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Hecht HS et al. – Catheter angiography has also been used as the "gold standard" for the newest technology, coronary computed tomographic angiography. By virtue of similar three dimensional characteristics, intravascular ultrasound may be the more appropriate standard for CCTA. However, because of the paradoxical interdependence of the validations, there can be no true "gold standard" for any technology; clinical, outcomes may ultimately be the best option.

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