Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging
Background Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in p...
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| Veröffentlicht in: | Pediatric radiology 2017-04, Vol.47 (4), p.450-457 |
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| creator | Gill, Anne E. Ciszak, Tadi Braun, Hayley Hawkins, C. Matthew |
| description | Background
Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in pediatric and adolescent vascular pathologies.
Objective
The purpose of this manuscript is to compare absolute luminal diameter measurements obtained via IVUS and DSA during a variety of pediatric endovascular procedures.
Materials and methods
We conducted a retrospective review of all pediatric and adolescent endovascular procedures from October 2014 to March 2016 in which IVUS and DSA were used. We compared the vessel diameter measurements and analyzed them using SAS software with a paired
t
-test.
Results
There were 102 total measurements (DSA = 56; IVUS = 56; 22 procedures; 20 patients). On average, IVUS measured 0.6 ± 2.1 mm larger than DSA (95% confidence interval [CI] −0.01 to 1.12;
P
= 0.06;
r
= 0.90). When venous compression syndrome (May–Thurner, Nutcracker, superior vena cava syndrome) measurements were excluded, IVUS measured 0.7 ± 1.6 mm larger than DSA (95% CI 0.14 to 1.18;
P
= 0.01;
r
= 0.93). When venous compression syndrome measurements were evaluated separately, IVUS measured 0.3 ± 3.0 mm larger than DSA (95% CI −1.16 to 1.82;
P
= 0.65;
r
= 0.45).
Conclusion
Overall, IVUS measurements were slightly larger than DSA measurements in all data subsets. Absolute vessel diameter measurements obtained with IVUS in the pediatric and adolescent population are statistically significantly larger than those obtained using DSA when excluding venous compression syndromes. In venous compression syndromes, IVUS might provide a more accurate representation of vessel compression and diameter than DSA. |
| doi_str_mv | 10.1007/s00247-016-3771-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1881760250</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4320828311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-7e8cba825d99c6b45f18de277a0318677de971b544779e3a4be44aba46aee87d3</originalsourceid><addsrcrecordid>eNqNkU-L1TAUxYMoznP0A7iRgBs31Zs27U3dyeCfgQE3ui5pcl_N0DbPpBmY-Sx-WO_jjSKC4Cpczu-cJPcI8VzBawWAbzJArbEC1VUNoqruHoid0k1dqb43D8UOGlAVaN2fiSc5XwNA06rmsTirjWJn2-zEj8t1S_bGZldmm2SZecqxrF7eUMolSx-msNlZ5jKy5LYQV2nXKcQp2cO327cMJHKbdHE52BQyy3EvwzF1LktY2eqDXWijJBeyuSRaaN0yI_JALG0pOE700vo4U3YsyrDYKazTU_Fob-dMz-7Pc_H1w_svF5-qq88fLy_eXVVOQ7tVSMaN1tSt73vXjbrdK-OpRrTQKNMheupRja3WiD01Vo-ktR2t7iyRQd-ci1en3EOK3wvlbVgCP2Se7Uqx5EEZo7CDuoX_QDvVogHQjL78C72OJfFCjhQi1p3pkSl1olyKOSfaD4fE30-3g4Lh2PJwannglodjy8Mde17cJ5dxIf_b8atWBuoTkFlaJ0p_XP3P1J-YzLcc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1877726897</pqid></control><display><type>article</type><title>Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Gill, Anne E. ; Ciszak, Tadi ; Braun, Hayley ; Hawkins, C. Matthew</creator><creatorcontrib>Gill, Anne E. ; Ciszak, Tadi ; Braun, Hayley ; Hawkins, C. Matthew</creatorcontrib><description>Background
Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in pediatric and adolescent vascular pathologies.
Objective
The purpose of this manuscript is to compare absolute luminal diameter measurements obtained via IVUS and DSA during a variety of pediatric endovascular procedures.
Materials and methods
We conducted a retrospective review of all pediatric and adolescent endovascular procedures from October 2014 to March 2016 in which IVUS and DSA were used. We compared the vessel diameter measurements and analyzed them using SAS software with a paired
t
-test.
