In vivo validation of CAAS QCA-3D coronary reconstruction using fusion of angiography and intravascular ultrasound (ANGUS)

Objectives: The CAAS QCA‐3D system (Pie Medical Imaging BV, the Netherlands) was validated against 3D reconstructions based on fusion of angiography and intravascular ultrasound (ANGUS), allowing slice by slice validation of the lumen areas and 3D geometric values. Background: Accurate online 3D rec...

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Veröffentlicht in:Catheterization and cardiovascular interventions 2009-04, Vol.73 (5), p.620-626
Hauptverfasser: Schuurbiers, Johan C.H., Lopez, Nieves Gonzalo, Ligthart, Jurgen, Gijsen, Frank J.H., Dijkstra, Jouke, Serruys, Patrick W., Van der Steen, Antonius F., Wentzel, Jolanda J.
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container_end_page 626
container_issue 5
container_start_page 620
container_title Catheterization and cardiovascular interventions
container_volume 73
creator Schuurbiers, Johan C.H.
Lopez, Nieves Gonzalo
Ligthart, Jurgen
Gijsen, Frank J.H.
Dijkstra, Jouke
Serruys, Patrick W.
Van der Steen, Antonius F.
Wentzel, Jolanda J.
description Objectives: The CAAS QCA‐3D system (Pie Medical Imaging BV, the Netherlands) was validated against 3D reconstructions based on fusion of angiography and intravascular ultrasound (ANGUS), allowing slice by slice validation of the lumen areas and 3D geometric values. Background: Accurate online 3D reconstruction of human coronary arteries is of outmost importance during clinical practice in the catheterization laboratory. The CAAS QCA‐3D system provides technology to 3D reconstruct human coronary arteries based on two or more angiographic images, but was not validated in realistic arteries before. Methods: Ten patients were imaged using biplane angiography and an ECG gated (TomTec) intravascular ultrasound (IVUS) pullback (stepsize 0.5 mm, Boston Scientific). The coronary arteries were 3D reconstructed based on (a) fusion of biplane angiography and IVUS (ANGUS) and (b) CAAS QCA‐3D using the biplane angiography images. For both systems the length, the curvature and the lumen areas at 0.5 mm spacing were calculated and compared. Results: Bland‐Altman analysis indicated that the CAAS QCA‐3D system underestimated the lumen areas systematically by 0.45 ± 1.49 mm2. The segment length was slightly underestimated by the CAAS QCA‐3D system (62.1 ± 11.3 vs. 63.2 ± 11.4 mm; P < 0.05), while the curvature of the analyzed segments were not statistically different. Conclusions: The CAAS QCA‐3D system allows 3D reconstruction of human coronary arteries based on biplane angiography. Validation against the ANGUS system showed that both the 3D geometry and lumen areas are highly correlated which makes the CAAS QCA‐3D system a promising tool for applications in the catheterization laboratory and opens possibilities for computational fluid dynamics. © 2009 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ccd.21872
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Background: Accurate online 3D reconstruction of human coronary arteries is of outmost importance during clinical practice in the catheterization laboratory. The CAAS QCA‐3D system provides technology to 3D reconstruct human coronary arteries based on two or more angiographic images, but was not validated in realistic arteries before. Methods: Ten patients were imaged using biplane angiography and an ECG gated (TomTec) intravascular ultrasound (IVUS) pullback (stepsize 0.5 mm, Boston Scientific). The coronary arteries were 3D reconstructed based on (a) fusion of biplane angiography and IVUS (ANGUS) and (b) CAAS QCA‐3D using the biplane angiography images. For both systems the length, the curvature and the lumen areas at 0.5 mm spacing were calculated and compared. Results: Bland‐Altman analysis indicated that the CAAS QCA‐3D system underestimated the lumen areas systematically by 0.45 ± 1.49 mm2. The segment length was slightly underestimated by the CAAS QCA‐3D system (62.1 ± 11.3 vs. 63.2 ± 11.4 mm; P &lt; 0.05), while the curvature of the