Introduction
Methods
Search strategy
Study eligibility
Data extraction and quality assessment
Data synthesis and statistical analysis
Results
Authors | Year | Brand | Tesla | Patients (n) | Excluded (n) | Male (%) | Mean Age (SD) | Prevalence (% per patient) | Coronary Stenosis (%) | Stressor* | Side Effects ** (n) | Data assessment |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Al Saadi, (10)
| 2000 | Philips | 1.5 | 40 | 6 | - | - | 100 | ≥ 75 | D | 0 | 1/2 Quantitative |
Schwitter (11)
| 2001 | GE | 1.5 | 48 | 1 | 83 | 59(-) | 79 | ≥ 50 | D | 0 | 1/2 Quantitative |
Ibrahim, (12)
| 2002 | Philips | 1.5 | 25 | 0 | 76 | 63(13) | 100 | > 75 | A | - | 1/2 Quantitative |
Sensky (13)
| 2002 | Siemens | 1.5 | 30 | 0 | 90 | 62(-) | 100 | > 50 | A | 0 | Visual |
Chiu, (14)
| 2003 | Siemens | 1.5 | 13 | 0 | 54 | 68(-) | 92 | > 50 | A | 0 | Visual |
Doyle (15)
| 2003 | Philips | 1.5 | 229 | 45 | 0 | 59(11) | 14 | ≥ 70 | D | - | 1/2 Quantitative |
Ishida (16)
| 2003 | GE | 1.5 | 104 | 0 | 78 | 66(12) | 74 | > 70 | D | 0 | Visual |
Nagel (17)
| 2003 | Philips | 1.5 | 90 | 6 | 81 | 63(8) | 51 | ≥ 75 | A | 2 | 1/2 Quantitative |
Bunce (18)
| 2004 | Picker | 1.5 | 35 | 0 | 77 | 56(12) | 49 | ≥ 50 | A | 0 | 1/2 Quantitative |
Giang (19)
| 2004 | GE | 1.5 | 94 | 14 | 69 | 58(-) | 65 | ≥ 50 | A | 0 | 1/2 Quantitative |
Kawase (20)
| 2004 | Philips | 1.5 | 50 | 0 | 58 | 66(12) | 66 | ≥ 70 | N | 0 | Visual |
Paetsch (21)
| 2004 | Philips | 1.5 | 79 | 0 | 66 | 61(9) | 67 | > 50 | A | 0 | Visual |
Plein (22)
| 2004 | Philips | 1.5 | 72 | 4 | 79 | 57(11) | 82 | ≥ 70 | A | 1 | Visual |
Takase (23)
| 2004 | GE | 1.5 | 102 | - | 83 | 66(9) | 74 | > 50 | D | - | Visual |
Thiele (24)
| 2004 | Philips | 1.5 | 20 | 0 | - | 64(8) | 90 | ≥ 70 | A | 0 | 1/2 Quantitative |
Okuda (25)
| 2005 | GE | 1.5 | 33 | 0 | 88 | 60(-) | 97 | ≥ 75 | D | 0 | Visual |
Plein (26)
| 2005 | Philips | 1.5 | 92 | 10 | 74 | 58(-) | 72 | > 70 | A | 0 | 1/2 Quantitative |
Sakuma (27)
| 2005 | Siemens | 1.5 | 40 | 0 | 70 | 65(9) | 52 | > 70 | D | 0 | Visual |
Cury (28)
| 2006 | GE | 1.5 | 47 | 1 | 81 | 63(5) | 65 | ≥ 70 | D | - | Visual |
Klem (29)
| 2006 | Siemens | 1.5 | 100 | 8 | 49 | 58(11) | 40 | >50/≥ 70 | A | 1 | Visual |
Pilz (30)
| 2006 | GE | 1.5 | 176 | 5 | 63 | 62(12) | 66 | > 70 | A | 2 | Visual |
Rieber (31)
| 2006 | Siemens | 1.5 | 50 | 7 | 88 | 61(8) | 67 | > 50 | A | 0 | 1/2 Quantitative |
Cheng (32)
| 2007 | Siemens | 1.5/3 | 65 | 4 | 75 | 64(8) | 66 | ≥ 50 | A | 1 | Visual |
Costa (33)
| 2007 | Siemens | 1.5 | 37 | 7 | 53 | 65(11) | 97 | > 50/> 70 | A | 0 | 1/2 Quantitative |
Greenwood (34)
| 2007 | Philips | 1.5 | 35 | 0 | 89 | 55(-) | 83 | ≥ 70 | A | 0 | Visual |
Kühl (35)
| 2007 | Philips | 1.5 | 20 | 1 | 68 | 64(13) | 100 | ≥ 50 | A | 0 | 1/2 Quantitative |
Merkle (36)
| 2007 | Philips | 1.5 | 228 | 0 | 79 | 61(11) | 75 | > 50/> 70 | A | 0 | Visual |
Seeger (37)
| 2007 | Siemens | 1.5 | 51 | 0 | 86 | 65(9) | 74 | > 70 | A | 0 | 1/2 Quantitative |
Gebker (38)
| 2008 | Philips | 3 | 101 | 3 | 70 | 62(8) | 69 | ≥ 50 | A | 2 | Visual |
Meyer (39)
| 2008 | Philips | 3 | 60 | 0 | 63 | 59(10) | 60 | ≥ 70 | A | 0 | Visual |
Pilz (40)
| 2008 | GE | 1.5 | 22 | 0 | 64 | 66(12) | 33 | ≥ 70 | A | 0 | Visual |
Klein (41)
| 2008 | Philips | 1.5 | 54 | 5 | 65 | 60(10) | 47 | ≥ 50 | A | 2 | Visual |
Klem (42)
| 2008 | Siemens | 1.5 | 147 | 11 | 0 | 63(11) | 27 | ≥ 70 | A | 0 | Visual |
Thomas (43)
| 2008 | Philips | 3 | 60 | 0 | 68 | - | 47 | ≥ 50 | A | 0 | Visual |
Burgstahler (44)
| 2008 | Philips | 1.5 | 23 | 3 | 65 | 68(12) | 40 | ≥ 70 | A | 0 | Visual |
Studies | N studies | N | Sensitivity | Specificity | Positive Likelihood ratio | Negative likelihood ratio | Diagnostic odds ratio |
---|---|---|---|---|---|---|---|
Per Patient analysis (all)
| 26 | 2125 Patients | 89% (88-91) | 80% (78-83) | 4.18 (3.31-5.27) | 0.15 (0.11-0.20) | 33.65 (22.09-51.27) |
