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.
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]
Should we choose CT angiography first instead of SPECT/PET first for the diagnosis and management of coronary artery disease?
G. Pontone
Primo
;
2023
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.File | Dimensione | Formato | |
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2023 Atherosclerosis (Should we choose CCT first instead of SPECT-PET first for the diagnosis and management of CAD).pdf
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