The last decade has seen a significant expansion of the evidence supporting the use of non-invasive imaging in the diagnosis of stable chest pain. The most significant of these was the ISCHEMIA trial which redefined the role of anatomical and functional imaging. The current paper examines this trial in the context of the wider literature, to bring together a review of the role of imaging in the patient with stable chest pain.
Keywords: SPECT; cardiac computed tomography; cardiac magnetic resonance imaging; coronary artery disease; guidelines.
© The Author(s) 2025. Published by Oxford University Press on behalf of the British Institute of Radiology.