Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-5-18
pubmed:abstractText
The aim is to compare virtual histology which uses spectral analysis of backscattered intravascular ultrasound (VH-IVUS) and multidetector-row computed tomography (MDCT) for the characterization of coronary atherosclerotic plaques obtained by directional coronary atherectomy (DCA). We performed DCA in 15 de novo native coronary stenotic lesions (15 patients) and selected one or two segments within the plaque from each patient (total 29 segments). Then, we evaluated the accuracy of the VH-IVUS findings in 50 sites among the 29 segments compared with the histopathology findings. MDCT was performed in all patients before percutaneous coronary intervention (PCI), and CT density values were measured. VH-IVUS data analysis correlated well with histopathological examination (predictive accuracy: 66.7% for fibrous, 100% for fibro-fatty, 100% for necrotic core, and 100% for dense calcium regions, respectively). In addition, CT density values between fibrous and fibro-fatty plaques classified by histopathology were 100.0 +/- 26.0 HU versus 110.4 +/- 67.9 HU, there were no difference among them (P = 0.594). These findings indicated that the validation of plaque characteristics using VH-IVUS correlates well with histopathology. While tissue characterization using CT density could be difficult to distinguish between fibro-fatty and fibrous tissue.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1875-8312
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
471-8
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19263239-Aged, pubmed-meshheading:19263239-Angioplasty, Balloon, Coronary, pubmed-meshheading:19263239-Atherectomy, Coronary, pubmed-meshheading:19263239-Calcinosis, pubmed-meshheading:19263239-Coronary Angiography, pubmed-meshheading:19263239-Coronary Artery Disease, pubmed-meshheading:19263239-Female, pubmed-meshheading:19263239-Fibrosis, pubmed-meshheading:19263239-Humans, pubmed-meshheading:19263239-Male, pubmed-meshheading:19263239-Middle Aged, pubmed-meshheading:19263239-Necrosis, pubmed-meshheading:19263239-Predictive Value of Tests, pubmed-meshheading:19263239-Prospective Studies, pubmed-meshheading:19263239-Reproducibility of Results, pubmed-meshheading:19263239-Tomography, X-Ray Computed, pubmed-meshheading:19263239-Ultrasonography, Interventional, pubmed-meshheading:19263239-User-Computer Interface
pubmed:year
2009
pubmed:articleTitle
The potential of RF backscattered IVUS data and multidetector-row computed tomography images for tissue characterization of human coronary atherosclerotic plaques.
pubmed:affiliation
Department of Cardiology, The Cardiovascular Institute, 7-3-10 Roppongi Minato-ku, Tokyo, Japan. funapon@mui.biglobe.ne.jp
pubmed:publicationType
Journal Article, Comparative Study