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IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/S1934-5925(26)00003-1
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引用次数: 0
Photon-counting Detector Cta In Standard And Ultrahigh-resolution Modes For Diagnosing Coronary Artery Stenosis Using Invasive Angiography As The Reference: A Prospective Study 光子计数检测器Cta在标准和超高分辨率模式下诊断冠状动脉狭窄,以有创血管造影为参考:一项前瞻性研究
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.040
M. Wang
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引用次数: 0
Ct Coronary Angiography And Stress Cardiac Magnetic Resonance Of Asymptomatic Type 2 Diabetics With Cardiovascular High Risk To Measure Empagliflozin Impact On Myocardial Blood Flow And Coronary Artery Plaque: Randomised Controlled Trial (CATCH-EM) 随机对照试验(CATCH-EM):无症状2型糖尿病合并心血管高危患者的Ct冠状动脉造影和应激性心脏磁共振测量恩格列净对心肌血流和冠状动脉斑块的影响
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.071
M. Ng , E. Lo , K. Leung , C. Lee , Y. Wan , T. Sin , J. Wang , B. Cheung , T. Ip , K. Cheng , W. Poon , Y. Yu , K. Branch , J. Earls , K. Yiu
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引用次数: 0
From Screenshot To Structured Report: Chatgpt-assisted Coronary Calcium Scoring 从截图到结构化报告:冠状动脉钙化评分
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.017
S. Jaikumar
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引用次数: 0
Unmasking A Rare Congenital Quartet: Cardiac CT Diagnosis Of PAPVC, Sinus Venosus ASD, Bicuspid Aortic Valve, And Complex Aortic Arch Obstruction 揭示罕见的先天性四重奏:心脏CT诊断PAPVC,静脉窦ASD,二尖瓣主动脉瓣和复杂的主动脉弓阻塞
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.031
A. Gupta, M. Sinha
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引用次数: 0
SCCT Connect_BW_FP SCCT Connect_BW_FP
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/S1934-5925(26)00038-9
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引用次数: 0
Assessment of left ventricular thrombi using cardiac CT: A comparative evaluation of non-contrast, CT-angiography, delayed-enhanced images, and extracellular volume maps 心脏CT对左心室血栓的评估:非造影剂、CT血管造影、延迟增强图像和细胞外体积图的比较评估。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.10.015
Hiroko Takaoka , Seitaro Oda , Masafumi Kidoh , Hidetaka Hayashi , Fumihiro Yoshimura , Yuika Watanabe , Seika Furuie , Yasunori Nagayama , Takeshi Nakaura , Naoto Kuyama , Hiroki Usuku , Yasuhiro Izumiya , Kenichi Tsujita , Toshinori Hirai

Background

To evaluate and compare the diagnostic performance of non-contrast, early-phase, delayed-phase images, and CT-derived extracellular volume (ECV) maps in detecting left ventricular (LV) thrombus (LVT) using cardiac computed tomography (CT).

Methods

We retrospectively analyzed 30 patients (mean age 64.3 ​± ​13.6 years) with clinically diagnosed LVT who underwent multiphase cardiac CT. Imaging protocols included non-contrast CT, coronary CT angiography (early-phase), delayed-phase CT acquired 7 ​min post-contrast, and CT-derived ECV mapping. Quantitative analysis involved measuring CT attenuation values of LVT, myocardium, and LV cavity. Two cardiovascular radiologists independently performed qualitative visual conspicuity scoring. Diagnostic performance was evaluated using receiver operating characteristic (ROC) curve analysis.

Results

Early-phase, delayed-phase, and ECV maps demonstrated significant differentiation among LVT, myocardium, and LV cavity, with ECV maps showing the highest classification accuracy. Visual conspicuity scores were also highest for ECV maps. ROC curve analysis revealed superior diagnostic performance for delayed-phase images (AUC 0.95) and ECV maps (AUC 0.98), compared with early-phase (AUC 0.78) and non-contrast images (AUC 0.55).

Conclusion

Delayed-phase imaging and CT-derived ECV mapping significantly improve the detection and characterization of LVT compared with non-contrast and early-phase CT. Incorporating these imaging techniques into cardiac CT protocols may improve diagnostic confidence and facilitate timely clinical decision-making in patients at risk of thromboembolic events.
背景:评估和比较非对比、早期、延迟期图像和CT衍生的细胞外体积(ECV)图在心脏计算机断层扫描(CT)检测左心室血栓(LVT)中的诊断性能。方法:回顾性分析30例临床诊断为LVT的患者(平均年龄64.3±13.6岁)行心脏多期CT检查。成像方案包括非对比CT、冠状动脉CT血管造影(早期)、对比后7分钟获得的延迟期CT和CT衍生的ECV制图。定量分析包括测量左室、心肌和左室腔的CT衰减值。两名心血管放射科医师独立进行定性视觉显著性评分。采用受试者工作特征(ROC)曲线分析评价诊断效果。结果:早期、延迟期和ECV图显示LVT、心肌和左室腔之间有明显的分化,其中ECV图的分类准确率最高。ECV地图的视觉显著性得分也最高。ROC曲线分析显示,与早期(AUC 0.78)和非对比图像(AUC 0.55)相比,延迟期图像(AUC 0.95)和ECV图(AUC 0.98)的诊断性能更好。结论:与未对比和早期CT相比,延迟期成像和CT衍生的ECV定位可显著提高LVT的检测和表征。将这些成像技术纳入心脏CT方案可以提高诊断的可信度,并促进有血栓栓塞事件风险的患者及时做出临床决策。
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引用次数: 0
Distribution of coronary artery calcium volume and density by age, sex, and race using AI-based quantification algorithm 使用基于人工智能的量化算法测定冠状动脉钙容量和密度随年龄、性别和种族的分布。
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.12.003
Gabrielle Gershon , Kari Zhou , Yan Yang , Xinyue Yan , Jaret Barr , Alexander C. Razavi , Saikiran Rapaka , Omar Dzaye , Seamus P. Whelton , Michael J. Blaha , Laurence S. Sperling , Terry A. Jacobson , Carlo N. De Cecco , Marly van Assen

