2022
Influence of BMI on virtual coronary artery calcium scoring
Perez-Cervera J, Arce J, Fattouh M, Kuno T, Schenone A, Brahmanandam V, Lee U, Haramati L, Levsky J, Villines T, Garcia M, Slipczuk L. Influence of BMI on virtual coronary artery calcium scoring. The International Journal Of Cardiovascular Imaging 2022, 39: 863-872. PMID: 36583813, DOI: 10.1007/s10554-022-02785-8.Peer-Reviewed Original Research
2020
Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department
Kargoli F, Levsky J, Bulcha N, Mustehsan M, Brown-Manhertz D, Furlani A, Polanco D, Mizrachi S, Makkiya M, Golive A, Haramati L, Taub C, Garcia M. Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department. The American Journal Of Cardiology 2020, 125: 1809-1814. PMID: 32345475, DOI: 10.1016/j.amjcard.2020.03.024.Peer-Reviewed Original ResearchConceptsMyocardial perfusion imagingStress echocardiographyEmergency departmentChest painRehospitalization ratesCoronary angiographyLeast intermediate riskNegative initial troponinUrban ED settingDiagnostic coronary angiographyRetrospective cohort studyHospital emergency departmentUrban hospital emergency departmentFunctional imaging modalitiesCCTA groupInitial troponinED dischargeCohort studyIntermediate riskSecondary outcomesNondiagnostic electrocardiogramPrimary outcomeED settingTomography angiographyClinical utility
2018
Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial
Levsky J, Haramati L, Spevack D, Menegus M, Chen T, Mizrachi S, Brown-Manhertz D, Selesny S, Lerer R, White D, Tobin J, Taub C, Garcia M. Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial. JACC Cardiovascular Imaging 2018, 11: 1288-1297. PMID: 29909113, DOI: 10.1016/j.jcmg.2018.03.024.Peer-Reviewed Original ResearchMeSH KeywordsAdultAngina PectorisClinical Decision-MakingComparative Effectiveness ResearchComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseEchocardiography, StressEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedMultidetector Computed TomographyPatient AdmissionPatient SelectionPredictive Value of TestsRadiation DosageRadiation ExposureTreatment OutcomeTriageConceptsCoronary CTACardiovascular eventsHospital lengthAcute chest pain patientsMajor adverse cardiovascular eventsRadiation exposureMedian hospital lengthAdverse cardiovascular eventsMedian ED lengthChest pain patientsCoronary artery diseaseEmergency department useSerum troponin levelsChest pain triageCTA patientsPrimary endpointSafety endpointSecondary endpointsPatient ageTroponin levelsArtery diseaseED lengthPain patientsSE patientsStress echocardiography
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
2016
Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging.
Levsky J, Travin M, Haramati L. Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging. Annals Of Internal Medicine 2016, 164: 133-4. PMID: 26784483, DOI: 10.7326/l15-0482.Peer-Reviewed Original Research
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
2013
Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain
Levsky J, Haramati L, Taub C, Spevack D, Menegus M, Travin M, Vega S, Lerer R, Brown‐Manhertz D, Hirschhorn E, Tobin J, Garcia M. Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain. Echocardiography 2013, 31: 744-750. PMID: 24372760, DOI: 10.1111/echo.12464.Peer-Reviewed Original ResearchMeSH KeywordsAdultAged, 80 and overCausalityChest PainComorbidityCoronary AngiographyCoronary Artery DiseaseEchocardiographyEmergency Service, HospitalExercise TestFemaleHealth Care CostsHospitalizationHumansIncidenceMaleMiddle AgedNew YorkResearch DesignRisk AssessmentTomography, X-Ray ComputedYoung AdultConceptsTreadmill stress echocardiographyStress echocardiographyEmergency departmentComparative effectiveness researchChest painED chest pain patientsMajor adverse cardiovascular eventsRisk Emergency Department PatientsSignificant coronary artery diseaseED/hospitalAcute chest painAdverse cardiovascular eventsIncidence of hospitalizationChest pain patientsCoronary artery diseaseEmergency department patientsImaging modalitiesLength of stayCoronary CT angiographyDecrease healthcare expendituresNoninvasive diagnostic algorithmCost of careNoninvasive imaging modalityCardiovascular eventsObservational registryResting cardiac 64-MDCT does not reliably detect myocardial ischemia identified by radionuclide imaging.
