Assessment of coronary artery disease using magnetic resonance coronary angiography: a national multicenter trial.

Shingo Kato, Kakuya Kitagawa, Nanaka Ishida, Masaki Ishida, Motonori Nagata, Yasutaka Ichikawa, Kazuhiro Katahira, Yuji Matsumoto, Koji Seo, Reiji Ochiai, Yasuyuki Kobayashi, Hajime Sakuma

Department of Radiology, Mie University Hospital, Tsu, Japan.

Journal of the American College of Cardiology 2010 Sep 14

filter terms:

This national multicenter study determined the diagnostic performance of 1.5-T whole-heart coronary magnetic resonance angiography (MRA) in patients with suspected coronary artery disease (CAD). Whole-heart coronary MRA using steady-state free precession allows noninvasive detection of CAD without the administration of contrast medium. However, the accuracy of this approach has not been determined in a multicenter trial. Using a 1.5-T magnetic resonance imaging unit, free-breathing steady-state free precession whole-heart coronary MRA images were acquired for 138 patients with suspected CAD at 7 hospitals. The accuracy of MRA for detecting a ≥ 50% reduction in diameter was determined using X-ray coronary angiography as the reference method. Acquisition of whole-heart coronary MRA images was performed in 127 (92%) of 138 patients with an average imaging time of 9.5 ± 3.5 min. The areas under the receiver-operator characteristic curve from MRA images according to vessel- and patient-based analyses were 0.91 (95% confidence interval [CI]: 0.87 to 0.95) and 0.87 (95% CI: 0.81 to 0.93), respectively. The sensitivity, specificity, positive and negative predictive values, and accuracy of MRA according to a patient-based analysis were 88% (49 of 56, 95% CI: 75% to 94%), 72% (51 of 71, 95% CI: 60% to 82%), 71% (49 of 69, 95% CI: 59% to 81%), 88% (51 of 58, 95% CI: 76% to 95%), and 79% (100 of 127, 95% CI: 72% to 86%), respectively. Non-contrast-enhanced whole-heart coronary MRA at 1.5-T can noninvasively detect significant CAD with high sensitivity and moderate specificity. A negative predictive value of 88% indicates that whole-heart coronary MRA can rule out CAD. Copyright © 2010 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Citation

Shingo Kato, Kakuya Kitagawa, Nanaka Ishida, Masaki Ishida, Motonori Nagata, Yasutaka Ichikawa, Kazuhiro Katahira, Yuji Matsumoto, Koji Seo, Reiji Ochiai, Yasuyuki Kobayashi, Hajime Sakuma. Assessment of coronary artery disease using magnetic resonance coronary angiography: a national multicenter trial. Journal of the American College of Cardiology. 2010 Sep 14;56(12):983-91