Background

The Agatston score is commonly used for coronary artery calcium (CAC) quantification which integrates calcium volume and density into a single measure. Recent studies suggest CAC volume and mean density offer independent prognostic value. However, normative distributions of these parameters across demographic subgroups are not well characterized.

Methods

A total of 23,844 patients were analyzed who underwent non-contrast ECG-gated cardiac CT at 120 ​kVp from 2010 to 2023 ​at our institution. Patients included were older than 35, asymptomatic, and without prior atherosclerotic cardiovascular disease. CAC volume and mean density were directly quantified using a validated deep learning-based software. Participants were stratified by sex, self-reported race (White, Black), and age (in 10-year strata). Percentile distributions were constructed for CAC total volume and average mean density using a LOESS-based approach to account for the zero-inflated nature of the data. Between-group comparisons were conducted with Mann-Whitney U.

Results

The cohort (mean age 58 ​± ​9 years) included 41 ​% women and 74 ​% White and 10 ​% Black participants. Men had significantly higher CAC volume than women across all race/age strata (59 mm3 (IQR 14–223) vs 28 mm3 (IQR 8–100), p ​< ​0.001). Black men and women generally had lower CAC volumes than their White counterparts, with the exception of Black women, who demonstrated higher CAC volumes than White women in several age strata. Average mean CAC density increased with age and was consistently higher in White patients compared to Black patients (194 HU (IQR 163–226) vs 171 HU (IQR 152–205), p ​< ​0.001), independent of sex. Sex-based differences in CAC volume persisted after stratification by race. Age-related increases in both volume and density were observed in all groups.

Conclusion

This analysis provides percentile distributions of directly measured CAC volume and average mean density across age, sex, and race. The data may better contextualize CAC interpretation and risk stratification.
背景:Agatston评分通常用于冠状动脉钙(CAC)的定量,它将钙的体积和密度整合到一个单一的测量中。最近的研究表明,CAC体积和平均密度具有独立的预后价值。然而,这些参数在人口统计亚群中的规范分布并没有很好地表征。方法:2010年至2023年在我院接受120 kVp非造影剂心电图门控心脏CT检查的23,844例患者进行分析。纳入的患者年龄大于35岁,无症状,既往无动脉粥样硬化性心血管疾病。使用经过验证的基于深度学习的软件直接量化CAC体积和平均密度。参与者按性别、自我报告的种族(白人、黑人)和年龄(按10岁分层)分层。使用基于loss的方法构建CAC总体积和平均密度的百分位数分布,以解释数据的零膨胀性质。结果:该队列(平均年龄58±9岁)包括41%的女性,74%的白人和10%的黑人参与者。在所有种族/年龄层中,男性的CAC体积明显高于女性(59 mm3 (IQR 14-223) vs 28 mm3 (IQR 8-100), p < 0.001)。黑人男性和女性的CAC含量普遍低于白人,但在几个年龄段,黑人女性的CAC含量高于白人女性。平均CAC密度随年龄增长而增加,白人患者的平均CAC密度始终高于黑人患者(194 HU (IQR 163-226) vs 171 HU (IQR 152-205), p < 0.001),与性别无关。在种族分层后,基于性别的CAC体积差异仍然存在。在所有组中均观察到与年龄相关的体积和密度增加。结论:该分析提供了直接测量的CAC体积和平均密度在年龄、性别和种族之间的百分位数分布。这些数据可以更好地解释CAC和风险分层。
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引用次数: 0
Super-resolution Deep Learning Reconstruction For Coronary CT Angiography: Improved Coronary Stenosis Assessment And CAD-RADS Reclassification 冠状动脉CT血管造影的超分辨率深度学习重建:改进冠状动脉狭窄评估和CAD-RADS再分类
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.007
L. Zou
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引用次数: 0
Feasibility Of Contrast-enhanced Cardiac Ct For Extracellular Volume Quantification In Hypertrophic Cardiomyopathy: A Retrospective Comparison With Cardiac Mri 增强心脏Ct对肥厚性心肌病细胞外体积定量的可行性:与心脏Mri的回顾性比较
IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-01 DOI: 10.1016/j.jcct.2025.11.028
S. Chen
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引用次数: 0
期刊
Journal of Cardiovascular Computed Tomography
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