DIAGNOSTIC EFFICACY OF CORONARY ARTERY THREE-DIMENSIONAL STEADY-STATE FREE PRECESSION MAGNETIC RESONANCE ANGIOGRAPHY IN COMPARISON WITH INVASIVE CORONARY ANGIOGRAPHY FOR DETECTING CORONARY ARTERY DISEASE

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MOHAMMADZADEH ALI; FAEGHI FARIBORZ; SAHRAEE NAZANIN; POURALIAKBAR HAMIDREZA; KIANI REZA; MOHAMMADZADEH VAHID; ENTEZARI POUYA; Borhani Ali; SHAKIBA MADJID; KADIVAR SAKINEH; MOHAMMADZADEH MARYAM

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2017 | Volume:20 | Issue:5 Page(s): 314-319

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Title

DIAGNOSTIC EFFICACY OF CORONARY ARTERY THREE-DIMENSIONAL STEADY-STATE FREE PRECESSION MAGNETIC RESONANCE ANGIOGRAPHY IN COMPARISON WITH INVASIVE CORONARY ANGIOGRAPHY FOR DETECTING CORONARY ARTERY DISEASE

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Keywords

CORONARY ANGIOGRAPHY

CORONARY ARTERY DISEASE

MAGNETIC RESONANCE ANGIOGRAPHY

Abstract

PURPOSE: To assess the diagnostic value of three-dimensional steady-state free precession MAGNETIC RESONANCE ANGIOGRAPHY (3D-SSFP MRA) for detecting CORONARY ARTERY DISEASE (CAD). MATERIALS AND METHODS: Patients suspected of CAD based on clinical evaluation, underwent invasive CORONARY ANGIOGRAPHY (CAG) and Cardiac MRA (CMRA). Collected data in favor of any CAD findings in CMRA were compared to CAG results as the standard diagnostic method in CAD detection. Analysis was performed on per-patient, per-vessel and per-segment bases. RESULTS: A total of 30 patients (mean age: 43 ± 10 years, 19 men) were enrolled for analysis. On per-patient analysis, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and area under receiver operator characteristic (ROC) curve of CMRA for detection of coronary artery stenosis were 100% (CI95%: 75% – 100%), 50% (CI95%: 18% – 81%), 73. 33% (CI95%: 46% – 90%), 100% (CI95%: 47% – 100%) and 0. 827, respectively. On per-vessel analysis, CMRA had a sensitivity of 89. 29% (CI95%: 71%-97%), specificity of 80. 56% (CI95%: 63% – 91%), PPV of 78. 13% (CI95%: 60% – 90%), NPV of 90. 63% (CI95%: 74% – 98%) and area under ROC curve of 0. 845. On per-segment analysis, sensitivity, specificity, PPV and NPV of CMRA for segmental stenosis detection were 77. 78% (CI95%: 60% – 89%), 87% (CI95%: 81% – 92%), 62% (CI95%: 46% – 76%), and 93. 89% (CI95%: 88% – 97%), respectively. Area under ROC curve was 0. 835 on per-segment analysis. CONCLUSION: 3D SSFP CMRA provides a promising non-invasive diagnostic tool for assessing CORONARY ARTERY DISEASE.

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APA: Copy

MOHAMMADZADEH, ALI, FAEGHI, FARIBORZ, SAHRAEE, NAZANIN, POURALIAKBAR, HAMIDREZA, KIANI, REZA, MOHAMMADZADEH, VAHID, ENTEZARI, POUYA, Borhani, Ali, SHAKIBA, MADJID, KADIVAR, SAKINEH, & MOHAMMADZADEH, MARYAM. (2017). DIAGNOSTIC EFFICACY OF CORONARY ARTERY THREE-DIMENSIONAL STEADY-STATE FREE PRECESSION MAGNETIC RESONANCE ANGIOGRAPHY IN COMPARISON WITH INVASIVE CORONARY ANGIOGRAPHY FOR DETECTING CORONARY ARTERY DISEASE. ARCHIVES OF IRANIAN MEDICINE, 20(5), 314-319. SID. https://sid.ir/paper/281645/en

Vancouver: Copy

MOHAMMADZADEH ALI, FAEGHI FARIBORZ, SAHRAEE NAZANIN, POURALIAKBAR HAMIDREZA, KIANI REZA, MOHAMMADZADEH VAHID, ENTEZARI POUYA, Borhani Ali, SHAKIBA MADJID, KADIVAR SAKINEH, MOHAMMADZADEH MARYAM. DIAGNOSTIC EFFICACY OF CORONARY ARTERY THREE-DIMENSIONAL STEADY-STATE FREE PRECESSION MAGNETIC RESONANCE ANGIOGRAPHY IN COMPARISON WITH INVASIVE CORONARY ANGIOGRAPHY FOR DETECTING CORONARY ARTERY DISEASE. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2017;20(5):314-319. Available from: https://sid.ir/paper/281645/en

IEEE: Copy

ALI MOHAMMADZADEH, FARIBORZ FAEGHI, NAZANIN SAHRAEE, HAMIDREZA POURALIAKBAR, REZA KIANI, VAHID MOHAMMADZADEH, POUYA ENTEZARI, Ali Borhani, MADJID SHAKIBA, SAKINEH KADIVAR, and MARYAM MOHAMMADZADEH, “DIAGNOSTIC EFFICACY OF CORONARY ARTERY THREE-DIMENSIONAL STEADY-STATE FREE PRECESSION MAGNETIC RESONANCE ANGIOGRAPHY IN COMPARISON WITH INVASIVE CORONARY ANGIOGRAPHY FOR DETECTING CORONARY ARTERY DISEASE,” ARCHIVES OF IRANIAN MEDICINE, vol. 20, no. 5, pp. 314–319, 2017, [Online]. Available: https://sid.ir/paper/281645/en

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