Accuracy of noninvasive coronary stenosis quantification of different commercially available dedicated software packages.

Abstract:

PURPOSE:The purpose of this study was to investigate the noninvasive quantification of coronary artery stenosis using cardiac software packages and vessel phantoms with known stenosis severity. MATERIALS AND METHODS:Four different sizes of vessel phantoms were filled with contrast agent and scanned on a 64-slice multidetector computed tomography. Diameter and area stenosis were evaluated by 2 observers blinded from the true measures using 5 different software packages. Measurements were compared with the true measure of the vessel phantoms. The absolute difference in stenosis measurements and intraobserver and interobserver variabilities were assessed. RESULTS:All software packages show a trend toward larger differences for the smaller vessel phantoms. The absolute difference of the automatic measurements was significantly higher compared with that of the manual measurements in all 5 evaluated software packages for all vessel phantoms (P < 0.05). CONCLUSION:Manual stenosis measurements are significantly more accurate compared with automatic measurements, and therefore, manual adjustments are still essential for noninvasive assessment of coronary artery stenosis.

journal_name

J Comput Assist Tomogr

authors

Dikkers R,Willems TP,de Jonge GJ,Marquering HA,Greuter MJ,van Ooijen PM,van der Weide MC,Oudkerk M

doi

10.1097/RCT.0b013e3181888363

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

505-12

issue

4

eissn

0363-8715

issn

1532-3145

pii

00004728-200907000-00004

journal_volume

33

pub_type

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