinations

  • Troy M. LaBounty, MD

      Affiliations

    • Department of Medicine, Division of Cardiology, Weill Cornell Medical College at New York Presbyterian Hospital, Starr Pavilion 4th Floor Room K407, 520 East 70th Street New York, NY 10021, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Jonathon Leipsic, MD

      Affiliations

    • University of British Columbia, Vancouver, BC, Canada
    • ,
  • Monvadi B. Srichai, MD

      Affiliations

    • Departments of Medicine and Radiology, New York University Langone Medical Center, New York, NY, USA
    • ,
  • G.B. John Mancini, MD

      Affiliations

    • University of British Columbia, Vancouver, BC, Canada
    • ,
  • Fay Y. Lin, MD, MA

      Affiliations

    • Department of Medicine, Division of Cardiology, Weill Cornell Medical College at New York Presbyterian Hospital, Starr Pavilion 4th Floor Room K407, 520 East 70th Street New York, NY 10021, USA
    • ,
  • Allison M. Dunning, MS

      Affiliations

    • Department of Medicine, Division of Cardiology, Weill Cornell Medical College at New York Presbyterian Hospital, Starr Pavilion 4th Floor Room K407, 520 East 70th Street New York, NY 10021, USA
    • ,
  • James K. Min, MD

      Affiliations

    • Department of Medicine, Division of Cardiology, Weill Cornell Medical College at New York Presbyterian Hospital, Starr Pavilion 4th Floor Room K407, 520 East 70th Street New York, NY 10021, USA
    • Department of Radiology, Weill Cornell Medical College at New York Presbyterian Hospital, New York, NY, USA

Received 21 June 2010 ,Accepted 23 August 2010.

References 

  1. Hamon M, Morello R, Riddell JW. Coronary arteries: diagnostic performance of 16- versus 64-section spiral CT compared with invasive coronary angiography–meta-analysis. Radiology. 2007;245:720–731
  2. Budoff MJ, Dowe D, Jollis JG, Gitter M, Sutherland J, Halamert E, 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;52:1724–1732
  3. Miller JM, Rochitte CE, Dewey M, Arbab-Zadeh A, Niinuma H, Gottlieb I, et al. Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med. 2008;359:2324–2336
  4. Meijboom WB, Meijs MF, Schuijf JD, Cramer MJ, Mollet NR, van Mieghem CA, et al. Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study. J Am Coll Cardiol. 2008;52:2135–2144
  5. LaBounty TM, LJ , Mancini GBJ, Heilbron B, Patel S, Kazerooni EA, et al. Effect of a standardized radiation dose reduction protocol on diagnostic accuracy of coronary computed tomographic angiography: a prospective multicenter study. Am J Cardiol. 2010;106:287–292
  6. Weinreb JC, Larson PA, Woodard PK, Stanford W, Rubin GD, Stillman AE, et al. American College of Radiology clinical statement on noninvasive cardiac imaging. Radiology. 2005;235:723–727
  7. Budoff MJ, Cohen MC, Garcia MJ, Hodgson JM, Hundley WG, Lima JA, et al. ACCF/AHA clinical competence statement on cardiac imaging with computed tomography and magnetic resonance: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. J Am Coll Cardiol. 2005;46:383–402
  8. Raff GL, Abidov A, Achenbach S, Berman DS, Boxt LM, Budoff MJ, et al. SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiography. J Cardiovasc Comput Tomogr. 2009;3:122–136
  9. Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 1975;51:5–40
  10. Muhlenbruch G, Seyfarth T, Soo CS, Pregalathan N, Mahnken AH. Diagnostic value of 64-slice multi-detector row cardiac CTA in symptomatic patients. Eur Radiol. 2007;17:603–609
  11. Gallagher MJ, Ross MA, Raff GL, Goldstein JA, O’Neill WW, O’Neil B. The diagnostic accuracy of 64-slice computed tomography coronary angiography compared with stress nuclear imaging in emergency department low-risk chest pain patients. Ann Emerg Med. 2007;49:125–136
  12. Schuijf JD, Pundziute G, Jukema JW, Lamb HJ, van der Hoeven BL, de Roos A, et al. Diagnostic accuracy of 64-slice multislice computed tomography in the noninvasive evaluation of significant coronary artery disease. Am J Cardiol. 2006;98:145–148
  13. Ropers D, Rixe J, Anders K, Kuttner A, Baum U, Bautz W, et al. Usefulness of multidetector row spiral computed tomography with 64- x 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. Am J Cardiol. 2006;97:343–348
  14. Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, Paul S, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2005;46:147–154
  15. Leschka S, Alkadhi H, Plass A, Desbiolles L, Grunenfelder J, Marincek B, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26:1482–1487
  16. Nikolaou K, Knez A, Rist C, Wintersperger BJ, Leber A, Johnson T, et al. Accuracy of 64-MDCT in the diagnosis of ischemic heart disease. AJR Am J Roentgenol. 2006;187:111–117
  17. Pugliese F, Mollet NR, Runza G, van Mieghem C, Meijboom WB, Malagutti P, et al. Diagnostic accuracy of non-invasive 64-slice CT coronary angiography in patients with stable angina pectoris. Eur Radiol. 2006;16:575–582
  18. Meijboom WB, van Mieghem CA, Mollet NR, Pugliese F, Weustink AC, van Pelt N, et al. 64-slice computed tomography coronary angiography in patients with high, intermediate, or low pretest probability of significant coronary artery disease. J Am Coll Cardiol. 2007;50:1469–1475
  19. Oncel D, Oncel G, Tastan A, Tamci B. Detection of significant coronary artery stenosis with 64-section MDCT angiography. Eur J Radiol. 2007;62:394–405
  20. Reant P, Brunot S, Lafitte S, Serri K, Leroux L, Corneloup O, et al. Predictive value of noninvasive coronary angiography with multidetector computed tomography to detect significant coronary stenosis before valve surgery. Am J Cardiol. 2006;97:1506–1510

 Conflict of interest: James Min receives research support and serves on the medical advisory board and speakers’ bureau for GE Healthcare. Jonathan Leipsic is on the speakers’ bureau and medical advisory board for GE Healthcare. All other authors have no financial disclosures.

PII: S1934-5925(10)00469-7

doi: 10.1016/j.jcct.2010.08.006

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 6 , Pages 384-390 , November 2010

Article Tools

* Image Usage & Resolution