CT comparison of visual and computerised quantification of coronary stenosis according to plaque composition.
Kang, DK; Im, NJ; Park, SM; Lim, HS
European radiology, 21(4):712-721, 2011
OBJECTIVE: To compare the diagnostic performance of computerised quantification with visual assessment for the detection of significant coronary stenosis using MDCT, and to determine the impact of plaque composition on diagnostic procedure.
METHODS: We retrospectively evaluated 1564 coronary segments of 127 patients who underwent 64-slice MDCT and quantitative coronary angiography (QCA). The lesions were analysed with both methods of visual assessment and computerised quantification using an automatic vessel contour detection tool, and the results were compared with the QCA results. Plaques detected with MDCT were classified as calcified, mixed, and non-calcified according to plaque composition.
RESULTS: The sensitivity and PPV of visual assessment (computerised quantification) were 95% (86%) and 76% (81%), respectively. Bland-Altman analysis demonstrated a mean difference of -5.2 ± 21.6% for all lesions, 2.2 ± 23.7 for calcified plaques, and -12.0 ± 17.2% for non-calcified plaques. The correlation coefficients and limits of agreement between CTA and QCA were 0.48 and ± 46.5% (0.74 and ± 33.7%) in the lesions with calcified plaques (non-calcified plaques).
CONCLUSIONS: The computerised quantification decreases the sensitivity due to underestimation of non-calcified plaques compared with visual assessment, and had a poorer correlation and a larger limit of agreement in the lesions with calcified plaque compared with non-calcified plaques.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
Total Visit :2,916,668
Total Download :1,178,557
Today View :96
Ajou University Medical Information & Media Center 164 Worldcup-ro Yeongtong-gu Suwon 16499 Korea / TEL : 031-219-5312 / FAX : 031-219-5314 Copyright (c) Ajou University Medical Information & Media Center All Rights Reserved. AJOU Open Repository는 국립중앙도서관 OAK 보급사업으로 구축되었습니다.