Feasibility of morphological assessment of coronary artery calcification with electrocardiography-gated non-contrast computed tomography: a comparative study with optical coherence tomography.
Aged
Aged, 80 and over
Cardiac-Gated Imaging Techniques
Computed Tomography Angiography
Coronary Angiography
Coronary Artery Disease
/ diagnostic imaging
Coronary Vessels
/ diagnostic imaging
Electrocardiography
Feasibility Studies
Female
Humans
Male
Middle Aged
Observer Variation
Percutaneous Coronary Intervention
Predictive Value of Tests
Reproducibility of Results
Retrospective Studies
Severity of Illness Index
Tomography, Optical Coherence
Vascular Calcification
/ diagnostic imaging
Coronary artery calcification
Nodular calcification
Non-contrast computed tomography
Optical coherence tomography
Journal
The international journal of cardiovascular imaging
ISSN: 1875-8312
Titre abrégé: Int J Cardiovasc Imaging
Pays: United States
ID NLM: 100969716
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
13
08
2020
accepted:
28
10
2020
pubmed:
6
11
2020
medline:
6
7
2021
entrez:
5
11
2020
Statut:
ppublish
Résumé
To investigate the feasibility of pre-procedural morphological assessment of coronary artery calcification in severely calcified lesions with electrocardiography (ECG)-gated non-contrast computed tomography (CT). Severely calcified coronary arteries in patients who underwent ECG-gated non-contrast CT prior to optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) were studied retrospectively. CT and OCT data were co-registered by marking landmark structures such as side branches and reviewed side by side with cross-sectional images. The maximum calcium angle (MCA) and presence of nodular calcification (NC) were evaluated. A total of 496 cross-sections in 16 lesions were included in this analysis. The Pearson correlation coefficient between CT- and OCT-derived MCA was 0.92 (p < 0.001). Bland-Altman plots of OCT-derived MCA in relation to CT-derived MCA showed a mean bias of 4.8 degrees with 95% limits of agreement of - 69.7 to 79.4 degrees. Sensitivity, specificity, and positive and negative predictive values of CT in identifying MCA > 270 degrees were 90.3%, 79.7%, 92.1%, and 97.4%, respectively. Sensitivity, specificity, and positive and negative predictive values of CT in identifying NC were 73.3%, 97.5%, 47.8%, and 99.2%, respectively. ECG-gated non-contrast coronary CT might be helpful to obtain detailed information of severe coronary artery calcification before PCI.
Identifiants
pubmed: 33151511
doi: 10.1007/s10554-020-02093-z
pii: 10.1007/s10554-020-02093-z
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1445-1453Références
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