A systematic review and economic evaluation of new-generation computed tomography scanners for imaging in coronary artery disease and congenital heart disease: Somatom Definition Flash, Aquilion ONE, Brilliance iCT and Discovery CT750 HD

Westwood M, Al M, Burgers L, Redekop K, Lhachimi S, Armstrong N, Raatz H, Misso K, Severens J, Kleijnen J
Record ID 32011001139
English
Authors' objectives: To assess the clinical effectiveness and cost-effectiveness of NGCCT, using Discovery CT750 HD (GE Healthcare), Brilliance iCT (Philips Healthcare), Somatom Definition Flash (Siemens Healthcare) or Aquilion ONE (Toshiba Medical Systems) for: •diagnosis of clinically significant CAD in patients who are difficult to image using (64-slice) CT •treatment planning in complex congenital heart disease.
Authors' recommendations: Report finds that new-generation computed tomography (NGCCT) may be sufficiently accurate to diagnose clinically significant coronary artery disease (CAD) in some, or all, difficult-to-image patient groups and may be particularly useful in ruling out patients from further invasive investigations. Economic analyses suggest that NGCCT is likely to be considered cost-effective for difficult-to-image patients with CAD, at current levels of willingness to pay in the NHS. For patients with suspected CAD, the NGCCT-only strategy may be most favourable; for patients with known CAD, NGCCT along with invasive coronary angiography may be most favourable.
Details
Project Status: Completed
Year Published: 2013
URL for published report: http://www.hta.ac.uk/2477
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Tomography Scanners, X-Ray Computed
Contact
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: 2013 Queen's Printer and Controller of HMSO
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