2017
Can Discrepancies Between Coronary Computed Tomography Angiography and Cardiac Catheterization in High-Risk Patients be Overcome With Consensus Reading?
Steinberger S, Plodkowski A, Latson L, Levsky J, Zalta B, Godelman A, Cohen H, Haramati L. Can Discrepancies Between Coronary Computed Tomography Angiography and Cardiac Catheterization in High-Risk Patients be Overcome With Consensus Reading? Journal Of Computer Assisted Tomography 2017, 41: 159-164. PMID: 27560020, DOI: 10.1097/rct.0000000000000481.Peer-Reviewed Original ResearchConceptsCoronary CTA interpretationCTA interpretationSevere stenosisCoronary CTATomography angiographyHigh-risk patientsQuarter of patientsInner-city populationCatheterization resultsCardiac catheterizationCatheterizationClinical reportsClinical practiceStenosisPatientsDiagnostic profileAngiographyPanel interpretationCTAReview panelCauses of discrepanciesCoronariesIncidence
2015
Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial.
Levsky J, Spevack D, Travin M, Menegus M, Huang P, Clark E, Kim C, Hirschhorn E, Freeman K, Tobin J, Haramati L. Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial. Annals Of Internal Medicine 2015, 163: 174-83. PMID: 26052677, PMCID: PMC4703121, DOI: 10.7326/m14-2948.Peer-Reviewed Original ResearchMeSH KeywordsCardiac CatheterizationChest PainComparative Effectiveness ResearchCoronary AngiographyCoronary Artery DiseaseFemaleFollow-Up StudiesHealth ResourcesHospital UnitsHumansLength of StayMaleMiddle AgedMyocardial Perfusion ImagingMyocardial RevascularizationPatient SatisfactionProspective StudiesRadiation DosageTelemetryTomography, X-Ray ComputedConceptsMyocardial perfusion imagingCCTA groupMPI groupCardiovascular eventsChest painCardiac catheterizationPrimary outcomeRadiation exposurePatient experienceStress myocardial perfusion imagingInner-city medical centerNonfatal cardiovascular eventsOutpatient cardiology visitsAcute chest painMajor cardiovascular eventsIntermediate-term outcomesEmergency department visitsCoronary artery diseaseComparative effectiveness trialIncidence of deathLength of stayAmerican Heart AssociationClinical management decisionsRadionuclide myocardial perfusionLess radiation exposure
2008
CT angiography for evaluation of coronary artery disease in inner-city outpatients: an initial prospective comparison with stress myocardial perfusion imaging
Haramati L, Levsky J, Jain V, Altman E, Spindola-Franco H, Bobra S, Doddamani S, Travin M. CT angiography for evaluation of coronary artery disease in inner-city outpatients: an initial prospective comparison with stress myocardial perfusion imaging. The International Journal Of Cardiovascular Imaging 2008, 25: 303-313. PMID: 18979224, DOI: 10.1007/s10554-008-9382-5.Peer-Reviewed Original ResearchMeSH KeywordsContrast MediaCoronary AngiographyCoronary Artery DiseaseFemaleHumansLogistic ModelsMaleMiddle AgedOutpatientsPredictive Value of TestsProspective StudiesRadiographic Image Interpretation, Computer-AssistedRadiopharmaceuticalsSensitivity and SpecificityStatistics, NonparametricTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedUrban PopulationConceptsCT coronary angiographyCoronary artery diseaseNegative predictive valuePositive predictive valueInner-city outpatientsPredictive valueArtery diseaseCoronary angiographyMyocardial perfusionStress SPECT myocardial perfusionHigh negative predictive valueSubsequent cardiac catheterizationStress myocardial perfusionEvaluation of CADSPECT myocardial perfusionHIPAA-compliant studyPositive SPECTCardiac catheterizationClinical endpointsOutpatient populationPatient outcomesPerfusion defectsProspective comparisonCT angiographyMore homogenous groups