Spiro A, Haramati L, Jain V, Godelman A, Travin M, Levsky J. Resting cardiac 64-MDCT does not reliably detect myocardial ischemia identified by radionuclide imaging. American Journal Of Roentgenology 2013, 200: 337-42. PMID: 23345355, DOI: 10.2214/ajr.11.8171.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCardiac-Gated Imaging TechniquesContrast MediaCoronary AngiographyFemaleHumansMaleMiddle AgedMyocardial IschemiaPositron-Emission TomographyPredictive Value of TestsRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricTomography, X-Ray ComputedTriiodobenzoic AcidsConceptsMyocardial perfusion imagingNegative predictive valuePositive predictive valuePredictive valueSubendocardial perfusionMyocardial ischemiaMyocardial segmentsPerfusion imagingObstructive coronary artery diseaseRadionuclide myocardial perfusion imagingCoronary artery diseaseCT myocardial perfusion imagingSignificant differencesAmerican Heart Association segmentsArtery diseaseDiastolic perfusionNonischemic segmentsCT perfusionDiagnostic modalitiesCT angiographyMyocardial perfusionClinical practiceIschemiaPerfusionClinical use
2010
Normal myocardial perfusion on 64-detector resting cardiac CT
Stanton C, Haramati L, Berko N, Travin M, Jain V, Jacobi A, Burton W, Levsky J. Normal myocardial perfusion on 64-detector resting cardiac CT. Journal Of Cardiovascular Computed Tomography 2010, 5: 52-60. PMID: 21185253, DOI: 10.1016/j.jcct.2010.11.003.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBlood Flow VelocityCoronary AngiographyCoronary CirculationFemaleHumansMaleMiddle AgedMyocardial Perfusion ImagingRadiographic Image EnhancementRadiographic Image Interpretation, Computer-AssistedReference ValuesReproducibility of ResultsRestSensitivity and SpecificityTomography, X-Ray ComputedConceptsNormal myocardial perfusionMyocardial perfusionArtery territoryHounsfield unitsCoronary arteryCT angiographyCardiac CTHigher mean attenuation valuesLeft circumflex artery territoryRadionuclide myocardial perfusion imagingSegmental myocardial perfusionNormal coronary arteriesCoronary artery territoryCircumflex artery territoryAmerican Heart Association modelAttenuation valuesMyocardial perfusion imagingMean attenuation valuesPerformance of CTCT attenuation valuesPerfusion correlatesPatient factorsArterial phaseStudy populationPerfusion imaging
2009
Efficacy of coronary CT angiography: Where we are, where we are going, and where we want to be
Levsky J, Kim C, Spevack D, Travin M, Tobin J, Haramati L. Efficacy of coronary CT angiography: Where we are, where we are going, and where we want to be. Journal Of Cardiovascular Computed Tomography 2009, 3: s99-s108. PMID: 20129523, DOI: 10.1016/j.jcct.2009.10.008.Commentaries, Editorials and LettersConceptsCoronary CT angiographyCT angiographyRadionuclide myocardial perfusion imagingCardiovascular event ratesCoronary artery diseaseMyocardial perfusion imagingClinical decision makingComparative effectiveness researchPotential study designsArtery diseaseEarly triageConsensus statementImaging examinationsNoninvasive examinationPerfusion imagingAngiographyEvent ratesAssessment of levelsStudy designEarly introductionPotential roleEffectiveness researchEfficacyPivotal publicationsExaminationEjection Fractions Determined by Cardiac Computed Tomographic Angiography and Single Photon Emission Computed Tomographic Myocardial Perfusion Imaging Are Not Interchangeable
Mehta A, Travin M, Levsky J, Jain V, Burton W, Haramati L. Ejection Fractions Determined by Cardiac Computed Tomographic Angiography and Single Photon Emission Computed Tomographic Myocardial Perfusion Imaging Are Not Interchangeable. Journal Of Computer Assisted Tomography 2009, 33: 489-497. PMID: 19638838, DOI: 10.1097/rct.0b013e3181a1c820.Peer-Reviewed Original ResearchMeSH KeywordsContrast MediaCoronary AngiographyElectrocardiographyExercise TestFemaleHeartHeart VentriclesHumansMaleMiddle AgedObserver VariationRadiographic Image EnhancementReproducibility of ResultsSex FactorsStroke VolumeTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedTriiodobenzoic AcidsVentricular Dysfunction, LeftConceptsEnd-diastolic volumeEnd-systolic volumeHigher end-diastolic volumeMyocardial perfusion imagingQuantitative gated SPECTComputed tomographyEjection fractionVentricular volumeSingle-photon emission CT myocardial perfusion imagingVentricular ejection fractionCT myocardial perfusion imagingCardiac Computed Tomographic AngiographyComputed Tomographic AngiographyTomographic myocardial perfusionMultidetector Computed TomographyMultiple regression analysisRegression analysisSingle photon emissionBland-Altman plotsImaging evaluationTomographic angiographyLVEFPatient managementLVEF valuesMyocardial perfusionRationale and design of a randomized controlled trial comparing stress myocardial perfusion imaging with coronary CT angiography as the initial imaging study for intermediate-risk patients admitted with chest pain
Levsky J, Travin M, Spevack D, Menegus M, Huang P, Goldberg Y, Clark E, Banoth P, Freeman K, Tobin J, Haramati L. Rationale and design of a randomized controlled trial comparing stress myocardial perfusion imaging with coronary CT angiography as the initial imaging study for intermediate-risk patients admitted with chest pain. Journal Of Cardiovascular Computed Tomography 2009, 3: 264-271. PMID: 19577217, DOI: 10.1016/j.jcct.2009.05.006.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseMyocardial perfusion imagingIntermediate-risk patientsChest painMajor adverse cardiovascular eventsRadionuclide myocardial perfusion imagingIntermediate-risk characteristicsSubsequent coronary revascularizationAdverse cardiovascular eventsEvaluation of patientsStress myocardial perfusionAcute myocardial infarctionClinical outcome endpointsInitial imaging studyNoninvasive cardiac imagingCoronary CT angiographyEvidence-based medicineTerms of outcomesCardiovascular eventsCoronary revascularizationHospital stayRenal dysfunctionSubsequent hospitalizationSecondary outcomesArtery disease
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 groupsEthical Trials to Determine the Risks and Benefits of Radiation Exposure from Coronary CT Angiography
Haramati L. Ethical Trials to Determine the Risks and Benefits of Radiation Exposure from Coronary CT Angiography. Journal Of The American College Of Radiology 2008, 5: 1073-1076. PMID: 18812151, DOI: 10.1016/j.jacr.2008.05.004.Commentaries, Editorials and LettersConceptsCoronary artery diseaseCoronary CT angiographyArtery diseaseCT angiographyFuture patientsRadiation exposureManagement of patientsDiagnostic radiation exposureRadiation-related cancerCommon causeAmerican CollegeDiagnostic radiationClinical researchPatientsAngiographyMedical researchRiskGenetic damageDiseaseHeritable genetic damageExposureEthical trialsCancerTrialsBenefits
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