Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging
Authors: Jeffrey M. Levsky, Mark I. Travin, Linda B. Haramati
Journal: Annals of Internal Medicine (2016)

Letters19 January 2016Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion ImagingJeffrey M. Levsky, MD, PhD, Mark I. Travin, MD, and Linda B. Haramati, MD, MSJeffrey M. Levsky, MD, PhDFrom Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.Search for more papers by this author, Mark I. Travin, MDFrom Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.Search for more papers by this author, and Linda B. Haramati, MD, MSFrom Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0482 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We actively participate in efforts to reduce unnecessary testing (including the Choosing Wisely and Image Wisely initiatives) and in no way wish to downplay the importance of performing imaging only when justified. All patients enrolled in our trial comparing CCTA with MPI had acute symptoms, clinical suspicion of acute coronary syndrome, and intermediate pretest probability of coronary artery disease. According to the most recent appropriate use criteria for cardiac radionuclide imaging (described in indications 6 to 9 of Table 1 of Hendel and colleagues' guideline [1]) and cardiac computed tomography (described in indications 6 to 8 of Table ...References1. Hendel RC, Berman DS, Di Carli MF, Heidenreich PA, Henkin RE, Pellikka PA, et al; American College of Cardiology Foundation Appropriate Use Criteria Task Force. ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 appropriate use criteria for cardiac radionuclide imaging: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine. Circulation. 2009;119:e561-87. [PMID: 19451357] doi:10.1161/CIRCULATIONAHA.109.192519 CrossrefMedlineGoogle Scholar2. Taylor AJ, Cerqueira M, Hodgson JM, Mark D, Min J, O'Gara P, et al; American College of Cardiology Foundation Appropriate Use Criteria Task Force. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. Circulation. 2010;122:e525-55. [PMID: 20975004] doi:10.1161/CIR.0b013e3181fcae66 CrossrefMedlineGoogle Scholar3. Levsky JM, Haramati LB, Taub CC, Spevack DM, Menegus MA, Travin MI, et al. Rationale and design of a randomized trial comparing initial stress echocardiography versus coronary CT angiography in low-to-intermediate risk emergency department patients with chest pain. Echocardiography. 2014;31:744-50. [PMID: 24372760] doi:10.1111/echo.12464 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2948. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCoronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry Jeffrey M. Levsky , Daniel M. Spevack , Mark I. Travin , Mark A. Menegus , Paul W. Huang , Elana T. Clark , Choo-won Kim , Esther Hirschhorn , Katherine D. Freeman , Jonathan N. Tobin , and Linda B. Haramati Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Neelesh Gupta Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Wade Martin Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Rajeev Gupta and Wael Almahmeed Metrics Cited byThe Long March into Clinical Practice: Cardiac CT and Its CompetitorsCoronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain 19 January 2016Volume 164, Issue 2Page: 133-134KeywordsComputed axial tomographyCoronary computed tomographic angiographyDisclosureExerciseIschemiaMyocardial perfusion imagingRadionuclide imagingRandomized trialsSedentary behaviorStable coronary artery disease ePublished: 19 January 2016 Issue Published: 19 January 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...