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Correspondence
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Volume 340:1595-1596 May 20, 1999 Number 20
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Noninvasive Detection of Coronary Artery Disease

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 by Achenbach, S.
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To the Editor: Achenbach et al. (Dec. 31 issue)1 reported that electron-beam computed tomography (CT) may be a useful test to detect high-grade coronary-artery stenoses or occlusions. The authors stated that 25 percent of the 500 coronary arteries studied were excluded from their analysis because of the poor quality of the images. The investigators, who included in their analysis only those patients with adequate image quality, contend that electron-beam CT has a 92 percent sensitivity and 94 percent specificity for detecting high-grade coronary disease. Although electron-beam CT scanning may prove to be a promising noninvasive test for coronary disease, it . . . [Full Text of this Article]

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