Coronary Artery Disease, Coronary Heart Disease
Conditions
Brief summary
Demonstrate in a large multicenter population the diagnostic performance of a pre-commercial on-site, local, CT angiography derived FFR algorithm in comparison to invasive FFR.
Detailed description
To retrospectively evaluate the diagnostic accuracy of FFRCT, in patients with known or suspected CAD. the investigators propose to do technical assessment of the software and evaluate how different parameters effect the outcome. Validate the FFTCT outcome by comparing the FFRCT values with invasive FFR values from retrospective patient data. To analyze the potential of FFRCT on decision making and prognosis.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Know or suspect coronary artery disease followed within 6 months by an invasive FFR measurement.
Exclusion criteria
* Cardiac event between coronary CT angiography and the invasive FFR procedure, noninterpretable coronary CT angiography image quality, or incomplete coronary CT angiography coverage.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic accuracy of local reduced order CFD and machine learning based CT angiography derived FFR, both validated against invasive FFR. Measured at both vessel and patient level. | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Influence of calcium on diagnostic accuracy of CT angiography derived FFR. | 6 months |
| Confidence intervals of CT angiography derived FFR | 6 months |
| Direct vessel based comparison between CT angiography derived FFR and QCT stenosis measurements | 6 months |
| Analysis of anatomically mild stenosis (<50% lumen diameter reduction) but functionally significant (invasive FFR ≤ 0.80) | 6 months |
| Long term clinical outcome of CT angiography derived FFR | 12 months |
Countries
Netherlands