Expertise with MSCT-CA takes time

January 1, 2009 Diagnostic Imaging. Vol. 31 No. 1 Expertise with MSCT-CA takes time Beginners show slow but steady improvement By Donna Domino Multislice CT coronary angiography is becoming a practical alternative to conventional angiography. Physicians experienced with technique are able to diagnose coronary stenoses of 50% or greater with very high sensitivity and specificity, but acquiring the expertise is time-consuming. A study to evaluate the effects of experience with multislice coronary CTA on the ability to detect stenoses involved three radiologists and one cardiologist inexperienced with the technique. They attended an MSCT unit for a one-year fellowship where they interpreted 12 to 15 coronary CTA scans per week. The same cases were also interpreted by two experts.

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