Pubblicazioni

Autori:

Malago', Roberto; D'Onofrio, Mirko; Tavella, D; Mantovani, William; Brunelli, S; Pezzato, A; Caliari, G; Nicolì, L; Benussi, Paolo; POZZI MUCELLI, Roberto

Titolo:

Diagnostic accuracy in coronary stenosis: comparison between visual score and quantitative analysis (quantitative computed tomographic angiography) in coronary angiography by multidetector computed tomography-coronary angiography and quantitative analysis (quantitative coronary angiography) in conventional coronary angiography

Anno:

2010

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

Sì

Nome rivista:

Journal of Computer Assisted Tomography

ISSN Rivista:

0363-8715

N° Volume:

34

Numero o Fascicolo:

5

Intervallo pagine:

652-659

Parole chiave:

MDCT-CA; cardiac CT; quantitative computed tomographic angiography; QCA

Breve descrizione dei contenuti:

BACKGROUND: Multidetector computed tomography-coronary angiography allows quantification of coronary stenosis with a high level of accuracy; however, the inherent inaccuracy of visual score still remains. Computed quantitative vessel analysis systems (quantitative computed tomographic angiography [QCTA]) aim to overcome this limitation. The aim of our study was to evaluate the accuracy of QCTA in comparison with quantitative coronary angiography (QCA) and visual score using the QCA. MATERIALS AND METHODS: Two operators visually scored 30 consecutive patients referred for multidetector computed tomography-coronary angiography to assess stenotic segments according to a modified 17-segment American Heart Association classification model. Coronary angiography was performed within 1 week. The degree of stenosis was classified as 0%, lower than 20% (wall irregularities), lower than 50% (without significant disease), and higher than 50% (significant disease). Each segment was then analyzed using electronic calipers of the QCTA system. Data were compared with QCA results. Each segment was finally classified as fibrofatty, mixed, and calcified. Comparisons between QCTA results, visual score, and QCA were performed by means of Spearman rank correlation. Interobserver variability is calculated using κ statistics. RESULTS: From a total of 870 segments, 69 were diseased. Interobserver agreement between the 2 operators resulted very high (κ = 0.97). A good correlation was found between visual score and QCA (ρ = 0.932, P < 0.0001) and between visual score and QCTA (ρ = 0.845, P < 0.0001). A moderate correlation was found between QCTA and QCA (ρ = 0.810, P < 0.0001). CONCLUSIONS: The accuracy of QCTA is comparable with that of QCA and visual score especially in noncalcified vessels. Editing of the vessel contours in case of calcified vessels is helpful in correctly estimating the right percentage of stenosis.

Id prodotto:

57469

Handle IRIS:

11562/345195

depositato il:

19 novembre 2010

ultima modifica:

26 novembre 2022

Citazione bibliografica:

Malago', Roberto; D'Onofrio, Mirko; Tavella, D; Mantovani, William; Brunelli, S; Pezzato, A; Caliari, G; Nicolì, L; Benussi, Paolo; POZZI MUCELLI, Roberto, Diagnostic accuracy in coronary stenosis: comparison between visual score and quantitative analysis (quantitative computed tomographic angiography) in coronary angiography by multidetector computed tomography-coronary angiography and quantitative analysis (quantitative coronary angiography) in conventional coronary angiography «Journal of Computer Assisted Tomography» , vol. 34 , n. 5 , 2010 , pp. 652-659

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