Accuracy of 16-detector Multislice Spiral Computed Tomography in the initial evaluation of dilated cardiomyopathy

Abstract Background Multislice Computed Tomography (MSCT) recently proved its accuracy in the detection of coronary artery disease (CAD). It can also give information about left ventricular function and venous network anatomy. We here sought to validate a MSCT-based strategy in the initial evaluatio...

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Veröffentlicht in:European journal of radiology 2007-01, Vol.61 (1), p.84-90
Hauptverfasser: Cornily, Jean-Christophe, Gilard, Martine, Gal, Grégoire Le, Pennec, Pierre-Yves, Vinsonneau, Ulric, Blanc, Jean-Jacques, Mansourati, Jacques, Boschat, Jacques
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Sprache:eng
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Zusammenfassung:Abstract Background Multislice Computed Tomography (MSCT) recently proved its accuracy in the detection of coronary artery disease (CAD). It can also give information about left ventricular function and venous network anatomy. We here sought to validate a MSCT-based strategy in the initial evaluation of patients with dilated cardiomyopathy (DCM). Methods 36 patients with DCM underwent cardiac MSCT before conventional coronary angiography with ventriculography. We analysed arterial calcium score (Agatston score equivalent: ASE), coronary stenosis, left ventricular parameters and venous network. Results The sensitivity of a MSCT-based strategy in detecting significant CAD was 100% and the specificity 80%. The positive and negative predictive values were respectively 67% and 100%. For ASE 1.000, conventional coronary angiography is mandatory due to MSCT's poor interest in such cases; when ASE
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2006.08.010