Diagnostic accuracy of dual-source CT angiography for evaluation of coronary artery and comparative analysis of the DSCT angiography of the internal carotid artery plaque with the histopathological specimens

详细信息    查看全文

• 作者：Babak Shekarchi ; Marzieh Motevalli ; Ali Mohammadzadeh…
• 关键词：Dual ; source CT angiography ; Plaque morphology
• 刊名：Comparative Clinical Pathology
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：25
• 期：1
• 页码：7-14
• 全文大小：357 KB
• 参考文献：Achenbach S, Ropers D, Kuettner A, Flohr T, Ohnesorge B, Bruder H et al (2006) Contrast-enhanced coronary artery visualization by dual-source computed tomography—initial experience. Eur J Radiol 57(3):331–5PubMed CrossRef
  Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS et al (1975) A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 51:5–40PubMed CrossRef
  Becker CR, Knez A, Leber A, Hong C, Treede H, Wildhirt S et al (2000) Initial experiences with multislice detector spiral CT in diagnosis of arteriosclerosis of coronary vessels. Radiologe 40:118–122PubMed CrossRef
  Fellner C, Lang W, Janka R, Wutke R, Bautz W, Fellner FA (2005) Magnetic resonance angiography of the carotid arteries using three different techniques: accuracy compared with intra arterial x-ray angiography and endarterectomy specimens. J Magn Reson Imaging 21(4):424–31PubMed CrossRef
  Hoffmann MH, Shi H, Manzke R et al (2005) Noninvasive coronary angiography with 16-detector row CT: effect of heart rate. Radiology 234:86–97PubMed CrossRef
  Johnson TR, Krauss B, Sedlmair M, Grasruck M, Bruder H, Morhard D et al (2007) Material differentiation by dual energy CT: initial experience. Eur Radiol 17(6):1510–7PubMed CrossRef
  Kachelriess M, Ulzheimer S, Kalender WA (2000) ECG-correlated image reconstruction from subsecond multi-slice spiral CT scans of the heart. Med Phys 27:1881–1902PubMed CrossRef
  Lell M, Fellner C, Baum U, Hothorn T, Steiner R, Lang W et al (2007) Evaluation of carotid artery stenosis with multisection CT and MR imaging: influence of imaging modality and postprocessing. AJNR Am J Neuroradiol 28(1):104–10PubMed
  Leschka S, Wildermuth S, Boehm T et al (2006) Noninvasive coronary angiography with 64-section CT: effect of average heart rate and heart rate variability on image quality. Radiology 241:378–385PubMed CrossRef
  Leschka S, Scheffel H, Desbiolles L, Plass A, Gaemperli O, Valenta I et al (2007) Image quality and reconstruction intervals of dual-source CT coronary angiography: recommendations for ECG-pulsing windowing. Invest Radiol 42(8):543–9PubMed CrossRef
  Martuscelli E, Romagnoli A, D’Eliseo A et al (2004) Accuracy of thin-slice computed tomography in the detection of coronary stenoses. Eur Heart J 25:1043–1048PubMed CrossRef
  Meng L, Cui L, Cheng Y, Wu X, Tang Y, Wang Y, Xu F (2009) Effect of heart rate and coronary calcification on the diagnostic accuracy of the dual-source CT coronary angiography in patients with suspected coronary artery disease. Korean J Radiol 10:347–354PubMed PubMedCentral CrossRef
  Mollet NR, Cademartiri F, Nieman K et al (2004) Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol 43:2265–2270PubMed CrossRef
  Muhlenbruch G, Behrendt FF, Eddahabi MA, Knackstedt C, Stanzel S, Das M, et al (2008) Which iodine concentration in chest CT?—A prospective study in 300 patients. Eur Radiol
  Naghavi M, Libby P, Falk E, Casscells SW, Litovsky S, Rumberger J et al (2003a) From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part II. Circulation 108(15):1772–8PubMed CrossRef
  Naghavi M, Libby P, Falk E, Casscells SW, Litovsky S, Rumberger J et al (2003b) From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part I. Circulation 108(14):1664–72PubMed CrossRef
  Naghavi M, Falk E, Hecht HS, Jamieson MJ, Kaul S, Berman D et al (2006) From vulnerable plaque to vulnerable patient—part III: executive summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force report. Am J Cardiol 98(2A):2H–15HPubMed CrossRef
  NASCET (1991) Clinical alert: benefit of carotid endarterectomy for patients with high-grade stenosis of the internal carotid artery. National Institute of Neurological Disorders and Stroke Stroke and Trauma Division. North American Symptomatic Carotid Endarterectomy Trial (NASCET) investigators. Stroke 22(6):816–7CrossRef
  Nieman K, Oudkerk M, Rensing BJ et al (2001) Coronary angiography with multi-slice computed tomography. Lancet 357:599–603PubMed CrossRef
  Nieman K, Rensing BJ, van Geuns RJ et al (2002) Non-invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart 88:470–474PubMed PubMedCentral CrossRef
  Ohnesorge B, Flohr T, Becker C, Kopp AF, Schoepf UJ, Baum U et al (2000) Cardiac imaging by means of electrocardiographically gated multisection spiral CT: initial experience. Radiology 217:564–571PubMed CrossRef
  Pannu HK, Jacobs JE, Lai S, Fishman EK (2006) Coronary CT angiography with 64-MDCT: assessment of vessel visibility. AJR 187:119–126PubMed CrossRef
  Reimann AJ, Rinck D, Birinci-Aydogan A, Scheuering M, Burgstahler C, Schroeder S et al (2007) Dual-source computed tomography: advances of improved temporal resolution in coronary plaque imaging. Invest Radiol 42(3):196–203PubMed CrossRef
  Ropers D, Baum U, Pohle K et al (2003) Detection of coronary artery stenoses with thin-slice multi-detector row spiral computed tomography and multiplanar reconstruction. Circulation 107:664–666PubMed CrossRef
  Schroeder S, Kopp AF, Baumbach A, Meisner C, Kuettner A, Georg C et al (2001) Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography. J Am Coll Cardiol 37(5):1430–5PubMed CrossRef
  Shim SS, Kim Y, Lim SM (2005) Improvement of image quality with beta-blocker premedication on ECG-gated 16-MDCT coronary angiography. AJR 184:649–654PubMed CrossRef
  Taguchi K, Anno H (2000) High temporal resolution for multislice helical computed tomography. Med Phys 27:861–872PubMed CrossRef
  Vanninen RL, Manninen HI, Partanen PK, Tulla H, Vainio PA (1996) How should we estimate carotid stenosis using magnetic resonance angiography? Neuroradiology 38(4):299–305PubMed CrossRef
  Wintermark M, Jawadi SS, Rapp JH, Tihan T, Tong E, Glidden DV et al (2008) High-resolution CT imaging of carotid artery atherosclerotic plaques. AJNR Am J Neuroradiol 29(5):875–82PubMed CrossRef
  
