Source:http://linkedlifedata.com/resource/pubmed/id/21646741
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2011-6-7
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pubmed:abstractText |
Virtual histology intravascular ultrasound (VH-IVUS) allows detailed assessment of plaque composition in the clinical setting. Optical coherence tomography (OCT) has been developed as a high-resolution imaging method, which might be a promising technique to identify thin-cap fibroatheroma (TCFA) in vivo. The purpose of the present study was to evaluate the diagnostic accuracy of VH-IVUS to identify TCFA as determined by OCT.We examined 96 target lesions in patients with stable angina pectoris by using VH-IVUS and OCT. VH-IVUS derived TCFA was defined as a focal necrotic core-rich lesion without evident overlying fibrous tissue. OCT derived TCFA was defined as a plaque with a fibrous cap of < 65 µm. VH-IVUS correctly identified 16 TCFA and 67 non-TCFA but misclassified 2 TCFA and 11 non-TCFA as determined by OCT. The sensitivity, specificity, and positive and negative predictive values of VH-IVUS to identify TCFA as determined by OCT were 89%, 86%, 59%, and 97%, respectively.VH-IVUS showed an acceptable sensitivity and specificity to identify TCFA as determined by OCT. Although the positive predictive value was low reflecting a high number of false positives, the negative predictive value was notably high. Our results suggest a potential role for VH-IVUS to exclude high risk lesions for future coronary events.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1349-3299
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pubmed:author |
pubmed-author:AkagiHideharuH,
pubmed-author:AkasakaTakashiT,
pubmed-author:ChoiSo-YeonSY,
pubmed-author:ImanishiToshioT,
pubmed-author:InoYasushiY,
pubmed-author:KimuraKeizoK,
pubmed-author:KitabataHironoriH,
pubmed-author:KomukaiKenichiK,
pubmed-author:KuboTakashiT,
pubmed-author:MatsuoYoshikiY,
pubmed-author:MizukoshiMasatoM,
pubmed-author:NakamuraNobuoN,
pubmed-author:OkumotoYasushiY,
pubmed-author:TanimotoTakashiT,
pubmed-author:WuXiaofanX,
pubmed-author:YamamotoTadaoT
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pubmed:issnType |
Electronic
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pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
175-9
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pubmed:meshHeading |
pubmed-meshheading:21646741-Aged,
pubmed-meshheading:21646741-Angina Pectoris,
pubmed-meshheading:21646741-Coronary Angiography,
pubmed-meshheading:21646741-Coronary Vessels,
pubmed-meshheading:21646741-Female,
pubmed-meshheading:21646741-Humans,
pubmed-meshheading:21646741-Male,
pubmed-meshheading:21646741-Plaque, Atherosclerotic,
pubmed-meshheading:21646741-Tomography, Optical Coherence,
pubmed-meshheading:21646741-Ultrasonography, Interventional
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pubmed:year |
2011
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pubmed:articleTitle |
Virtual histology intravascular ultrasound compared with optical coherence tomography for identification of thin-cap fibroatheroma.
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pubmed:affiliation |
Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.
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pubmed:publicationType |
Journal Article,
Comparative Study
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