Results
There were 102 total measurements (DSA = 56; IVUS = 56; 22 procedures; 20 patients). On average, IVUS measured 0.6 ± 2.1 mm larger than DSA (95% confidence interval [CI] −0.01 to 1.12;
P
= 0.06;
r
= 0.90). When venous compression syndrome (May–Thurner, Nutcracker, superior vena cava syndrome) measurements were excluded, IVUS measured 0.7 ± 1.6 mm larger than DSA (95% CI 0.14 to 1.18;
P
= 0.01;
r
= 0.93). When venous compression syndrome measurements were evaluated separately, IVUS measured 0.3 ± 3.0 mm larger than DSA (95% CI −1.16 to 1.82;
P
= 0.65;
r
= 0.45).
Conclusion
Overall, IVUS measurements were slightly larger than DSA measurements in all data subsets. Absolute vessel diameter measurements obtained with IVUS in the pediatric and adolescent population are statistically significantly larger than those obtained using DSA when excluding venous compression syndromes. In venous compression syndromes, IVUS might provide a more accurate representation of vessel compression and diameter than DSA.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-016-3771-z</identifier><identifier>PMID: 28102453</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Angiography, Digital Subtraction - methods ; Blood Vessels - diagnostic imaging ; Child ; Child, Preschool ; Female ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original Article ; Pediatrics ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography, Interventional - methods ; Ultrasound ; Vascular Diseases - diagnostic imaging</subject><ispartof>Pediatric radiology, 2017-04, Vol.47 (4), p.450-457</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>Pediatric Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-7e8cba825d99c6b45f18de277a0318677de971b544779e3a4be44aba46aee87d3</citedby><cites>FETCH-LOGICAL-c405t-7e8cba825d99c6b45f18de277a0318677de971b544779e3a4be44aba46aee87d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-016-3771-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-016-3771-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28102453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gill, Anne E.</creatorcontrib><creatorcontrib>Ciszak, Tadi</creatorcontrib><creatorcontrib>Braun, Hayley</creatorcontrib><creatorcontrib>Hawkins, C. Matthew</creatorcontrib><title>Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>Background
Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in pediatric and adolescent vascular pathologies.
Objective
The purpose of this manuscript is to compare absolute luminal diameter measurements obtained via IVUS and DSA during a variety of pediatric endovascular procedures.
Materials and methods
We conducted a retrospective review of all pediatric and adolescent endovascular procedures from October 2014 to March 2016 in which IVUS and DSA were used. We compared the vessel diameter measurements and analyzed them using SAS software with a paired
t
-test.
Results
There were 102 total measurements (DSA = 56; IVUS = 56; 22 procedures; 20 patients). On average, IVUS measured 0.6 ± 2.1 mm larger than DSA (95% confidence interval [CI] −0.01 to 1.12;
P
= 0.06;
r
= 0.90). When venous compression syndrome (May–Thurner, Nutcracker, superior vena cava syndrome) measurements were excluded, IVUS measured 0.7 ± 1.6 mm larger than DSA (95% CI 0.14 to 1.18;
P
= 0.01;
r
= 0.93). When venous compression syndrome measurements were evaluated separately, IVUS measured 0.3 ± 3.0 mm larger than DSA (95% CI −1.16 to 1.82;
P
= 0.65;
r
= 0.45).
