TY - JOUR T1 - Risk Assessment and Predictive Value of Coronary Artery Disease Testing JF - Journal of Nuclear Medicine JO - J Nucl Med SP - 1296 LP - 1306 DO - 10.2967/jnumed.108.059592 VL - 50 IS - 8 AU - Leslee J. Shaw AU - Jagat Narula Y1 - 2009/08/01 UR - http://jnm.snmjournals.org/content/50/8/1296.abstract N2 - This review highlights and compares risk assessment, predictive accuracy, and economic outcomes for 3 commonly applied cardiac imaging procedures: stress myocardial perfusion SPECT or PET and coronary CT angiography (CCTA). This review highlights an expansive evidence base for stress myocardial perfusion imaging and reveals a decided advantage for higher-risk patients, notably those who have established coronary artery disease (CAD). It is likely that the use of CCTA will continue to expand, particularly for patients with more atypical symptoms and patients with a lower likelihood of CAD. Despite a high level of evidence, comparative research is not available across modalities that could definitively drive utilization of cardiac imaging modalities. ER -