We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Value of Computer Analysis of Exercise Thallium Images in the Noninvasive Detection of Coronary Artery Disease

Sanjiv Kaul, MD; John B. Newell; David A. Chesler, ScD; Gerald M. Pohost, MD; Robert D. Okada, MD; Timothy E. Guiney, MD; Charles A. Boucher, MD
JAMA. 1986;255(4):508-511. doi:10.1001/jama.1986.03370040082029.
Text Size: A A A
Published online


WHEN a patient presents with either chest pain or an abnormal electrocardiogram, coronary artery disease (CAD) is suspected. Thallium imaging with exercise is performed frequently at this point to confirm whether CAD is present.1-13 This test provides numerous scintigraphic and nonscintigraphic data, which are usually provided to the physician separately in an unsystematic way. The physician must subjectively integrate the individual results and then decide about the presence of CAD. This decision may be difficult when the data in an individual are discordant regarding the presence or absence of CAD. If the presence of any abnormality is used to diagnose CAD, sensitivity is maximized at the expense of specificity. If the presence of multiple abnormalities is required, specificity is maximized at the expense of sensitivity. To study this problem, we analyzed 196 patients with no previous myocardial infarction who had undergone thallium imaging with exercise and cardiac catheterization. Patients


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.