Cited 22 times in
Evaluation of coronary artery in-stent restenosis by 64-section computed tomography: factors affecting assessment and accurate diagnosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김영진 | - |
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 이혜정 | - |
dc.contributor.author | 최규옥 | - |
dc.contributor.author | 최병욱 | - |
dc.contributor.author | 허진 | - |
dc.date.accessioned | 2015-04-23T17:05:03Z | - |
dc.date.available | 2015-04-23T17:05:03Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0883-5993 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101790 | - |
dc.description.abstract | PURPOSE: To determine factors affecting the ability of 64-multislice computed tomography (MSCT) to detect, assess, and accurately diagnose significant coronary arterial in-stent restenosis (ISR). MATERIALS AND METHODS: The institutional review board approved this study and waived informed consent. Sixty patients underwent CT coronary angiography using 64-MSCT, after implantation of coronary artery stents (n=91). We assessed diagnostic accuracy for ISR with CT in comparison with conventional coronary angiography as the gold standard, visually and with measurement of in-stent coronary lumen density. Possible factors that influenced the diagnostic performance of CT were evaluated, which included image quality (IQ), stent characteristics, and location. RESULTS: Sixty-nine stents (75.8%) were assessable. Low IQ, location in the left circumflex coronary artery, and narrow stent diameter were associated with poor assessment (P<0.05). In stents that could be assessed, sensitivity, specificity, positive predictive value, and negative predictive value of 64-MSCT were 90.0%, 73.5%, 58.1%, and 94.7%, respectively, for significant ISR. The diagnostic accuracy in assessable stents showed a significant increase with better IQ, thinner strut thickness, and nondrug eluting stent. False-positive diagnoses of ISR by CT were explained by coronary lumen density measurements. CONCLUSIONS: Evaluation of stents by 64-MSCT is not recommended in stents with diameters of < or = 2.75 mm or stents located at the left circumflex coronary artery. The diagnostic accuracy of 64-MSCT is affected by IQ and strut thickness in assessable stents. Significant ISR can be excluded with high reliability in selected patients | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 57~63 | - |
dc.relation.isPartOf | JOURNAL OF THORACIC IMAGING | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Contrast Media | - |
dc.subject.MESH | CoronaryAngiography/methods* | - |
dc.subject.MESH | CoronaryRestenosis/diagnostic imaging* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Graft Occlusion, Vascular/diagnostic imaging* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Image Processing, Computer-Assisted/methods | - |
dc.subject.MESH | Iopamidol | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Observer Variation | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Prosthesis Design | - |
dc.subject.MESH | Radiographic Image Enhancement/methods | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | RiskFactors | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Tomography, X-RayComputed/methods* | - |
dc.title | Evaluation of coronary artery in-stent restenosis by 64-section computed tomography: factors affecting assessment and accurate diagnosis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Sang-Hoon Chung | - |
dc.contributor.googleauthor | Young Jin Kim | - |
dc.contributor.googleauthor | Jin Hur | - |
dc.contributor.googleauthor | Hye Jeong Lee | - |
dc.contributor.googleauthor | Kyu Ok Choe | - |
dc.contributor.googleauthor | Tae Hoon Kim | - |
dc.contributor.googleauthor | Byoung Wook Choi | - |
dc.identifier.doi | 10.1097/RTI.0b013e3181b5d813 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00727 | - |
dc.contributor.localId | A03320 | - |
dc.contributor.localId | A01086 | - |
dc.contributor.localId | A04042 | - |
dc.contributor.localId | A04059 | - |
dc.contributor.localId | A04370 | - |
dc.relation.journalcode | J01908 | - |
dc.identifier.eissn | 1536-0237 | - |
dc.identifier.pmid | 20160604 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005382-201002000-00016&LSLINK=80&D=ovft | - |
dc.subject.keyword | coronary artery | - |
dc.subject.keyword | in-stent restenosis | - |
dc.subject.keyword | 64-multislice computed tomography | - |
dc.contributor.alternativeName | Kim, Young Jin | - |
dc.contributor.alternativeName | Kim, Tae Hoon | - |
dc.contributor.alternativeName | Lee, Hye Jeong | - |
dc.contributor.alternativeName | Choe, Kyu Ok | - |
dc.contributor.alternativeName | Choi, Byoung Wook | - |
dc.contributor.alternativeName | Hur, Jin | - |
dc.contributor.affiliatedAuthor | Kim, Young Jin | - |
dc.contributor.affiliatedAuthor | Lee, Hye Jeong | - |
dc.contributor.affiliatedAuthor | Kim, Tae Hoon | - |
dc.contributor.affiliatedAuthor | Choe, Kyu Ok | - |
dc.contributor.affiliatedAuthor | Choi, Byoung Wook | - |
dc.contributor.affiliatedAuthor | Hur, Jin | - |
dc.citation.volume | 25 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 57 | - |
dc.citation.endPage | 63 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC IMAGING, Vol.25(1) : 57-63, 2010 | - |
dc.identifier.rimsid | 54610 | - |
dc.type.rims | ART | - |
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