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Journal of cardiovascular computed tomography最新文献

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Computed tomography coronary angiography assessment of left main coronary artery stenosis severity. 计算机断层扫描冠状动脉造影术对左冠状动脉主干狭窄严重程度的评估。
Pub Date : 2024-07-17 DOI: 10.1016/j.jcct.2024.07.005
Udit Thakur, Jason Nogic, Andrea Comella, Nitesh Nerlekar, Jasmine Chan, Timothy Abrahams, Michael Michail, Adam Nelson, Damini Dey, Brian Ko, Sujith Seneviratne, Adam J Brown

Background: Angiographic assessment of left main coronary artery (LMCA) stenosis severity can be unreliable. In cases of ambiguity, intravascular ultrasound (IVUS) can be utilised with a minimal lumen area (MLA) of ≥6 ​mm2 an accepted threshold for safe deferral of revascularization. We sought to assess whether quantitative computer tomography coronary angiography (CTCA) measures could assist clinicians making LMCA revascularization decisions when compared with IVUS as gold standard.

Methods: Consecutive patients undergoing IVUS assessment of angiographically intermediate LMCA stenosis were included. All patients had undergone 320-slice CTCA <90 days prior to IVUS imaging. Offline quantitative assessment of IVUS- and CT-derived measures were undertaken with the cohort divided into those with significant (s-LMCA) versus non-significant (ns-LMCA) disease using the accepted IVUS threshold.

Results: Fifty-eight patients were included, with no difference in mean age (61.5 ​± ​12.2 vs. 59.7 ​± ​11.9 years, p ​= ​0.57), diabetic status (24.2% vs 16.0%, p ​= ​0.44) or other baseline demographics between groups. Patients with ns-LMCA had larger CT luminal area (8.64 ​± ​3.91 vs. 5.41 ​± ​1.54 ​mm2, p ​< ​0.001), larger minimal lumen diameter (MLD) (3.25 ​± ​0.74 vs. 2.56 ​± ​0.38 ​mm, p ​< ​0.001) and lower area stenosis (45.74 ​± ​18.10 vs. 60.93 ​± ​14.68%, p ​= ​0.001). There was a significant positive correlation between CTCA and IVUS MLA (r ​= ​0.68, p ​< ​0.001) and MLD (r ​= ​0.67, p ​< ​0.001). ROC analysis demonstrated CTCA MLA cut-off <8.29 ​mm2 provides the greatest negative predictive value and sensitivity in predicting the presence of significant LMCA disease.

Conclusion: CTCA derived MLA and MLD have a strong correlation with IVUS. A CTCA derived MLA cut-off <8.29 ​mm2 showed greatest clinical utility for predicting the need for further assessment, based on IVUS gold standard.

