Three-dimensional quantification and visualization of aortic calcification by multidetector-row computed tomography: A simple approach using a volume-rendering method
Abstract Objective : Three-dimensional (3-D) visualization and quantification of vascular calcification (VC) are important to accelerate the multidisciplinary investigation of VC. Agatston scoring is the standard approach for evaluating coronary artery calcification. However, regarding aortic calcif...
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creator | Mori, Shumpei Takaya, Tomofumi Kinugasa, Mitsuo Ito, Tatsuro Takamine, Sachiko Fujiwara, Sei Nishii, Tatsuya Kono, Atsushi K Inoue, Takeshi Satomi-Kobayashi, Seimi Rikitake, Yoshiyuki Okita, Yutaka Hirata, Ken-ichi |
description | Abstract Objective : Three-dimensional (3-D) visualization and quantification of vascular calcification (VC) are important to accelerate the multidisciplinary investigation of VC. Agatston scoring is the standard approach for evaluating coronary artery calcification. However, regarding aortic calcification (AC), quantification methods appear to vary among studies. The aim of this study was to introduce a simple technique of simultaneous quantification and 3-D visualization of AC and provide validation data. Methods : The main study comprised of 126 patients who underwent the thoracoabdominal plain computed tomography scan as preoperative general evaluation. AC was quantified using a volume-rendering (VR) method (VR AC volume) by extracting the volume with a density ≥130 HU within the total aorta. The concordance and reproducibility of the VR AC volume were validated in comparison with the conventional slice-by-slice voxel-based AC quantification (volumetric AC score) using the Agatston scoring software. Results : Excellent concordance between the VR AC volume and volumetric AC score was confirmed (Spearman correlation coefficient = 0.9997, mean difference = −0.05 ± 0.23 mL, p |
doi_str_mv | 10.1016/j.atherosclerosis.2014.12.041 |
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Agatston scoring is the standard approach for evaluating coronary artery calcification. However, regarding aortic calcification (AC), quantification methods appear to vary among studies. The aim of this study was to introduce a simple technique of simultaneous quantification and 3-D visualization of AC and provide validation data. Methods : The main study comprised of 126 patients who underwent the thoracoabdominal plain computed tomography scan as preoperative general evaluation. AC was quantified using a volume-rendering (VR) method (VR AC volume) by extracting the volume with a density ≥130 HU within the total aorta. The concordance and reproducibility of the VR AC volume were validated in comparison with the conventional slice-by-slice voxel-based AC quantification (volumetric AC score) using the Agatston scoring software. Results : Excellent concordance between the VR AC volume and volumetric AC score was confirmed (Spearman correlation coefficient = 0.9997, mean difference = −0.05 ± 0.23 mL, p <0.0001). Excellent intraobserver and interobserver reliabilities were demonstrated using the Bland–Altman analysis as the mean intraobserver difference was 0.00 mL ( p = 0.9863) and the mean interobserver difference was −0.01 mL ( p = 0.6612). Conclusion : The VR method was validated to be feasible. This simple approach could overcome the limitation of the current method based on slice-by-slice pixel or voxel summation, which lacks 3-D visual information. Accordingly, this approach would be promising for accelerating the investigation of VC.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/j.atherosclerosis.2014.12.041</identifier><identifier>PMID: 25554696</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Agatston score ; Aged ; Aortic calcification ; Aortic Diseases - diagnostic imaging ; Aortography - methods ; Cardiovascular ; Feasibility Studies ; Female ; Humans ; Imaging, Three-Dimensional - methods ; Male ; Middle Aged ; Multidetector Computed Tomography ; Multidetector-row computed tomography ; Observer Variation ; Predictive Value of Tests ; Radiographic Image Interpretation, Computer-Assisted - methods ; Reproducibility of Results ; Retrospective Studies ; Severity of Illness Index ; Software ; Vascular calcification ; Vascular Calcification - diagnostic imaging ; Volume-rendering method</subject><ispartof>Atherosclerosis, 2015-04, Vol.239 (2), p.622-628</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2014 Elsevier Ireland Ltd</rights><rights>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c649t-82cd75fe1565ec4755c6de9328a7e2643be5d133db46a85420ca6cf173ada34b3</citedby><cites>FETCH-LOGICAL-c649t-82cd75fe1565ec4755c6de9328a7e2643be5d133db46a85420ca6cf173ada34b3</cites><orcidid>0000-0001-5775-8072</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.atherosclerosis.2014.12.041$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25554696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mori, Shumpei</creatorcontrib><creatorcontrib>Takaya, Tomofumi</creatorcontrib><creatorcontrib>Kinugasa, Mitsuo</creatorcontrib><creatorcontrib>Ito, Tatsuro</creatorcontrib><creatorcontrib>Takamine, Sachiko</creatorcontrib><creatorcontrib>Fujiwara, Sei</creatorcontrib><creatorcontrib>Nishii, Tatsuya</creatorcontrib><creatorcontrib>Kono, Atsushi