analyzed segments were not statistically different. Conclusions: The CAAS QCA‐3D system allows 3D reconstruction of human coronary arteries based on biplane angiography. Validation against the ANGUS system showed that both the 3D geometry and lumen areas are highly correlated which makes the CAAS QCA‐3D system a promising tool for applications in the catheterization laboratory and opens possibilities for computational fluid dynamics. © 2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.21872</identifier><identifier>PMID: 19309696</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>3D-reconstruction ; angiography ; Angioplasty, Balloon, Coronary ; Coronary Angiography ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Humans ; Image Interpretation, Computer-Assisted ; Imaging, Three-Dimensional ; IVUS ; Observer Variation ; Predictive Value of Tests ; Radiographic Image Interpretation, Computer-Assisted ; Reproducibility of Results ; Ultrasonography, Interventional ; validation</subject><ispartof>Catheterization and cardiovascular interventions, 2009-04, Vol.73 (5), p.620-626</ispartof><rights>Copyright © 2009 Wiley‐Liss, Inc.</rights><rights>Copyright 2009 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3922-d9d7d272d8c914538519aba6fbea9d46c511cf3b56969c2b6df1c0e41d875833</citedby><cites>FETCH-LOGICAL-c3922-d9d7d272d8c914538519aba6fbea9d46c511cf3b56969c2b6df1c0e41d875833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.21872$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.21872$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19309696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schuurbiers, Johan C.H.</creatorcontrib><creatorcontrib>Lopez, Nieves Gonzalo</creatorcontrib><creatorcontrib>Ligthart, Jurgen</creatorcontrib><creatorcontrib>Gijsen, Frank J.H.</creatorcontrib><creatorcontrib>Dijkstra, Jouke</creatorcontrib><creatorcontrib>Serruys, Patrick W.</creatorcontrib><creatorcontrib>Van der Steen, Antonius F.</creatorcontrib><creatorcontrib>Wentzel, Jolanda J.</creatorcontrib><title>In vivo validation of CAAS QCA-3D coronary reconstruction using fusion of angiography and intravascular ultrasound (ANGUS)</title><title>Catheterization and cardiovascular interventions</title><addtitle>Cathet. Cardiovasc. Intervent</addtitle><description>Objectives: The CAAS QCA‐3D system (Pie Medical Imaging BV, the Netherlands) was validated against 3D reconstructions based on fusion of angiography and intravascular ultrasound (ANGUS), allowing slice by slice validation of the lumen areas and 3D geometric values. Background: Accurate online 3D reconstruction of human coronary arteries is of outmost importance during clinical practice in the catheterization laboratory. The CAAS QCA‐3D system provides technology to 3D reconstruct human coronary arteries based on two or more angiographic images, but was not validated in realistic arteries before. Methods: Ten patients were imaged using biplane angiography and an ECG gated (TomTec) intravascular ultrasound (IVUS) pullback (stepsize 0.5 mm, Boston Scientific). The coronary arteries were 3D reconstructed based on (a) fusion of biplane angiography and IVUS (ANGUS) and (b) CAAS QCA‐3D using the biplane angiography images. For both systems the length, the curvature and the lumen areas at 0.5 mm spacing were calculated and compared. Results: Bland‐Altman analysis indicated that the CAAS QCA‐3D system underestimated the lumen areas systematically by 0.45 ± 1.49 mm2. The segment length was slightly underestimated by the CAAS QCA‐3D system (62.1 ± 11.3 vs. 63.2 ± 11.4 mm; P &lt; 0.05), while the curvature of the analyzed segments were not statistically different. Conclusions: The CAAS QCA‐3D system allows 3D reconstruction of human coronary arteries based on biplane angiography. 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Lopez, Nieves Gonzalo ; Ligthart, Jurgen ; Gijsen, Frank J.H. ; Dijkstra, Jouke ; Serruys, Patrick W. ; Van der Steen, Antonius F. ; Wentzel, Jolanda J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3922-d9d7d272d8c914538519aba6fbea9d46c511cf3b56969c2b6df1c0e41d875833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>3D-reconstruction</topic><topic>angiography</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Imaging, Three-Dimensional</topic><topic>IVUS</topic><topic>Observer Variation</topic><topic>Predictive Value of Tests</topic><topic>Radiographic Image Interpretation, Computer-Assisted</topic><topic>Reproducibility of Results</topic><topic>Ultrasonography, Interventional</topic><topic>validation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schuurbiers, Johan C.H.</creatorcontrib><creatorcontrib>Lopez, Nieves Gonzalo</creatorcontrib><creatorcontrib>Ligthart, Jurgen</creatorcontrib><creatorcontrib>Gijsen, Frank J.H.</creatorcontrib><creatorcontrib>Dijkstra, Jouke</creatorcontrib><creatorcontrib>Serruys, Patrick W.</creatorcontrib><creatorcontrib>Van der Steen, Antonius F.</creatorcontrib><creatorcontrib>Wentzel, Jolanda J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schuurbiers, Johan C.H.</au><au>Lopez, Nieves Gonzalo</au><au>Ligthart, Jurgen</au><au>Gijsen, Frank J.H.</au><au>Dijkstra, Jouke</au><au>Serruys, Patrick W.</au><au>Van der Steen, Antonius F.</au><au>Wentzel, Jolanda J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In vivo validation of CAAS QCA-3D coronary reconstruction using fusion of angiography and intravascular ultrasound (ANGUS)</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>73</volume><issue>5</issue><spage>620</spage><epage>626</epage><pages>620-626</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Objectives: The CAAS QCA‐3D system (Pie Medical Imaging BV, the Netherlands) was validated against 3D reconstructions based on fusion of angiography and intravascular ultrasound (ANGUS), allowing slice by slice validation of the lumen areas and 3D geometric values. Background: Accurate online 3D reconstruction of human coronary arteries is of outmost importance during clinical practice in the catheterization laboratory. The CAAS QCA‐3D system provides technology to 3D reconstruct human coronary arteries based on two or more angiographic images, but was not validated in realistic arteries before. Methods: Ten patients were imaged using biplane angiography and an ECG gated (TomTec) intravascular ultrasound (IVUS) pullback (stepsize 0.5 mm, Boston Scientific). The coronary arteries were 3D reconstructed based on (a) fusion of biplane angiography and IVUS (ANGUS) and (b) CAAS QCA‐3D using the biplane angiography images. For both systems the length, the curvature and the lumen areas at 0.5 mm spacing were calculated and compared. Results: Bland‐Altman analysis indicated that the CAAS QCA‐3D system underestimated the lumen areas systematically by 0.45 ± 1.49 mm2. The segment length was slightly underestimated by the CAAS QCA‐3D system (62.1 ± 11.3 vs. 63.2 ± 11.4 mm; P &lt; 0.05), while the curvature of the analyzed segments were not statistically different. Conclusions: The CAAS QCA‐3D system allows 3D reconstruction of human coronary arteries based on biplane angiography. Validation against the ANGUS system showed that both the 3D geometry and lumen areas are highly correlated which makes the CAAS QCA‐3D system a promising tool for applications in the catheterization laboratory and opens possibilities for computational fluid dynamics. © 2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19309696</pmid><doi>10.1002/ccd.21872</doi><tpages>7</tpages></addata></record>
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subjects 3D-reconstruction
angiography
Angioplasty, Balloon, Coronary
Coronary Angiography
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - therapy
Humans
Image Interpretation, Computer-Assisted
Imaging, Three-Dimensional
IVUS
Observer Variation
Predictive Value of Tests
Radiographic Image Interpretation, Computer-Assisted
Reproducibility of Results
Ultrasonography, Interventional
validation
title In vivo validation of CAAS QCA-3D coronary reconstruction using fusion of angiography and intravascular ultrasound (ANGUS)
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