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Michael Hadley: Photon-Counting CT Offers Good Diagnostic Accuracy for Detecting In-Stent Restenosis
Oct 11, 2025, 08:00

Michael Hadley: Photon-Counting CT Offers Good Diagnostic Accuracy for Detecting In-Stent Restenosis

Michael Hadley, System Director of Advanced Cardiac Imaging at Northwell Health, shared on LinkedIn:

”Photon-counting CT offers good diagnostic accuracy for detecting in-stent restenosis, overcoming artifacts that have plagued prior generations of scanners.

In a blinded study of 283 stented lesions, photon-counting CT was compared to quantitative coronary angiography for detection of obstructive in-stent restenosis (≥50%).

Compared to cath, photon-counting CT demonstrated lesion-level negative predictive value of 96.4% and overall accuracy of 88.9%.

Impressively, only 1% of scans were indeterminate, with good diagnostic performance regardless of stent diameter.

Full text.

Read the full article in EuroIntervention.

Article: Photon-counting detector computed tomography for the assessment of coronary stents and in-stent restenosis

Authors: Doosup Shin, Rick H.J.A. Volleberg, Roosha Parikh, Christopher Chieh Yang Koo, Sarah Malik, Matthew Cannata, Emma Caron, Yasemin Ciftcikal, Koshiro Sakai, J. Jane Cao, Lu Chen, Fernando Sosa, Jonathan Weber, Jaffar M. Khan, David J. Cohen, Jeffrey W. Moses, Niels van Royen, Carlos Collet, Richard A. Shlofmitz, Evan Shlofmitz, Allen Jeremias, Omar K. Khalique, Ziad A. Ali

Michael Hadley: Photon-Counting CT Offers Good Diagnostic Accuracy for Detecting In-Stent Restenosis

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