Photon-counting CT versus traditional CT for suspected coronary artery disease
Official title: Randomized Prospective Trial on the Cost-Effectiveness of Photon-Counting CT Versus Energy-Integrating Detector CT in Suspected Chronic Coronary Syndrome
Run by IRCCS San Raffaele · NCT07831304 · Data updated 2026-11-12
This trial tests whether photon-counting CT can better diagnose obstructive CAD in people who need a coronary CTA than the standard energy-integrating detector CT.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 630 (estimated) |
| Sponsor | IRCCS San Raffaele Academic / other |
| Locations | 1 site (Milan, Milano) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | September 30, 2027 |
| Study ends | September 30, 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07831304 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults needing CCTA for suspected obstructive CAD, without severe kidney impairment, and willing to participate.
✕Probably not a fit
Patients with no diagnostic advantage from imaging modality differences or those with contraindications to CCTA may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized interventional trial compares two CT imaging technologies for evaluating suspected CAD. Participants with a clinical indication for CCTA are assigned to undergo CCTA with either photon-counting CT or conventional energy-integrating detector CT. The goal is to see if the photon-counting approach improves diagnostic accuracy and reduces unnecessary downstream testing or invasive procedures. The study focuses on how improved image quality and reduced artifacts may affect stenosis classification and subsequent treatment decisions. The trial is conducted at a Milan-based imaging center, led by IRCCS San Raffaele, with eligibility limited to adults without severe renal impairment who meet current ESC guidelines.
Why it matters
Potential benefit: If successful, patients may receive more accurate CAD diagnoses with fewer false positives and unnecessary follow-up tests.
How similar studies have gone: Previous work suggests photon-counting CT can reduce blooming artifacts and improve diagnostic accuracy in cardiac imaging, but this specific head-to-head trial in CAD is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * clinical indication to perform CCTA for CAD assessment according to 2024 ESC Guidelines Exclusion Criteria: * Refusal to participate in the study * Age \<18 years old * Severe reduction in eGFR (\<30 mL/min)
Where it's running
-
Advanced Imaging for Personalized Medicine/Radiologia DiMer
Milan, Milano, Italy Recruiting
Study contacts
- Study coordinator: Antonio Esposito, prof. Dr.
- Email: esposito.antonio@hsr.it
- Phone: +39 02-26432643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
μFR-guided Drug-Coated Balloon Angioplasty vs Angiography-guided Angioplasty in Coronary Artery Disease
This trial tests whether using computational μFR guidance during drug-coated balloon angioplasty is better than standard angiography guidance for people with de novo coronary artery lesions.
-
Gastric Ultrasound Before CABG to See if Heart Function Changes Stomach Contents
This study checks whether people with weaker heart function before elective CABG have different stomach contents seen on ultrasound.
-
Can preoperative photon-counting CT help predict heart recovery after bypass surgery?
This observational study tests whether a preoperative photon-counting CT can help predict heart function 3 months after coronary bypass surgery in adults with coronary artery disease.
-
Real-World Drug-Coated Balloon Angioplasty in Coronary Artery Disease
This registry tests how drug-coated balloons perform in everyday clinical practice for adults with coronary artery disease undergoing PCI.
-
Predicting vasopressor needs after anesthesia in elective on-pump CABG using dynamic arterial elastance
This study tests whether EaDyn measured after induction can help predict which patients will need vasopressors during elective on-pump CABG.
-
Intraoperative Pulse Pressure Variation and Postoperative Lactate Clearance in CABG Patients
This study tests whether the amount a patient’s pulse pressure varies during surgery relates to how quickly lactate levels drop after CABG.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.