Quantitative analysis of coronary vessels with optimized intracoronary CT number.

BACKGROUND: Variability in intracoronary computed tomography (CT) number may influence vessel quantification. We confirmed the feasibility of a novel method for measuring vessel diameter and area using coronary CT angiography (CCTA) with an optimized intracoronary CT number, 350 HU. METHODS: We perf...

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Main Authors: Sei Komatsu, Teruaki Kamata, Atsuko Imai, Tomoki Ohara, Kazuaki Miyaji, Yasuhiko Kobayashi, Kazuhisa Kodama
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3883697?pdf=render
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author Sei Komatsu
Teruaki Kamata
Atsuko Imai
Tomoki Ohara
Kazuaki Miyaji
Yasuhiko Kobayashi
Kazuhisa Kodama
author_facet Sei Komatsu
Teruaki Kamata
Atsuko Imai
Tomoki Ohara
Kazuaki Miyaji
Yasuhiko Kobayashi
Kazuhisa Kodama
author_sort Sei Komatsu
collection DOAJ
description BACKGROUND: Variability in intracoronary computed tomography (CT) number may influence vessel quantification. We confirmed the feasibility of a novel method for measuring vessel diameter and area using coronary CT angiography (CCTA) with an optimized intracoronary CT number, 350 HU. METHODS: We performed intravascular ultrasound (IVUS) imaging in 52 patients with significant stenosis detected by coronary CT angiography targeting 350 HU using a CT number-controlling system. We measured 0-to-0 HU distances in the cross-sectional coronary images of 32 patients. We analyzed the ratio of 0-to-0 HU distances in CT images to media-to-media distances in IVUS images (C:I ratio). The area of ≥0 HU for 103 representative points in the remaining 20 patients was compared to the area of the traced external elastic membrane (EEM) in IVUS images. RESULTS: There was a strong correlation between 0-to-0 HU distance in CT images and media-to-media diameter in IVUS images (r = 0.97, p<0.001). The C:I ratio was 1.1. EEM area was estimated by dividing the area of ≥0 HU by the square of C:I. There was also a strong correlation between the estimated EEM area and the EEM area in IVUS images (r = 0.95, p<0.001). CONCLUSIONS: Media-to-media diameter and EEM area can be estimated by CCTA targeting the optimized intracoronary CT number when blood vessel borders are defined at 0 HU.
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spelling doaj.art-82f8b739c6c844469dd4b858594192152022-12-21T22:59:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0191e8531210.1371/journal.pone.0085312Quantitative analysis of coronary vessels with optimized intracoronary CT number.Sei KomatsuTeruaki KamataAtsuko ImaiTomoki OharaKazuaki MiyajiYasuhiko KobayashiKazuhisa KodamaBACKGROUND: Variability in intracoronary computed tomography (CT) number may influence vessel quantification. We confirmed the feasibility of a novel method for measuring vessel diameter and area using coronary CT angiography (CCTA) with an optimized intracoronary CT number, 350 HU. METHODS: We performed intravascular ultrasound (IVUS) imaging in 52 patients with significant stenosis detected by coronary CT angiography targeting 350 HU using a CT number-controlling system. We measured 0-to-0 HU distances in the cross-sectional coronary images of 32 patients. We analyzed the ratio of 0-to-0 HU distances in CT images to media-to-media distances in IVUS images (C:I ratio). The area of ≥0 HU for 103 representative points in the remaining 20 patients was compared to the area of the traced external elastic membrane (EEM) in IVUS images. RESULTS: There was a strong correlation between 0-to-0 HU distance in CT images and media-to-media diameter in IVUS images (r = 0.97, p<0.001). The C:I ratio was 1.1. EEM area was estimated by dividing the area of ≥0 HU by the square of C:I. There was also a strong correlation between the estimated EEM area and the EEM area in IVUS images (r = 0.95, p<0.001). CONCLUSIONS: Media-to-media diameter and EEM area can be estimated by CCTA targeting the optimized intracoronary CT number when blood vessel borders are defined at 0 HU.http://europepmc.org/articles/PMC3883697?pdf=render
spellingShingle Sei Komatsu
Teruaki Kamata
Atsuko Imai
Tomoki Ohara
Kazuaki Miyaji
Yasuhiko Kobayashi
Kazuhisa Kodama
Quantitative analysis of coronary vessels with optimized intracoronary CT number.
PLoS ONE
title Quantitative analysis of coronary vessels with optimized intracoronary CT number.
title_full Quantitative analysis of coronary vessels with optimized intracoronary CT number.
title_fullStr Quantitative analysis of coronary vessels with optimized intracoronary CT number.
title_full_unstemmed Quantitative analysis of coronary vessels with optimized intracoronary CT number.
title_short Quantitative analysis of coronary vessels with optimized intracoronary CT number.
title_sort quantitative analysis of coronary vessels with optimized intracoronary ct number
url http://europepmc.org/articles/PMC3883697?pdf=render
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