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The ISCHEMIA Trial: Implication for Cardiac Imaging in 2020 and Beyond
Jonathon A Leipsic1, Stephan Achenbach1
1Department of Radiology and Medicine, St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V6S 1Y6 (J.A.L.); and Department of Cardiology, University of Erlangen, Erlangen, Germany (S.A.).
Radiology. Cardiothoracic Imaging
|March 29, 2021
Summary
Diagnosing coronary artery disease (CAD) involves detecting ischemia or visualizing coronary anatomy. The ISCHEMIA trial offers insights into imaging
Area of Science:
- Cardiovascular imaging
- Diagnostic accuracy in cardiology
Background:
- Diagnosing coronary artery disease (CAD) presents significant challenges.
- Current diagnostic approaches include detecting ischemia via SPECT, PET, or cardiac MRI, and visualizing coronary anatomy using cardiac CT to identify stenosis.
Purpose of the Study:
- To evaluate the implications of the ISCHEMIA trial findings for cardiovascular imaging professionals.
- To discuss the role of coronary CT angiography in CAD evaluation.
Main Methods:
- Review of imaging findings from the ISCHEMIA trial.
- Analysis of diagnostic strategies for coronary artery disease.
Main Results:
- The ISCHEMIA trial provides evidence supporting coronary CT angiography as a first-line test for CAD evaluation.
- The trial yielded significant imaging-related findings that prompt further discussion.
Conclusions:
- The ISCHEMIA trial's imaging findings necessitate a re-evaluation of diagnostic approaches for CAD.
- Further exploration is required to understand the full impact of these findings on clinical practice for imagers.
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