title: Imaging strategies for acute chest pain in the emergency department.
abstract: OBJECTIVE
  Echocardiography, radionuclide myocardial perfusion imaging (MPI), and coronary CT angiography (CTA) are the three main imaging techniques used in the emergency department for the diagnosis of acute coronary syndrome (ACS). The purpose of this article is to quantitatively examine existing evidence about the diagnostic performance of these imaging tests in this setting.
  
  
  CONCLUSIONS
  Our systematic search of the medical literature showed no significant difference between the modalities for the detection of ACS in the emergency department. There was a slight, positive trend favoring coronary CTA. Given the absence of large differences in diagnostic performance, practical aspects such as local practice, expertise, medical facilities, and individual patient characteristics may be more important.
authors.affiliation: Department of Radiology, Erasmus University Medical Centre, PO Box 2040, 3000 CA Rotterdam, Rotterdam, The Netherlands.
authors.forename: Admir
authors.initials: A
authors.lastname: Dedic
authors.forename: Tessa S
authors.initials: TS
authors.lastname: Genders
authors.forename: Koen
authors.initials: K
authors.lastname: Nieman
authors.forename: Myriam G M
authors.initials: MG
authors.lastname: Hunink
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis*; D002637:Chest Pain / Q000175:diagnosis*; D017023:Coronary Angiography; D004452:Echocardiography; D004636:Emergency Service, Hospital; D006801:Humans; D055414:Myocardial Perfusion Imaging; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed