Development of a theory for generating regional cardiac perfusion images during coronary angiography in the coronary angiography lab

The purpose of this study was to develop a novel theory and method for generating regional myocardial perfusion images using fluoroscopy in the coronary angiography lab. We modified the Kety model to introduce the Patlak plot method for two-dimensional fluoroperfusion (FP) imaging. For evaluation, s...

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Veröffentlicht in:The International Journal of Cardiovascular Imaging 2014-01, Vol.30 (1), p.9-19
Hauptverfasser: Sakaguchi, Takuya, Ichihara, Takashi, Trost, Jeffrey C., Yousuf, Omair, Lima, Joao A. C., Yao, Jingwu, George, Richard T.
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container_end_page 19
container_issue 1
container_start_page 9
container_title The International Journal of Cardiovascular Imaging
container_volume 30
creator Sakaguchi, Takuya
Ichihara, Takashi
Trost, Jeffrey C.
Yousuf, Omair
Lima, Joao A. C.
Yao, Jingwu
George, Richard T.
description The purpose of this study was to develop a novel theory and method for generating regional myocardial perfusion images using fluoroscopy in the coronary angiography lab. We modified the Kety model to introduce the Patlak plot method for two-dimensional fluoroperfusion (FP) imaging. For evaluation, seven porcine models of myocardial ischemia with stenosis in the left coronary artery were prepared. Rest and stress FP imaging were performed using cardiovascular X-ray imaging equipment during the injection of iopamidol via the left main coronary artery. Images were acquired and retrospectively ECG gated at 80 % of the R–R interval. FP myocardial blood flow (MBF) was obtained using the Patlak plot method applied to time-intensity curve data of the proximal artery and myocardium. The results were compared to microsphere MBF measurements. Time-intensity curves were also used to generate color-coded FP maps. There was a moderate linear correlation between the calculated FP MBF and the microsphere MBF (y = 0.9758x + 0.5368, R 2  = 0.61). The color-coded FP maps were moderately correlated with the regional distribution of flow. This novel method of first-pass contrast-enhanced two-dimensional fluoroscopic imaging can quantify MBF and provide color coded FP maps representing regional myocardial perfusion.
doi_str_mv 10.1007/s10554-013-0304-9
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C.</au><au>Yao, Jingwu</au><au>George, Richard T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a theory for generating regional cardiac perfusion images during coronary angiography in the coronary angiography lab</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>30</volume><issue>1</issue><spage>9</spage><epage>19</epage><pages>9-19</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><coden>IJCIBI</coden><abstract>The purpose of this study was to develop a novel theory and method for generating regional myocardial perfusion images using fluoroscopy in the coronary angiography lab. We modified the Kety model to introduce the Patlak plot method for two-dimensional fluoroperfusion (FP) imaging. For evaluation, seven porcine models of myocardial ischemia with stenosis in the left coronary artery were prepared. Rest and stress FP imaging were performed using cardiovascular X-ray imaging equipment during the injection of iopamidol via the left main coronary artery. Images were acquired and retrospectively ECG gated at 80 % of the R–R interval. FP myocardial blood flow (MBF) was obtained using the Patlak plot method applied to time-intensity curve data of the proximal artery and myocardium. The results were compared to microsphere MBF measurements. Time-intensity curves were also used to generate color-coded FP maps. There was a moderate linear correlation between the calculated FP MBF and the microsphere MBF (y = 0.9758x + 0.5368, R 2  = 0.61). The color-coded FP maps were moderately correlated with the regional distribution of flow. This novel method of first-pass contrast-enhanced two-dimensional fluoroscopic imaging can quantify MBF and provide color coded FP maps representing regional myocardial perfusion.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>24122453</pmid><doi>10.1007/s10554-013-0304-9</doi><tpages>11</tpages></addata></record>
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ispartof The International Journal of Cardiovascular Imaging, 2014-01, Vol.30 (1), p.9-19
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1573-0743
1875-8312
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source MEDLINE; SpringerLink Journals
subjects Animals
Cardiac Imaging
Cardiac-Gated Imaging Techniques
Cardiology
Contrast Media
Coronary Angiography
Coronary Circulation
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - physiopathology
Coronary Vessels - diagnostic imaging
Coronary Vessels - physiopathology
Disease Models, Animal
Electrocardiography
Fluoroscopy
Imaging
Iopamidol
Linear Models
Medicine
Medicine & Public Health
Models, Cardiovascular
Myocardial Perfusion Imaging - methods
Original Paper
Predictive Value of Tests
Radiographic Image Interpretation, Computer-Assisted
Radiology
Swine
Time Factors
title Development of a theory for generating regional cardiac perfusion images during coronary angiography in the coronary angiography lab
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