背景:左冠状动脉主干(LMCA)狭窄严重程度的血管造影评估可能并不可靠。在不明确的情况下,可以使用血管内超声(IVUS),最小管腔面积(MLA)≥6 平方毫米是安全推迟血管再通的公认阈值。我们试图评估定量计算机断层扫描冠状动脉造影(CTCA)与作为金标准的 IVUS 相比,是否能帮助临床医生做出 LMCA 血管再通的决定:纳入接受 IVUS 评估的 LMCA 中度血管狭窄连续患者。所有患者均接受过 320 片 CTCA 结果:共纳入 58 例患者:纳入的 58 例患者的平均年龄(61.5 ± 12.2 岁 vs. 59.7 ± 11.9 岁,P = 0.57)、糖尿病状态(24.2% vs. 16.0%,P = 0.44)或其他基线人口统计学指标在组间无差异。NS-LMCA患者的CT管腔面积更大(8.64 ± 3.91 vs. 5.41 ± 1.54 mm2,p 2),在预测LMCA是否存在重大疾病方面具有最大的阴性预测价值和灵敏度:结论:CTCA 导出的 MLA 和 MLD 与 IVUS 有很强的相关性。结论:CTCA 导出的 MLA 和 MLD 与 IVUS 有很强的相关性。根据 IVUS 黄金标准,CTCA 导出的 MLA 临界值 2 在预测是否需要进一步评估方面显示出最大的临床实用性。
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引用次数: 0
Lipoprotein(a) and coronary artery disease burden in patients with diabetes. 糖尿病患者的脂蛋白(a)和冠状动脉疾病负担。
Pub Date : 2024-07-10 DOI: 10.1016/j.jcct.2024.07.001
John P Salvas, Juhi Ramchandani, Purva Patel, Tarek Aridi, Keyur Vora, Olexandr Smolensky, Kristen Olsen, Rohan Dharmakumar, Subha V Raman
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引用次数: 0
Distribution Of Coronary Plaque Subtypes Among Races Quantified By Automated Coronary Plaque Analysis 通过自动冠状动脉斑块分析量化不同种族冠状动脉斑块亚型的分布情况
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.169
M. Erbay, S. Susarla, D. Lee, V. Manubolu, A. Kinninger, H. Sandhu, D. Behjatnia, O. Bikhazi, K. Ngo, A. Jung, I. Yusufu, T. Ahmad, Budoff M
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引用次数: 0
Comprehensive Assessment Of CT Hounsfield Unit Variation Within Patients, Scanners, And Integrated Measures 全面评估患者、扫描仪和综合措施中的 CT Hounsfield 单位差异
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.150
S. Krishnan, D. Li, S. Mao, F. Flores, Y. Gao, S. Luo, M. Budoff
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引用次数: 0
Optimal Threshold For Characterizing Calcified Plaque On Ccta As Determined By Correlation With Oct 通过与 Oct 的相关性确定 Ccta 上钙化斑块的最佳阈值
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.189
D. Chamie, R. Okubo, Y. Sobue, U. Kaneko, H. Sato, S. Fujimoto, Y. Nozaki, T. Kajiya, T. Miyoshi, K. Ichikawa, M. Abe, T. Kitagawa, H. Ikenaga, K. Osawa, M. Saji, N. Iguchi, G. Nakazawa, K. Takahashi, T. Ijich, H. Mikamo, A. Kurata, M. Moroi, R. Iijima, A. Lansky, A. Demuyakor, H. Matsuo, U. Hoffmann, J. Min, J. Earls, R. Nakanishi
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引用次数: 0
Fully Automated Functional Assessment Of Pre-procedural Cardiac Ct Predicts Outcome In Transcatheter Aortic Valve Replacement Candidates 全自动心脏 CT 术前功能评估可预测经导管主动脉瓣置换术候选者的结果
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.202
G. Tremamunno, A. Varga-Szemes, U. Schoepf, E. Zsarnóczay, G. Aquino, J. O'Doherty, M. Vecsey-Nagy, T. Emrich
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引用次数: 0
AI-enabled Bone Mineral Density Measurement In Coronary Artery Calcium Scans Associated With High Coronary Artery Calcium Independently Of Conventional Risk Factors: Multi-ethnic Study Of Atherosclerosis (mesa) 人工智能支持的冠状动脉钙扫描中的骨矿物质密度测量与高冠状动脉钙有关,与常规风险因素无关:多种族动脉粥样硬化研究 (mesa)
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.139
K. Atlas, C. Zhang, A. Reeves, D. Li, T. Atlas, M. Budoff, M. Naghavi
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引用次数: 0
Comparative Analysis Of Coronary Calcium Scoring Using True Non-contrast And Photon-counting Detector Ct Virtual Non-contrast Reconstructions 使用真实非对比和光子计数探测器 Ct 虚拟非对比重建进行冠状动脉钙化评分的对比分析
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.137
A. Alatoum, S. Pryia
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引用次数: 0
The Diagnostic Accuracy Of Photon Counting Detector CT Scan In The Detection Of Obstructive Coronary Artery Disease In Comparison To Invasive Coronary Angioraphy In Patients With Agatston Coronary Artery Calcium Score Of Greater Than 1000. 与侵入性冠状动脉血管造影术相比,光子计数探测器 CT 扫描对 Agatston 冠状动脉钙化评分大于 1000 分的患者检测阻塞性冠状动脉疾病的诊断准确性。
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.164
A. Onuegbu, J. Weber, C. Sarpong, J. Orozco Diaz, E. Wolff, Z. Ali, O. Khalique
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引用次数: 0
Measuring Aortic Root On CTA: A Comparative Study On Different Measurement Techniques 用 CTA 测量主动脉根部:不同测量技术的比较研究
Pub Date : 2024-07-01 DOI: 10.1016/j.jcct.2024.05.123
S. Sultana, D. Paneitz, B. Badreldin, M. Randhawa, J. Arminder, S. Hedgire
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引用次数: 0
期刊
Journal of cardiovascular computed tomography
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