Conclusion
Overall, IVUS measurements were slightly larger than DSA measurements in all data subsets. Absolute vessel diameter measurements obtained with IVUS in the pediatric and adolescent population are statistically significantly larger than those obtained using DSA when excluding venous compression syndromes. In venous compression syndromes, IVUS might provide a more accurate representation of vessel compression and diameter than DSA.</description><subject>Adolescent</subject><subject>Angiography, Digital Subtraction - methods</subject><subject>Blood Vessels - diagnostic imaging</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Ultrasound</subject><subject>Vascular Diseases - diagnostic imaging</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU-L1TAUxYMoznP0A7iRgBs31Zs27U3dyeCfgQE3ui5pcl_N0DbPpBmY-Sx-WO_jjSKC4Cpczu-cJPcI8VzBawWAbzJArbEC1VUNoqruHoid0k1dqb43D8UOGlAVaN2fiSc5XwNA06rmsTirjWJn2-zEj8t1S_bGZldmm2SZecqxrF7eUMolSx-msNlZ5jKy5LYQV2nXKcQp2cO327cMJHKbdHE52BQyy3EvwzF1LktY2eqDXWijJBeyuSRaaN0yI_JALG0pOE700vo4U3YsyrDYKazTU_Fob-dMz-7Pc_H1w_svF5-qq88fLy_eXVVOQ7tVSMaN1tSt73vXjbrdK-OpRrTQKNMheupRja3WiD01Vo-ktR2t7iyRQd-ci1en3EOK3wvlbVgCP2Se7Uqx5EEZo7CDuoX_QDvVogHQjL78C72OJfFCjhQi1p3pkSl1olyKOSfaD4fE30-3g4Lh2PJwannglodjy8Mde17cJ5dxIf_b8atWBuoTkFlaJ0p_XP3P1J-YzLcc</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Gill, Anne E.</creator><creator>Ciszak, Tadi</creator><creator>Braun, Hayley</creator><creator>Hawkins, C. Matthew</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20170401</creationdate><title>Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging</title><author>Gill, Anne E. ; Ciszak, Tadi ; Braun, Hayley ; Hawkins, C. Matthew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-7e8cba825d99c6b45f18de277a0318677de971b544779e3a4be44aba46aee87d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Angiography, Digital Subtraction - methods</topic><topic>Blood Vessels - diagnostic imaging</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Interventional - methods</topic><topic>Ultrasound</topic><topic>Vascular Diseases - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gill, Anne E.</creatorcontrib><creatorcontrib>Ciszak, Tadi</creatorcontrib><creatorcontrib>Braun, Hayley</creatorcontrib><creatorcontrib>Hawkins, C. Matthew</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>ProQuest Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gill, Anne E.</au><au>Ciszak, Tadi</au><au>Braun, Hayley</au><au>Hawkins, C. Matthew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>47</volume><issue>4</issue><spage>450</spage><epage>457</epage><pages>450-457</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>Background
Intravascular ultrasound (IVUS) allows intraluminal imaging of blood vessels rather than the one-dimensional luminal outline depicted by digital subtraction angiography (DSA). Despite extensive literature in multiple adult vascular diseases, IVUS has not been directly compared to DSA in pediatric and adolescent vascular pathologies.
Objective
The purpose of this manuscript is to compare absolute luminal diameter measurements obtained via IVUS and DSA during a variety of pediatric endovascular procedures.
Materials and methods
We conducted a retrospective review of all pediatric and adolescent endovascular procedures from October 2014 to March 2016 in which IVUS and DSA were used. We compared the vessel diameter measurements and analyzed them using SAS software with a paired
t
-test.
Results
There were 102 total measurements (DSA = 56; IVUS = 56; 22 procedures; 20 patients). On average, IVUS measured 0.6 ± 2.1 mm larger than DSA (95% confidence interval [CI] −0.01 to 1.12;
P
= 0.06;
r
= 0.90). When venous compression syndrome (May–Thurner, Nutcracker, superior vena cava syndrome) measurements were excluded, IVUS measured 0.7 ± 1.6 mm larger than DSA (95% CI 0.14 to 1.18;
P
= 0.01;
r
= 0.93). When venous compression syndrome measurements were evaluated separately, IVUS measured 0.3 ± 3.0 mm larger than DSA (95% CI −1.16 to 1.82;
P
= 0.65;
r
= 0.45).
Conclusion
Overall, IVUS measurements were slightly larger than DSA measurements in all data subsets. Absolute vessel diameter measurements obtained with IVUS in the pediatric and adolescent population are statistically significantly larger than those obtained using DSA when excluding venous compression syndromes. In venous compression syndromes, IVUS might provide a more accurate representation of vessel compression and diameter than DSA.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28102453</pmid><doi>10.1007/s00247-016-3771-z</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; SpringerLink (Online service) |
| subjects | Adolescent Angiography, Digital Subtraction - methods Blood Vessels - diagnostic imaging Child Child, Preschool Female Humans Imaging Male Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Pediatrics Radiology Reproducibility of Results Retrospective Studies Ultrasonography, Interventional - methods Ultrasound Vascular Diseases - diagnostic imaging |
| title | Intravascular ultrasound versus digital subtraction angiography: direct comparison of intraluminal diameter measurements in pediatric and adolescent imaging |
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