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Table 2 CTA diagnostic performance measures

From: A systematic review of the clinical effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of suspected coronary artery disease

Analysis level

No. of included studies a

Sensitivity % (95% CI)

Specificity % (95% CI)

PPV Median (range)

NPV Median (range)

Diagnostic accuracy Median (range)

Patient: base case analysis

18

98.2 (97.4-98.8)

81.6 (79.0-84.0)

90.5 (76-100)

99.0 (83-100)

92.0 (80-100)

Patient: alternative analysis

22

98.0 (97.2-98.6)

83.2 (81.1-85.2)

89.0 (63-100)

98.0 (83-100)

92.0 (80-100)

Vessels: all

17

94.9 (93.9-95.8)

89.5 (88.8-90.2)

75.0 (53-95)

99.0 (93-100)

91.5 (74-98)

   RCA

8

94.8 (92.0-96.9)

91.0 (89.0-92.7)

84.0 (73-94)

98.5 (95-100)

94.5 (84-99)

   LM

8

95.7 (85.2-99.5)

97.1 (95.7-98.1)

89.0 (24-100)

100.0 (98-100)

99.0 (91-100)

   LAD

7

97.4 (95.3-98.8)

84.5 (82.1-86.7)

78.0 (57-95)

99.0 (95-100)

93.0 (72-99)

   CX

8

94.1 (90.7-96.6)

89.6 (87.7-91.3)

78.5 (52-90)

99.5 (95-100)

94.0 (75-99)

Segments: all

17

91.3 (90.2-92.2)

94.0 (93.7-94.2)

69.0 (44-86)

99.0 (98-100)

95.5 (90-99)

  1. CI, confidence interval; CX, circumflex; LAD, left anterior descending; LM, left main; NPV, negative predictive value; PPV, positive predictive value; RCA, right coronary artery
  2. a Maximum number of included studies from which data were drawn to calculate diagnostic performance measures