Validation of the British Cardiovascular Intervention Society Jeopardy Score from coronary CT angiography in TAVI candidates

Clicks: 6
ID: 337473
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #70 of 72 articles by views in European Heart Journal - Imaging Methods and Practice

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Aims Severe aortic stenosis and coronary artery disease (CAD) frequently coexist in patients undergoing transcatheter aortic valve implantation (TAVI). The British Cardiovascular Intervention Society Jeopardy Score (BCIS-JS) is a well established score for determining CAD extent and jeopardized myocardium. The aim of the present study was to validate a CT-derived BCIS-JS (CT-BCIS-JS) against invasive angiography–derived BCIS-JS (iBCIS-JS) in TAVI candidates. Methods and results A total of 108 patients (median age 84 yrs, 43% female) undergoing CCTA prior to TAVI were included. CT-BCIS-JS and iBCIS-JS were both calculated and compared to each other with Spearman rank correlation and Bland-Altman analysis. Diagnostic performance of CT-BCIS-JS for detecting extensive CAD (iBCIS-JS ≥6) was assessed using sensitivity, specificity, positive and negative predictive values, and agreement was evaluated using Cohen’s kappa (κ). Correlation between CT-BCIS-JS and iBCIS-JS was good (Spearman’s rho = 0.61). Bland-Altman analysis demonstrated systematic overestimation of BCIS-JS with CT (by an average of 2.2 units) with rather wide limits of agreement (-4.6 to 9.1). A CT-BCIS-JS ≥6 had excellent sensitivity and negative predictive value (93% and 99% respectively) to detect extensive CAD on invasive angiography, but moderate to low specificity and positive predictive value (76% and 39%, respectively), and agreement for dichotomized BCIS-JS was moderate (κ = 0.44). Conclusion CT-BCIS-JS may serve as a reliable rule-out tool for extensive CAD, potentially reducing the need for invasive angiography in selected TAVI candidates, although systematic overestimation limits its rule-in capability.
Reference Key
openalex_W7223971057 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Anastasia Fiechtner, Raffael Ghenzi, Claudio Bruker, Patric Biaggi, Andreas A. Giannopoulos, Oliver Gaemperli
Are you one of these authors? Claim your profile
Journal European Heart Journal - Imaging Methods and Practice
Year 2026
DOI
10.1093/ehjimp/qyag183
URL
https://doi.org/10.1093/ehjimp/qyag183
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.