Table 2

Imaging trials on cardiovascular disease prevention

TrialImaging nodenObjective/finding
DIAD61 Myocardial perfusion imaging1123Small population with lower than anticipated event rates. Myocardial perfusion scanning had no discernible effect on subsequent cardiac events.
St Francis56 Coronary artery calcium score1005Small population, event curves diverged at 5 years, no effect on slowing progression of coronary calciļ¬cation.
PACC55 Coronary artery calcium score1640Small population with a high level of zero score scans limiting event numbers. Additionally found to have positive effect on physician prescribing preventive medication and compliance.
EISNER48 Coronary artery calcium score2137Demonstrated better risk factor control without increasing downstream medical testing in those who underwent calcium scan.
FACTOR-6458 CT coronary angiography900Small study with no difference detected in outcomes, though close comparison shows failure to deliver treatments depending on scan results.
  • DIAD, Detection of Ischemia in Asymptomatic Diabetics; EISNER, Early Identification of Subclinical Atherosclerosis by Noninvasive Imaging Research; FACTOR-64, Screening For Asymptomatic Obstructive Coronary Artery Disease Among High-Risk Diabetic Patients Using CT Angiography, Following Core 64; PACC, Prospective Army Coronary Calcium.