Comparison of longitudinal geometric measurement in human coronary arteries between frequency-domain optical coherence tomography and intravascular ultrasound

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• 作者：Yong Liu (1)
  Kunihiro Shimamura (1)
  Takashi Kubo (1)
  Atsuhi Tanaka (1)
  Hironori Kitabata (1)
  Yasushi Ino (1)
  Takashi Tanimoto (1)
  Yasutsugu Shiono (1)
  Makoto Orii (1)
  Takashi Yamano (1)
  Tomoyuki Yamaguchi (1)
  Kumiko Hirata (1)
  Toshio Imanishi (1)
  Takashi Akasaka (1)
  
• 关键词：Optical coherence tomography ; Intravascular ultrasound ; Coronary angiography ; Intracoronary imaging
• 刊名：The International Journal of Cardiovascular Imaging (formerly Cardiac Imaging)
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：30
• 期：2
• 页码：271-277
• 全文大小：497 KB
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• 作者单位：Yong Liu (1)
  Kunihiro Shimamura (1)
  Takashi Kubo (1)
  Atsuhi Tanaka (1)
  Hironori Kitabata (1)
  Yasushi Ino (1)
  Takashi Tanimoto (1)
  Yasutsugu Shiono (1)
  Makoto Orii (1)
  Takashi Yamano (1)
  Tomoyuki Yamaguchi (1)
  Kumiko Hirata (1)
  Toshio Imanishi (1)
  Takashi Akasaka (1)
  
  1. Department of Cardiovascular Medicine, Wakayama Medical University, 811-1, Kimiidera, Wakayama, 641-8510, Japan
  
• ISSN：1573-0743

文摘

Previous studies have demonstrated the higher accuracy of frequency-domain optical coherence tomography (FD-OCT) for quantitative measurements in comparison with intravascular ultrasound (IVUS). However, those analyses were based on the cross-sectional images. The aim of this study was to assess the accuracy of FD-OCT for longitudinal geometric measurements of coronary arteries in comparison with IVUS. Between October 2011 and March 2012, we performed prospective FD-OCT and IVUS examinations in consecutive 77 patients who underwent percutaneous coronary intervention with single stent. Regression analysis and Bland–Altman analysis revealed an excellent correlation between the FD-OCT-measured stent lengths and IVUS-measured stent lengths (r?=?0.986, p?<?0.001; mean difference?=??.51?mm). There was an excellent agreement between the actual stent lengths and the FD-OCT-measured stent lengths (r?=?0.993, p?<?0.001) as well as between the actual stent lengths and the IVUS-measured stent lengths (r?=?0.981, p?<?0.001). The difference between the actual stent lengths and the FD-OCT-measured stent lengths was significantly smaller than that between the actual stent lengths and the IVUS-measured stent lengths (0.15?±?0.68 vs. 0.70?±?1.15?mm, p?<?0.001). Both FD-OCT (mean difference?=??.04 and ?.04?mm, respectively) and IVUS (mean difference?=??.06 and ?.06?mm, respectively) showed an excellent intra-observer and inter-observer reproducibility for the stent length measurements. In conclusion, FD-OCT provides accurate longitudinal measurement with excellent intra-observer and inter-observer reproducibility. FD-OCT might be a reliable technique for longitudinal geometric measurement in human coronary arteries.