K</creatorcontrib><creatorcontrib>Inoue, Takeshi</creatorcontrib><creatorcontrib>Satomi-Kobayashi, Seimi</creatorcontrib><creatorcontrib>Rikitake, Yoshiyuki</creatorcontrib><creatorcontrib>Okita, Yutaka</creatorcontrib><creatorcontrib>Hirata, Ken-ichi</creatorcontrib><title>Three-dimensional quantification and visualization of aortic calcification by multidetector-row computed tomography: A simple approach using a volume-rendering method</title><title>Atherosclerosis</title><addtitle>Atherosclerosis</addtitle><description>Abstract Objective : Three-dimensional (3-D) visualization and quantification of vascular calcification (VC) are important to accelerate the multidisciplinary investigation of VC. Agatston scoring is the standard approach for evaluating coronary artery calcification. However, regarding aortic calcification (AC), quantification methods appear to vary among studies. The aim of this study was to introduce a simple technique of simultaneous quantification and 3-D visualization of AC and provide validation data. Methods : The main study comprised of 126 patients who underwent the thoracoabdominal plain computed tomography scan as preoperative general evaluation. AC was quantified using a volume-rendering (VR) method (VR AC volume) by extracting the volume with a density ≥130 HU within the total aorta. The concordance and reproducibility of the VR AC volume were validated in comparison with the conventional slice-by-slice voxel-based AC quantification (volumetric AC score) using the Agatston scoring software. Results : Excellent concordance between the VR AC volume and volumetric AC score was confirmed (Spearman correlation coefficient = 0.9997, mean difference = −0.05 ± 0.23 mL, p <0.0001). Excellent intraobserver and interobserver reliabilities were demonstrated using the Bland–Altman analysis as the mean intraobserver difference was 0.00 mL ( p = 0.9863) and the mean interobserver difference was −0.01 mL ( p = 0.6612). Conclusion : The VR method was validated to be feasible. This simple approach could overcome the limitation of the current method based on slice-by-slice pixel or voxel summation, which lacks 3-D visual information. Accordingly, this approach would be promising for accelerating the investigation of VC.</description><subject>Agatston score</subject><subject>Aged</subject><subject>Aortic calcification</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Aortography - methods</subject><subject>Cardiovascular</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Multidetector-row computed tomography</subject><subject>Observer Variation</subject><subject>Predictive Value of Tests</subject><subject>Radiographic Image Interpretation, Computer-Assisted - methods</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Software</subject><subject>Vascular calcification</subject><subject>Vascular Calcification - diagnostic imaging</subject><subject>Volume-rendering method</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks-K1TAUxosoznX0FSQbwU1rkiZpKygMg47CgAvHdUiT02muadNJ0ivXB_I5TbmjwqzcJHD4vvPvd4riFcEVwUS82VcqjRB81G57bawoJqwitMKMPCp2pG26krCWPS52GFNSdoTjs-JZjHuMMWtI-7Q4o5xzJjqxK37djAGgNHaCOVo_K4fuVjUnO1itUg4gNRt0sHFVzv48RfyAlA_JaqSV0_-U_RFNq0vWQAKdfCiD_4G0n5Y1gUHJT_42qGU8vkUXKNppcYDUsgSv9IjWaOdbpNDBu3WCMsBsIGyhCdLozfPiyaBchBf3_3nx7eOHm8tP5fWXq8-XF9elFqxLZUu1afgAhAsOmjWca2Ggq2mrGqCC1T1wQ-ra9EyoljOKtRJ6IE2tjKpZX58Xr095c1t3K8QkJxs1OKdm8GuURAi27Zt2WfruJNUZQwwwyCXYSYWjJFhuqORePkAlN6skVGZU2f_yvtTaT2D-uv-wyYKrkwDywAcLQUZtYdZgbMj7lcbb_y71_kEm7eycsbnvcIS492vI4PN0MmaD_LrdzXY2hOXcoq7r38uZyZA</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Mori, Shumpei</creator><creator>Takaya, Tomofumi</creator><creator>Kinugasa, Mitsuo</creator><creator>Ito, Tatsuro</creator><creator>Takamine, Sachiko</creator><creator>Fujiwara, Sei</creator><creator>Nishii, Tatsuya</creator><creator>Kono, Atsushi K</creator><creator>Inoue, Takeshi</creator><creator>Satomi-Kobayashi, Seimi</creator><creator>Rikitake, Yoshiyuki</creator><creator>Okita, Yutaka</creator><creator>Hirata, Ken-ichi</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5775-8072</orcidid></search><sort><creationdate>20150401</creationdate><title>Three-dimensional quantification and visualization of aortic calcification by multidetector-row computed tomography: A simple approach using a volume-rendering method</title><author>Mori, Shumpei ; Takaya, Tomofumi ; Kinugasa, Mitsuo ; Ito, Tatsuro ; Takamine, Sachiko ; Fujiwara, Sei ; Nishii, Tatsuya ; Kono, Atsushi K ; Inoue, Takeshi ; Satomi-Kobayashi, Seimi ; Rikitake, Yoshiyuki ; Okita, Yutaka ; Hirata, Ken-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c649t-82cd75fe1565ec4755c6de9328a7e2643be5d133db46a85420ca6cf173ada34b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Agatston score</topic><topic>Aged</topic><topic>Aortic calcification</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Aortography - methods</topic><topic>Cardiovascular</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Multidetector-row computed tomography</topic><topic>Observer Variation</topic><topic>Predictive Value of Tests</topic><topic>Radiographic Image Interpretation, Computer-Assisted - methods</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Software</topic><topic>Vascular calcification</topic><topic>Vascular Calcification - diagnostic imaging</topic><topic>Volume-rendering method</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mori, Shumpei</creatorcontrib><creatorcontrib>Takaya, Tomofumi</creatorcontrib><creatorcontrib>Kinugasa, Mitsuo</creatorcontrib><creatorcontrib>Ito, Tatsuro</creatorcontrib><creatorcontrib>Takamine, Sachiko</creatorcontrib><creatorcontrib>Fujiwara, Sei</creatorcontrib><creatorcontrib>Nishii, Tatsuya</creatorcontrib><creatorcontrib>Kono, Atsushi K</creatorcontrib><creatorcontrib>Inoue, Takeshi</creatorcontrib><creatorcontrib>Satomi-Kobayashi, Seimi</creatorcontrib><creatorcontrib>Rikitake, Yoshiyuki</creatorcontrib><creatorcontrib>Okita, Yutaka</creatorcontrib><creatorcontrib>Hirata, Ken-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mori, Shumpei</au><au>Takaya, Tomofumi</au><au>Kinugasa, Mitsuo</au><au>Ito, Tatsuro</au><au>Takamine, Sachiko</au><au>Fujiwara, Sei</au><au>Nishii, Tatsuya</au><au>Kono, Atsushi K</au><au>Inoue, Takeshi</au><au>Satomi-Kobayashi, Seimi</au><au>Rikitake, Yoshiyuki</au><au>Okita, Yutaka</au><au>Hirata, Ken-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-dimensional quantification and visualization of aortic calcification by multidetector-row computed tomography: A simple approach using a volume-rendering method</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>239</volume><issue>2</issue><spage>622</spage><epage>628</epage><pages>622-628</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>Abstract Objective : Three-dimensional (3-D) visualization and quantification of vascular calcification (VC) are important to accelerate the multidisciplinary investigation of VC. Agatston scoring is the standard approach for evaluating coronary artery calcification. However, regarding aortic calcification (AC), quantification methods appear to vary among studies. The aim of this study was to introduce a simple technique of simultaneous quantification and 3-D visualization of AC and provide validation data. Methods : The main study comprised of 126 patients who underwent the thoracoabdominal plain computed tomography scan as preoperative general evaluation. AC was quantified using a volume-rendering (VR) method (VR AC volume) by extracting the volume with a density ≥130 HU within the total aorta. The concordance and reproducibility of the VR AC volume were validated in comparison with the conventional slice-by-slice voxel-based AC quantification (volumetric AC score) using the Agatston scoring software. Results : Excellent concordance between the VR AC volume and volumetric AC score was confirmed (Spearman correlation coefficient = 0.9997, mean difference = −0.05 ± 0.23 mL, p <0.0001). Excellent intraobserver and interobserver reliabilities were demonstrated using the Bland–Altman analysis as the mean intraobserver difference was 0.00 mL ( p = 0.9863) and the mean interobserver difference was −0.01 mL ( p = 0.6612). Conclusion : The VR method was validated to be feasible. This simple approach could overcome the limitation of the current method based on slice-by-slice pixel or voxel summation, which lacks 3-D visual information. Accordingly, this approach would be promising for accelerating the investigation of VC.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>25554696</pmid><doi>10.1016/j.atherosclerosis.2014.12.041</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5775-8072</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Agatston score Aged Aortic calcification Aortic Diseases - diagnostic imaging Aortography - methods Cardiovascular Feasibility Studies Female Humans Imaging, Three-Dimensional - methods Male Middle Aged Multidetector Computed Tomography Multidetector-row computed tomography Observer Variation Predictive Value of Tests Radiographic Image Interpretation, Computer-Assisted - methods Reproducibility of Results Retrospective Studies Severity of Illness Index Software Vascular calcification Vascular Calcification - diagnostic imaging Volume-rendering method |
title | Three-dimensional quantification and visualization of aortic calcification by multidetector-row computed tomography: A simple approach using a volume-rendering method |
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