Noninvasive Computed Tomography-Derived Fractional Flow Reserve Based on Structural and Fluid Analysis: Reproducibility of On-site Determination by Unexperienced Observers.
J Comput Assist Tomogr
; 42(2): 256-262, 2018.
Article
en En
| MEDLINE
| ID: mdl-28937495
ABSTRACT
OBJECTIVE:
The aim of this study was to evaluate the reproducibility of computed tomography (CT)-derived fractional flow reserve (FFR) determined on site by inexperienced observers using a postprocessing software based on structural and fluid analysis.METHODS:
Using 21 coronary vessels in 7 patients who underwent 320-row coronary CT angiography and catheter-FFR, 2 independent inexperienced observers (A a student radiation technologist; B a nonmedical staff) determined the CT-FFR using a postprocessing software. After a 20-minute training session, both observers postprocessed all vessels and readjusted their settings after another training/feedback. These CT-FFRs were compared with values determined by an expert analyst.RESULTS:
The mean processing times were 23 ± 4 minutes (automatic), 71 ± 5 minutes (observer A), and 57 ± 7 minutes (observer B) per patient. The initial correlations with expert data were r = 0.92 (observer A) and 0.73 (observer B) and increased to 0.83 for observer B after additional training. The final absolute difference with the expert data was 0.000 to 0.020. The correlation between catheter-FFR and expert CT-FFR was r = 0.76.CONCLUSIONS:
The CT-derived FFR on-site postprocessing software showed good reproducibility for measurements by inexperienced observers.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Procesamiento de Imagen Asistido por Computador
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Angiografía Coronaria
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Reserva del Flujo Fraccional Miocárdico
Límite:
Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
J Comput Assist Tomogr
Año:
2018
Tipo del documento:
Article