Calcium evaluation using coronary computed tomography in combination with optical coherence tomography.
Computed tomography
Coronary artery disease
Coronary calcification
Intravascular imaging
Optical coherence tomography
Percutaneous coronary intervention
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:
Sep 2023
Sep 2023
Historique:
received:
22
04
2023
accepted:
29
05
2023
medline:
26
9
2023
pubmed:
8
6
2023
entrez:
8
6
2023
Statut:
ppublish
Résumé
Optical coherence tomography (OCT) can assess calcium thickness, a key factor for predicting good stent expansion; however, it underestimates coronary calcium severity due to its penetration limitation. This study aimed to evaluate computed tomography (CT) and OCT images to assess calcification. We investigated 25 left anterior descending arteries of 25 patients, using coronary CT and OCT, and assessed their calcification. Of the 25 vessels, 1811 pairs of CT and OCT cross-sectional images were co-registered. Of the 1811 cross-sectional CT images, calcification was not detectable in 256 (14.1%) of the corresponding OCT images due to limited penetration. In the 1555 OCT calcium-detectable images, the maximum calcium thickness was not detectable in 763 (49.1%) images compared to the CT images. In CT images of slices corresponding to undetected calcium in OCT images, the angle, thickness, and maximum density of calcium were significantly smaller compared to slices corresponding to detected calcium in OCT. Calcium with an undetectable maximum thickness in the corresponding OCT image had a significantly greater calcium angle, thickness, and density than calcium with a detectable maximum thickness. There was an excellent correlation between CT and OCT with respect to calcium angle ( R= 0.82, P < 0.001). The calcium thickness on the OCT image had a stronger correlation with the maximum density on the corresponding CT image (R = 0.73, P < 0.001) than with the calcium thickness on the CT image (R = 0.61, P < 0.001). Cross-sectional CT imaging allows for pre-procedural assessment of calcium morphology and severity and could complement the lack of information on calcium severity in OCT-guided percutaneous coronary intervention.
Identifiants
pubmed: 37289332
doi: 10.1007/s10554-023-02891-1
pii: 10.1007/s10554-023-02891-1
doi:
Substances chimiques
Calcium
SY7Q814VUP
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1815-1824Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature B.V.
Références
Tearney GJ, Regar E, Akasaka T, Adriaenssens T, Barlis P, Bezerra HG et al (2012) Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies: a report from the International Working Group for Intravascular Optical Coherence Tomography standardization and validation. J Am Coll Cardiol 59:1058–1072
doi: 10.1016/j.jacc.2011.09.079
Fujii K, Kubo T, Otake H, Nakazawa G, Sonoda S, Hibi K et al (2020) Expert consensus statement for quantitative measurement and morphological assessment of optical coherence tomography. Cardiovasc Interv Ther 35:13–18
doi: 10.1007/s12928-019-00626-5
Mehanna E, Bezerra HG, Prabhu D, Brandt E, Chamié D, Yamamoto H et al (2013) Volumetric characterization of human coronary calcification by frequency-domain optical coherence tomography. Circ J 77:2334–2340
doi: 10.1253/circj.CJ-12-1458
Maejima N, Hibi K, Saka K, Akiyama E, Konishi M, Endo M et al (2016) Relationship between thickness of calcium on optical coherence tomography and crack formation after balloon dilatation in calcified plaque requiring rotational atherectomy. Circ J 80:1413–1419
doi: 10.1253/circj.CJ-15-1059
Kubo T, Shimamura K, Ino Y, Yamaguchi T, Matsuo Y, Shiono Y et al (2015) Superficial calcium fracture after PCI as assessed by OCT. JACC Cardiovasc Imaging 8:1228–1229
doi: 10.1016/j.jcmg.2014.11.012
Kume T, Uemura S (2018) Current clinical applications of coronary optical coherence tomography. Cardiovasc Interv Ther 33:1–10
doi: 10.1007/s12928-017-0483-8