• 作者单位：Babak Shekarchi (1)
  Marzieh Motevalli (2)
  Ali Mohammadzadeh (2)
  Morteza Noormohammadzadeh (2) (3)
  
  1. Department of Radiology, Aja University of Medical Sciences, Tehran, Iran
  2. Department of Radiology, Iran University of Medical Sciences, Tehran, Iran
  3. Clinical Research Develop Unit, Aja University of Medical Science, Tehran, Iran
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pathology
  Hematology
  Oncology
  
• 出版者：Springer London
• ISSN：1618-565X

文摘

The purpose of this study was to investigate the diagnostic accuracy of a dual-source CT (DSCT) coronary angiography in parallel with a CT angiography. On the other hand, we compared the DSCT angiography of the internal carotid artery plaque with the histopathological specimens. Ninety patients underwent DSCT and an invasive coronary angiography (ICA). All segments were analyzed at 60 and 70 % of R-R interval initially. After finding the reconstruction interval, image quality was divided for each coronary segment on the four-point Likert scale. Also, of these patients, 30 cases that had neurological symptoms and carotid arteries also were evaluated. The degree of stenosis was assessed according to the North American Carotid Endarterectomy Trial (NASCET) criteria. A patient-specific analysis revealed that the method sensitivity was 98.59 %, specificity was 94.7 %, positive predictive value (PPV) was 98.57 %, negative predictive value (NPV) was 95 %, and accuracy was 97.7 %. Also, the kappa statistics did show high values in agreement with the histopathological findings (type III k = 0.82, types IV–V = 0.86, type VI = 0.81, type VII = 0.88, and type VIII = 0.67). Our results suggest that the DSCT has a high diagnostic accuracy for the evaluation of CAD and could demonstrate a high correlation between non-invasive imaging findings with DSCT and histopathological specimens. Keywords Dual-source CT angiography Plaque morphology