Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis

Sadako Motoyama, Hajime Ito, Masayoshi Sarai, Yasuomi Nagahara, Keiichi Miyajima, Ryota Matsumoto, Yujiro Doi, Yumi Kataoka, Hiroshi Takahashi, Yukio Ozaki, Hiroshi Toyama, Kazuhiro Katada

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Limitations of coronary computed tomography (CTA) include false-positive stenosis at calcified lesions and assessment of in-stent patency. A prototype of ultra-high resolution computed tomography (U-HRCT: 1,792 channels and 0.25-mm slice thickness×128 rows) with improved spatial resolution was developed. We assessed the diagnostic accuracy of coronary artery stenosis using U-HRCT. Methods and Results: Seventy-nine consecutive patients who underwent CTA using U-HRCT were prospectively included. Coronary artery stenosis was graded from 0 (no plaque) to 5 (occlusion). Stenosis grading at 102 calcified lesions was compared between U-HRCT and conventional-resolution CT (CRCT: 896 channels and 0.5-mm slice thickness×320 rows). Median stenosis grading at calcified plaque was significantly improved on U-HRCT compared with CRCT (1; IQR, 1–2 vs. 2; IQR, 1–3, P<0.0001). Assessability of in-stent lumen was evaluated on U-HRCT in 79 stents. Stent strut thickness and luminal diameter were quantitatively compared between U-HRCT and CRCT. Of 79 stents, 83.5% were assessable on U-HRCT; 80% of stents with diameter 2.5 mm were regarded as assessable. On U-HRCT, stent struts were significantly thinner (median, 0.78 mm; IQR, 0.7–0.83 mm vs. 0.83 mm; IQR, 0.75–0.92 mm, P=0.0036), and in-stent lumens were significantly larger (median, 2.08 mm; IQR, 1.55–2.51 mm vs. 1.74 mm; IQR, 1.31–2.06 mm, P<0.0001) than on CRCT. Conclusions: U-HRCT with improved spatial resolution visualized calcified lesions with fewer artifacts. The in-stent lumen of stents with diameter ≥2.5 mm was assessable on U-HRCT.

Original languageEnglish
Pages (from-to)1844-1851
Number of pages8
JournalCirculation Journal
Volume82
Issue number7
DOIs
Publication statusPublished - 01-01-2018

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Coronary Stenosis
Stents
Pathologic Constriction
Tomography
Computed Tomography Angiography
Artifacts

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Motoyama, S., Ito, H., Sarai, M., Nagahara, Y., Miyajima, K., Matsumoto, R., ... Katada, K. (2018). Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis. Circulation Journal, 82(7), 1844-1851. https://doi.org/10.1253/circj.CJ-17-1281
Motoyama, Sadako ; Ito, Hajime ; Sarai, Masayoshi ; Nagahara, Yasuomi ; Miyajima, Keiichi ; Matsumoto, Ryota ; Doi, Yujiro ; Kataoka, Yumi ; Takahashi, Hiroshi ; Ozaki, Yukio ; Toyama, Hiroshi ; Katada, Kazuhiro. / Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis. In: Circulation Journal. 2018 ; Vol. 82, No. 7. pp. 1844-1851.
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abstract = "Background: Limitations of coronary computed tomography (CTA) include false-positive stenosis at calcified lesions and assessment of in-stent patency. A prototype of ultra-high resolution computed tomography (U-HRCT: 1,792 channels and 0.25-mm slice thickness×128 rows) with improved spatial resolution was developed. We assessed the diagnostic accuracy of coronary artery stenosis using U-HRCT. Methods and Results: Seventy-nine consecutive patients who underwent CTA using U-HRCT were prospectively included. Coronary artery stenosis was graded from 0 (no plaque) to 5 (occlusion). Stenosis grading at 102 calcified lesions was compared between U-HRCT and conventional-resolution CT (CRCT: 896 channels and 0.5-mm slice thickness×320 rows). Median stenosis grading at calcified plaque was significantly improved on U-HRCT compared with CRCT (1; IQR, 1–2 vs. 2; IQR, 1–3, P<0.0001). Assessability of in-stent lumen was evaluated on U-HRCT in 79 stents. Stent strut thickness and luminal diameter were quantitatively compared between U-HRCT and CRCT. Of 79 stents, 83.5{\%} were assessable on U-HRCT; 80{\%} of stents with diameter 2.5 mm were regarded as assessable. On U-HRCT, stent struts were significantly thinner (median, 0.78 mm; IQR, 0.7–0.83 mm vs. 0.83 mm; IQR, 0.75–0.92 mm, P=0.0036), and in-stent lumens were significantly larger (median, 2.08 mm; IQR, 1.55–2.51 mm vs. 1.74 mm; IQR, 1.31–2.06 mm, P<0.0001) than on CRCT. Conclusions: U-HRCT with improved spatial resolution visualized calcified lesions with fewer artifacts. The in-stent lumen of stents with diameter ≥2.5 mm was assessable on U-HRCT.",
author = "Sadako Motoyama and Hajime Ito and Masayoshi Sarai and Yasuomi Nagahara and Keiichi Miyajima and Ryota Matsumoto and Yujiro Doi and Yumi Kataoka and Hiroshi Takahashi and Yukio Ozaki and Hiroshi Toyama and Kazuhiro Katada",
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Motoyama, S, Ito, H, Sarai, M, Nagahara, Y, Miyajima, K, Matsumoto, R, Doi, Y, Kataoka, Y, Takahashi, H, Ozaki, Y, Toyama, H & Katada, K 2018, 'Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis', Circulation Journal, vol. 82, no. 7, pp. 1844-1851. https://doi.org/10.1253/circj.CJ-17-1281

Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis. / Motoyama, Sadako; Ito, Hajime; Sarai, Masayoshi; Nagahara, Yasuomi; Miyajima, Keiichi; Matsumoto, Ryota; Doi, Yujiro; Kataoka, Yumi; Takahashi, Hiroshi; Ozaki, Yukio; Toyama, Hiroshi; Katada, Kazuhiro.

In: Circulation Journal, Vol. 82, No. 7, 01.01.2018, p. 1844-1851.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Ultra-high-resolution computed tomography angiography for assessment of coronary artery stenosis

AU - Motoyama, Sadako

AU - Ito, Hajime

AU - Sarai, Masayoshi

AU - Nagahara, Yasuomi

AU - Miyajima, Keiichi

AU - Matsumoto, Ryota

AU - Doi, Yujiro

AU - Kataoka, Yumi

AU - Takahashi, Hiroshi

AU - Ozaki, Yukio

AU - Toyama, Hiroshi

AU - Katada, Kazuhiro

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Limitations of coronary computed tomography (CTA) include false-positive stenosis at calcified lesions and assessment of in-stent patency. A prototype of ultra-high resolution computed tomography (U-HRCT: 1,792 channels and 0.25-mm slice thickness×128 rows) with improved spatial resolution was developed. We assessed the diagnostic accuracy of coronary artery stenosis using U-HRCT. Methods and Results: Seventy-nine consecutive patients who underwent CTA using U-HRCT were prospectively included. Coronary artery stenosis was graded from 0 (no plaque) to 5 (occlusion). Stenosis grading at 102 calcified lesions was compared between U-HRCT and conventional-resolution CT (CRCT: 896 channels and 0.5-mm slice thickness×320 rows). Median stenosis grading at calcified plaque was significantly improved on U-HRCT compared with CRCT (1; IQR, 1–2 vs. 2; IQR, 1–3, P<0.0001). Assessability of in-stent lumen was evaluated on U-HRCT in 79 stents. Stent strut thickness and luminal diameter were quantitatively compared between U-HRCT and CRCT. Of 79 stents, 83.5% were assessable on U-HRCT; 80% of stents with diameter 2.5 mm were regarded as assessable. On U-HRCT, stent struts were significantly thinner (median, 0.78 mm; IQR, 0.7–0.83 mm vs. 0.83 mm; IQR, 0.75–0.92 mm, P=0.0036), and in-stent lumens were significantly larger (median, 2.08 mm; IQR, 1.55–2.51 mm vs. 1.74 mm; IQR, 1.31–2.06 mm, P<0.0001) than on CRCT. Conclusions: U-HRCT with improved spatial resolution visualized calcified lesions with fewer artifacts. The in-stent lumen of stents with diameter ≥2.5 mm was assessable on U-HRCT.

AB - Background: Limitations of coronary computed tomography (CTA) include false-positive stenosis at calcified lesions and assessment of in-stent patency. A prototype of ultra-high resolution computed tomography (U-HRCT: 1,792 channels and 0.25-mm slice thickness×128 rows) with improved spatial resolution was developed. We assessed the diagnostic accuracy of coronary artery stenosis using U-HRCT. Methods and Results: Seventy-nine consecutive patients who underwent CTA using U-HRCT were prospectively included. Coronary artery stenosis was graded from 0 (no plaque) to 5 (occlusion). Stenosis grading at 102 calcified lesions was compared between U-HRCT and conventional-resolution CT (CRCT: 896 channels and 0.5-mm slice thickness×320 rows). Median stenosis grading at calcified plaque was significantly improved on U-HRCT compared with CRCT (1; IQR, 1–2 vs. 2; IQR, 1–3, P<0.0001). Assessability of in-stent lumen was evaluated on U-HRCT in 79 stents. Stent strut thickness and luminal diameter were quantitatively compared between U-HRCT and CRCT. Of 79 stents, 83.5% were assessable on U-HRCT; 80% of stents with diameter 2.5 mm were regarded as assessable. On U-HRCT, stent struts were significantly thinner (median, 0.78 mm; IQR, 0.7–0.83 mm vs. 0.83 mm; IQR, 0.75–0.92 mm, P=0.0036), and in-stent lumens were significantly larger (median, 2.08 mm; IQR, 1.55–2.51 mm vs. 1.74 mm; IQR, 1.31–2.06 mm, P<0.0001) than on CRCT. Conclusions: U-HRCT with improved spatial resolution visualized calcified lesions with fewer artifacts. The in-stent lumen of stents with diameter ≥2.5 mm was assessable on U-HRCT.

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