Adenosine stressor | 20 | 1658 Patients | 90% (88-92) | 81% (78-84) | 4.47 (3.39-5.88) | 0.14 (0.11-0.18) | 37.17 (25.16-54.91) |
Dipyridamole stressor | 5 | 417 Patients | 86% (80-90) | 77% (71-82) | 2.97 (2.16-4.09) | 0.20 (0.09-0.45) | 17.03 (5.56 - 52.18) |
Visual assessment | 20 | 1624 Patients | 91% (89-93) | 79% (76-83) | 4.08 (3.15-5.29) | 0.13 (0.10-0.17) | 36.79 (23.90-56.63) |
Semi-quant. assessment | 6 | 501 Patients | 82%(77-87) | 82% (77-86) | 4.88 (2.62-9.09) | 0.22 (0.13-0.37) | 25.44 (8.90-72.70) |
Per Territory analysis
| 17 | 2709 Territories | 82% (79-84) | 84% (82-85) | 4.90(3.66-6.55) | 0.23 (0.20-0.27) | 23.23 (18.33-29.45) |
Per Artery analysis
| |||||||
LAD | 8 | 662 Arteries | 83%(78-88) | 83%(79-86) | 4.37(2.96-6.44) | 0.22 (0.16-0.31) | 21.42 (10.94-41.94) |
CX | 8 | 672 Arteries | 76%(70-82) | 87%(84-90) | 5.74(3.94-8.35) | 0.30 (0.23-0.38) | 22.25 (14.09-35.10) |
RCA | 8 | 657 Arteries | 78%(71-84) | 87% (83-90) | 5.58 (3.74-8.32) | 0.29 (0.21-0.38) | 23.07 (14.55-36.57) |
Study | Item 1 | Item 2 | Item 3 | Item 4 | Item 5 | Item 6 | Item 7 | Item 8 | Item 9 | Item 10 | Item 11 | Item 12 | Item 13 | Item 14 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Al Saadi, 2000 (10)
| no | yes | yes | unclear | yes | yes | yes | no | no | unclear | unclear | no | yes | yes |
Schwitter, 2001 (11)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Ibrahim, 2002 (12)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | unclear | unclear | yes | yes | yes |
Sensky, 2002 (13)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Chiu, 2003 (14)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Doyle, 2003 (15)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | no | no | yes | yes | yes |
Ishida,2003 (16)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Nagel, 2003 (17)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Bunce, 2004 (18)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | no | yes |
Giang, 2004 (19)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Kawase, 2004 (20)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Paetsch, 2004 (21)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | yes | yes | yes | unclear | unclear |
Plein, 2004 (22)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Takase, 2004 (23)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | no | unclear |
Thiele,2004 (24)
| yes | yes | yes | no | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Okuda,2005 (25)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Plein, 2005 (26)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Sakuma,2005 (27)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Cury, 2006 (28)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Klem, 2006 (29)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Pliz, 2006 (30)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Rieber, 2006 (31)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Cheng, 2007 (32)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Costa,2007 (33)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Greenwood, 2007 (34)
| no | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Kuhl, 2007 (35)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Merkle, 2007 (36)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Seeger, 2007 (37)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Gebker, 2008 (38)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Meyer, 2008 (39)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | unclear | unclear |
Pilz, 2008 (40)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Klein,2008 (41)
| yes | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Klem, 2008 (42)
| no | yes | yes | yes | yes | yes | yes | yes | Yes | yes | yes | yes | yes | yes |
Thomas, 2008 (43)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | yes | yes | yes | yes | unclear |
Burgstahler,2008 (44)
| yes | yes | yes | unclear | yes | yes | yes | yes | Yes | unclear | unclear | yes | yes | yes |