Accuracy of computed tomography for selecting the revascularization method based on SYNTAX score II

Si Eun Lee, Kyunghwa Han, Jin Hur, Young Jin Kim, Hye Jeong Lee, Yoo Jin Hong, Dong Jin Im, Byoung Wook Choi

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Abstract

Objectives: The application of SYNTAX score II based on coronary CT angiography (CCTA) for selecting further treatment options has not been studied. This study aimed to investigate the diagnostic performance of CCTA combined with SYNTAX score II for selecting the revascularization method compared with invasive coronary angiography (ICA) based on 2014 European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) guidelines. Methods: From January–May 2011, 160 patients who underwent both CCTA and ICA within 30 interval days were included. The diagnostic performance of CCTA, CCTA plus CT-SYNTAX score I and CT-SYNTAX score II was analysed using ICA counterparts as references. Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy of CCTA plus CT-SYNTAX I for selecting coronary artery bypass grafting (CABG) candidates using ICA plus ICA-SYNTAX I as reference, were 70.6 %, 95.8 %, 66.7 %, 96.5 % and 93.1 %, respectively. The diagnostic performance of CCTA plus CT-SYNTAX II showed improvement with values of 83.3 %, 97.3 %, 71.4 %, 98.6 % and 96.3 %, respectively, using ICA plus ICA-SYNTAX II as reference. Conclusions: CCTA combined with CT-SYNTAX score II is an accurate method for selecting CABG surgery candidates compared with ICA-SYNTAX score II. Key points: • SYNTAX plus CCTA can be highly specific for selecting the revascularization method. • SYNTAX II was complemented by including clinical considerations to SYNTAX I. • CCTA plus CT-SYNTAX II is an accurate method for selecting CABG candidates.

Original languageEnglish
Pages (from-to)2151-2158
Number of pages8
JournalEuropean Radiology
Volume28
Issue number5
DOIs
Publication statusPublished - 2018 May 1

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Coronary Angiography
Tomography
Coronary Artery Bypass
Computed Tomography Angiography

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Lee, Si Eun ; Han, Kyunghwa ; Hur, Jin ; Kim, Young Jin ; Lee, Hye Jeong ; Hong, Yoo Jin ; Im, Dong Jin ; Choi, Byoung Wook. / Accuracy of computed tomography for selecting the revascularization method based on SYNTAX score II. In: European Radiology. 2018 ; Vol. 28, No. 5. pp. 2151-2158.
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title = "Accuracy of computed tomography for selecting the revascularization method based on SYNTAX score II",
abstract = "Objectives: The application of SYNTAX score II based on coronary CT angiography (CCTA) for selecting further treatment options has not been studied. This study aimed to investigate the diagnostic performance of CCTA combined with SYNTAX score II for selecting the revascularization method compared with invasive coronary angiography (ICA) based on 2014 European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) guidelines. Methods: From January–May 2011, 160 patients who underwent both CCTA and ICA within 30 interval days were included. The diagnostic performance of CCTA, CCTA plus CT-SYNTAX score I and CT-SYNTAX score II was analysed using ICA counterparts as references. Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy of CCTA plus CT-SYNTAX I for selecting coronary artery bypass grafting (CABG) candidates using ICA plus ICA-SYNTAX I as reference, were 70.6 {\%}, 95.8 {\%}, 66.7 {\%}, 96.5 {\%} and 93.1 {\%}, respectively. The diagnostic performance of CCTA plus CT-SYNTAX II showed improvement with values of 83.3 {\%}, 97.3 {\%}, 71.4 {\%}, 98.6 {\%} and 96.3 {\%}, respectively, using ICA plus ICA-SYNTAX II as reference. Conclusions: CCTA combined with CT-SYNTAX score II is an accurate method for selecting CABG surgery candidates compared with ICA-SYNTAX score II. Key points: • SYNTAX plus CCTA can be highly specific for selecting the revascularization method. • SYNTAX II was complemented by including clinical considerations to SYNTAX I. • CCTA plus CT-SYNTAX II is an accurate method for selecting CABG candidates.",
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Accuracy of computed tomography for selecting the revascularization method based on SYNTAX score II. / Lee, Si Eun; Han, Kyunghwa; Hur, Jin; Kim, Young Jin; Lee, Hye Jeong; Hong, Yoo Jin; Im, Dong Jin; Choi, Byoung Wook.

In: European Radiology, Vol. 28, No. 5, 01.05.2018, p. 2151-2158.

Research output: Contribution to journalArticle

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AB - Objectives: The application of SYNTAX score II based on coronary CT angiography (CCTA) for selecting further treatment options has not been studied. This study aimed to investigate the diagnostic performance of CCTA combined with SYNTAX score II for selecting the revascularization method compared with invasive coronary angiography (ICA) based on 2014 European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) guidelines. Methods: From January–May 2011, 160 patients who underwent both CCTA and ICA within 30 interval days were included. The diagnostic performance of CCTA, CCTA plus CT-SYNTAX score I and CT-SYNTAX score II was analysed using ICA counterparts as references. Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy of CCTA plus CT-SYNTAX I for selecting coronary artery bypass grafting (CABG) candidates using ICA plus ICA-SYNTAX I as reference, were 70.6 %, 95.8 %, 66.7 %, 96.5 % and 93.1 %, respectively. The diagnostic performance of CCTA plus CT-SYNTAX II showed improvement with values of 83.3 %, 97.3 %, 71.4 %, 98.6 % and 96.3 %, respectively, using ICA plus ICA-SYNTAX II as reference. Conclusions: CCTA combined with CT-SYNTAX score II is an accurate method for selecting CABG surgery candidates compared with ICA-SYNTAX score II. Key points: • SYNTAX plus CCTA can be highly specific for selecting the revascularization method. • SYNTAX II was complemented by including clinical considerations to SYNTAX I. • CCTA plus CT-SYNTAX II is an accurate method for selecting CABG candidates.

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