Rochitte CE, Dewey M, Niinuma H, Clouse ME (2014) Patterns of coronary arterial lesion calcification. Int J Cardiovasc Imaging 29:1619–1627
Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R (1990) Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 15:827–832
doi: 10.1016/0735-1097(90)90282-T
Wang FF, Han JL, He R, Zeng XZ, Zhang FC, Guo LJ, Gao W (2014) Prognostic value of coronary artery calcium score in patients with stable angina pectoris after percutaneous coronary intervention. J Geriatr Cardiol 11:113–119
Hoe JWM, Toh KH (2007) A practical guide to reading CT coronary angiograms-how to avoid mistakes when assessing for coronary stenoses. Int J Cardiovasc Imaging 23:617–633
doi: 10.1007/s10554-006-9173-9
Li P, Xu L, Yang L, Wang R, Hsieh J, Sun Z et al (2018) Blooming artifact reduction in coronary artery calcification by a new de-blooming algorithm: initial study. Sci Rep 8:1–8
Ali ZA, Karimi Galougahi K, Maehara A, Shlofmitz RA, Ben-Yehuda O, Mintz GS et al (2017) Intracoronary optical coherence tomography 2018: current status and future directions. JACC Cardiovasc Interv 10:2473–2487
doi: 10.1016/j.jcin.2017.09.042
Katagiri Y, Hosoi Y, Bota H, Kuroda K, Kasai Y, Ishikawa K et al (2022) Artificial Intelligence vs Visual Assessment of Calcified Plaque in Coronary Artery using Optical Coherence Tomography. JACC Adv 1:4
doi: 10.1016/j.jacadv.2022.100080
Giessen AG, Van Der, Gijsen FJH, Wentzel JJ (2011) Small coronary calcifications are not detectable by 64-slice contrast enhanced computed tomography. Int J Cardiovasc Imaging 27:143–152
doi: 10.1007/s10554-010-9662-8
Saito Y, Kobayashi Y, Fujii K, Sonoda S, Tsujita K, Hibi K et al (2020) Clinical expert consensus document on standards for measurements and assessment of intravascular ultrasound from the Japanese Association of Cardiovascular intervention and therapeutics. Cardiovasc Interv and Ther 35:1–12
doi: 10.1007/s12928-019-00625-6
Kume T, Okura H, Kawamoto T, Yamada R, Miyamoto Y, Hayashida A et al (2011) Assessment of the coronary calcification by optical coherence tomography. EuroIntervention 6:768–772
doi: 10.4244/EIJV6I6A130
Fujino A, Mintz GS, Lee T, Hoshino M, Usui E, Kanaji Y et al (2018) Predictors of calcium fracture derived from balloon angioplasty and its effect on stent expansion assessed by optical coherence tomography. JACC Cardiovasc Interv 11:1015–1017
doi: 10.1016/j.jcin.2018.02.004
Fujino A, Mintz G, Matsumura M, Yamamoto MH, Lee C, Hoshino M et al (2018) TCT-28 a new optical coherence tomography-based calcium scoring system to predict stent underexpansion. EuroIntervention 70:B12–B13
Choi JH, Kim EK, Kim SM, Kim H, Song Y, Bin, Hahn JY et al (2015) Noninvasive discrimination of coronary chronic total occlusion and subtotal occlusion by coronary computed tomography angiography. JACC Cardiovasc Interv 8:1143–1153
doi: 10.1016/j.jcin.2015.03.042
Sekimoto T, Akutsu Y, Hamazaki Y, Sakai K, Kosaki R, Yokota H et al (2016) Regional calcified plaque score evaluated by multidetector computed tomography for predicting the addition of rotational atherectomy during percutaneous coronary intervention. J Cardiovasc Comput Tomogr 10:221–228
doi: 10.1016/j.jcct.2016.01.004
Takahashi Y, Toba T, Otake H, Fukuyama Y, Nakano S, Matsuoka Y et al (2021) Feasibility of morphological assessment of coronary artery calcification with electrocardiography-gated non-contrast computed tomography: a comparative study with optical coherence tomography. Int J Cardiovasc Imaging 37:1445–1453
doi: 10.1007/s10554-020-02093-z
Monizzi G, Sonck J, Nagumo S, Buytaert D, Van Hoe L, Grancini L et al (2020) Quantification of calcium burden by coronary CT angiography compared to optical coherence tomography. Int J Cardiovasc Imaging 36:2393–2402
doi: 10.1007/s10554-020-01839-z
Kuchynka P, Lambert L, Černý V, Marek J, Ambrož D, Danek BA et al (2015) A. Coronary CT angiography. Cor Vasa 57:e425–e432. Statements and Declarations