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Updated: Jul 11, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
[Multidetector computed tomography coronarography: preliminary experience in real life settings]
A Ratajczak1, M Hanssen, J-L Burguet
1Pôle cardioneurovasculaire, centre hospitalier de Haguenau, 64, avenue du Professeur-Leriche, 67504 Haguenau, France. auldric@hotmail.com
Multidetector computed tomography coronarography (MDCT) effectively rules out coronary artery stenosis non-invasively. This study shows MDCT’s high sensitivity in evaluating coronary arteries in an unselected patient population.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Diagnostics
Background:
- Multidetector computed tomography coronarography (MDCT) offers non-invasive anatomic evaluation of coronary arteries.
- Early clinical experience with MDCT for coronary artery assessment is valuable.
Purpose of the Study:
- To evaluate the diagnostic performance of MDCT in assessing coronary arteries.
- To report initial clinical impressions from two years of MDCT use.
Main Methods:
- Retrospective analysis of 328 patients undergoing MDCT between January 2005 and December 2006.
- Comparative analysis of MDCT findings with percutaneous coronary angiography (PCA) in 61 patients.
Main Results:
- MDCT demonstrated 100% sensitivity and 100% negative predictive value for significant stenosis.
- Specificity was 54%, with a positive predictive value of 59%.
- Excessive calcification was the primary reason for inconclusive analysis.
Conclusions:
- MDCT is a valuable tool for non-invasively ruling out significant coronary artery stenosis.
- High sensitivity makes MDCT suitable for routine use in unselected patients.
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