Journal of Cardiovascular Computed Tomography
Volume 4, Issue 5 , Pages 312-318 , September 2010

Interobserver variations of plaque severity score and segment stenosis score in coronary arteries using 64 slice multidetector computed tomography: A substudy of the ACCURACY trial

  • Sandeep R. Pagali, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • ,
  • Paul Madaj, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • ,
  • Mohit Gupta, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • ,
  • Subu Nair, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • ,
  • Yasmin S. Hamirani, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • ,
  • James K. Min, MD

      Affiliations

    • Weill Cornell Medical College, New York, NY, USA
    • ,
  • Faye Lin, MD

      Affiliations

    • Weill Cornell Medical College, New York, NY, USA
    • ,
  • Matthew J. Budoff, MD

      Affiliations

    • Los Angeles Biomedical Research Institute, Harbor-UCLA, 1124 West Carson Street, Torrance, CA 90502, USA
    • Corresponding Author InformationCorresponding author.

Received 1 January 2010 ,Accepted 29 May 2010.

References 

  1. Lin F, Shaw LJ, Berman DS, Callister TQ, Weinsaft JW, Wong FJ, et al. Multidetector computed tomography coronary artery plaque predictors of stress-induced myocardial ischemia by SPECT. Atherosclerosis. 2008;197:700–709
  2. Min JK, Shaw LJ, Devereux RB, Okin PM, Weinsaft JW, Russo DJ, et al. Prognostic value of multidetector coronary computed tomographic angiography for prediction of all-cause mortality. J Am Coll Cardiol. 2007;50:1161–1170
  3. Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 1975;51:5–40
  4. Johnson KM, Dowe DA, Brink JA. Traditional clinical risk assessment tools do not accurately predict coronary atherosclerotic plaque burden: a CT angiography study. AJR Am J Roentgenol. 2009;192:235–243
  5. Lin FY, Saba S, Weinsaft JW, Wong FJ, Szulc M, Kligfield P, et al. Relation of plaque characteristics defined by coronary computed tomographic angiography to ST-segment depression and impaired functional capacity during exercise treadmill testing in patients suspected of having coronary heart disease. Am J Cardiol. 2009;103:50–58
  6. Meng L, Cui L, Cheng Y, Wu X, Tang Y, Wang Y, et al. Effect of heart rate and coronary calcification on the diagnostic accuracy of the dual-source CT coronary angiography in patients with suspected coronary artery disease. Korean J Radiol. 2009;10:347–354
  7. Iwasaki K, Matsumoto T, Aono H, Furukawa H, Samukawa M. Prevalence of subclinical atherosclerosis in asymptomatic diabetic patients by 64-slice computed tomography. Coron Artery Dis. 2008;19:195–201
  8. Budoff MJ, Dowe D, Jollis JG, Gitter M, Sutherland J, Halamert E, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52:1733–1735
  9. Venkatesh V, Ellins ML, Yang S, Natarajan M, Amlani S, Sheth T. Incremental detection of coronary artery disease by assessment of non-calcified plaque on coronary CT angiography. Clin Radiol. 2009;64:250–255
  10. Akram K, Rinehart S, Voros S. Coronary arterial atherosclerotic plaque imaging by contrast-enhanced computed tomography: fantasy or reality?. J Nucl Cardiol. 2008;15:818–829
  11. Hur J, Kim YJ, Lee HJ, Nam JE, Choe KO, Seo JS, et al. Quantification and characterization of obstructive coronary plaques using 64-slice computed tomography: a comparison with intravascular ultrasound. J Comput Assist Tomogr. 2009;33:186–192
  12. Deetjen AG, Conradi G, Mollmann S, Ekinci O, Weber M, Nef H, et al. Diagnostic value of the 16-detector row multislice spiral computed tomography for the detection of coronary artery stenosis in comparison to invasive coronary angiography. Clin Cardiol. 2007;30:118–123
  13. Leber WA, Johnson T, Becker A, Ziegler VF, Tittus J, Nikolaou K, et al. Diagnostic accuracy of dual-source multi-slice CT coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J. 2007;28:2354–2360
  14. Weert TT, Monye C, Meijering E, Booij R, Niessen JW, Dippel WD, et al. Assessment of atherosclerotic carotid plaque volume with multi-detector computed tomography angiography. Int J Cardiovasc imaging. 2008;24:751–759
  15. Cheng VY, Nakazato R, Dey D, Gurudevan S, Tabak J, Budoff MJ, et al. Reproducibility of coronary artery plaque volume and composition quantification by 64-detector row coronary computed tomographic angiography: an intraobserver, interobserver, and interscan variability study. J Cardiovasc Comput Tomogr. 2009;3:312–320
  16. Blackmon NK, Streck J, Thilo C, Bastarrika G, Costello P, Schoepf JU. Reproducibility of automated non calcified coronary artery plaque burden assessment at coronary CT angiography. J Thorac Imaging. 2009;24:96–102
  17. Carrigan TP, Nair D, Schoenhagen P, Curtin RJ, Popovic ZB, Halliburton S, et al. Prognostic utility of 64-slice computed tomography in patients with suspected but no documented coronary artery disease. Eur Heart J. 2009;30:362–371
  18. Motoyama S, Sarai M, Harigaya H, Anno H, Inoue K, Hara T, et al. Computed tomographic angiography characteristics of atherosclerotic plaques subsequently resulting in acute coronary syndrome. J Am Coll Cardiol. 2009;54:49–57
  19. Ostrom MP, Gopal A, Ahmadi N, Nasir K, Yang E, Kakadiaris I, et al. Mortality incidence and the severity of coronary atherosclerosis assessed by CT angiography. J Am Coll Cardiol. 2008;52:1335–1343
  20. Lehman SJ, Schlett CL, Bamberg F, Lee H, Donnelly P, Shturman L, et al. Assessment of coronary plaque progression in coronary computed tomography angiography using a semiquantitative score. JACC Cardiovasc Imaging. 2009;2:1262–1270

 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(10)00356-4

doi: 10.1016/j.jcct.2010.05.018

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 5 , Pages 312-318 , September 2010

Article Tools

* Image Usage & Resolution