Should we choose CT angiography first instead of SPECT/PET first for the diagnosis and management of coronary artery disease?
Articolo
Data di Pubblicazione:
2023
Citazione:
Should we choose CT angiography first instead of SPECT/PET first for the diagnosis and management of coronary artery disease? / G. Pontone, A. Rossi, A. Gimelli, D. Neglia. - In: ATHEROSCLEROSIS. - ISSN 1879-1484. - 385:(2023 Nov), pp. 117315.1-117315.10. [10.1016/j.atherosclerosis.2023.117315]
Abstract:
In patients presenting with chest pain, current guidelines recommend the use of coronary computed tomography angiography and single-photon emission tomography/positron emission tomography, both with equal class 1 indication and level of evidence A. There is no clear recommendation on which test should be used as a first-line test. The choice of the test should be based on individualized clinical risk assessment, patient characteristics, local expertise/availability, and patient preferences. In this context, it is fair to ask which non-invasive imaging test to choose. The debate reproduced in this article answers this question by summarizing the considerations in selecting present state-of-the-art criteria of the right test for the right patient to ensure efficient resource utilization, minimize unnecessary testing, and maximize diagnostic accuracy and therapeutic efficacy.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Coronary CT angiography; PET; SPECT; Stable chest pain
Elenco autori:
G. Pontone, A. Rossi, A. Gimelli, D. Neglia
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