Evidence map›Paper›PMID 40046368›Full record

ReviewCureus2025

Diagnostic Accuracy of Computed Tomography (CT) Coronary Angiography Compared to Invasive Coronary Angiography for Detecting Coronary Artery Disease: A Systematic Review.

Moiz I Khan, Muhammad Anees, Ahmad B Khan, Muhammad U Ramzan, Huzaifa K Khan, Muhammad Sabir, Umair Hayat, Muhammad Hassan Zulfi, Sundas Safdar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Moiz I KhanAccident and Emergency, Medical Teaching Institution (MTI) District Headquarters (DHQ) Teaching Hospital, Dera Ismail Khan, PAK.
Muhammad AneesGeneral Surgery/Trauma Surgery, Medical Emergency Response Center-1122 (MERC-1122) Trauma Center, Zhob, PAK.
Ahmad B KhanAccident and Emergency, Medical Teaching Institution (MTI) District Headquarters (DHQ) Teaching Hospital, Dera Ismail Khan, PAK.
Muhammad U RamzanDiagnostic Radiology, Mayo Hospital Lahore, Lahore, PAK.
Huzaifa K KhanMedicine, Foundation University School of Health Sciences, Islamabad, PAK.
Muhammad SabirCardiology, Quetta Institute of Medical Sciences, Quetta, PAK.
Umair HayatInternal Medicine, Lady Reading Hospital Peshawar, Peshawar, PAK.
Muhammad Hassan ZulfiSurgery, Jinnah Sindh Medical University, Karachi, PAK.
Sundas SafdarDiagnostic Radiology, Lady Reading Hospital, Peshawar, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery disease (CAD) is a significant cause of morbidity and mortality worldwide, and the prevalence is continually rising. Invasive coronary angiography (ICA) has been considered the gold standard in CAD diagnosis as it offers precise information about the presence and severity of coronary artery blockages. However, computed tomography coronary angiography (CTCA) has emerged as a preferred noninvasive imaging technique from the viewpoint of patient risk because it provides high-resolution coronary images. This systematic review aims to compare the diagnostic accuracy of CTCA with ICA to diagnose CAD among patients. This systematic literature review involved a database search of PubMed, Medline, and Cochrane Library for articles from 2014 to 2024. After screening 650 records, removing duplicates, and assessing 63 reports for eligibility, five studies were included in the final analysis. Diagnostic accuracy parameters like sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. The study found that CTCA demonstrated high to very high sensitivity and specificity in detecting CAD. It minimizes the number of such procedures and related consequences; other trials showed a significant decrease in myocardial infarctions over an extended period. CTCA appears reliable as an alternative to ICA, proving equally effective in low- to intermediate-risk patients but less effective in high-risk cases, where ICA remains necessary. CTCA provides an innovative, less invasive diagnostic solution for low- to moderate-risk patients, consistent with patient-directed care. However, due to the emphasis on its relative strengths, ICA remains relevant even today for high-risk individuals, especially those requiring the most urgent intervention. More recent developments and large-scale investigations are essential to optimize the use of CTCA in clinical practice and clarify its role in CAD treatment.

Indexed as

computed tomography coronary angiographycoronary artery diseasediagnostic accuracyhealthcare outcomesinvasive coronary angiographymyocardial infarctionnon-invasive imagingsensitivityspecificity

Identifiers

PMID40046368
PMCPMC11880638

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.