Coronary Artery Calcium Scoring: Diagnostic Accuracy of Different Software Implementations

PURPOSE:To compare the diagnostic power of different software implementations for the quantification of coronary artery calcium. MATERIALS AND METHODS:Electron beam computed tomography was performed in 109 heart transplant recipients at the same time as catheter coronary angiography and intracoronar...

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Veröffentlicht in:Investigative radiology 2003-12, Vol.38 (12), p.761-768
Hauptverfasser: Knollmann, Friedrich D, Helmig, Klaus, Kapell, Susanne, Hummel, Manfred, Bocksch, Wolfgang, Hetzer, Roland, Felix, Roland
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container_end_page 768
container_issue 12
container_start_page 761
container_title Investigative radiology
container_volume 38
creator Knollmann, Friedrich D
Helmig, Klaus
Kapell, Susanne
Hummel, Manfred
Bocksch, Wolfgang
Hetzer, Roland
Felix, Roland
description PURPOSE:To compare the diagnostic power of different software implementations for the quantification of coronary artery calcium. MATERIALS AND METHODS:Electron beam computed tomography was performed in 109 heart transplant recipients at the same time as catheter coronary angiography and intracoronary ultrasound. Electron beam computed tomography images were analyzed by 3 software packages marketed for the quantification of coronary calcifications using the same software settings, and the resultant calcium scores correlated with the invasive reference methods by Bland-Altman plots and analysis of the receiver operating characteristics. RESULTS:Although all scoring systems displayed close correlations upon regression analysis (r = 0.94–0.99), their ability to detect disease as per the invasive reference method varied significantly in some instances. The area under the ROC curve varied between Az = 0.78 and 0.85 for the detection of coronary artery stenosis upon coronary angiography (P = 0.05–0.13), and between Az = 0.75 and 0.83 for the detection of accelerated intimal proliferation (P = 0.03–0.18). CONCLUSIONS:Different software implementations for the quantification of coronary artery calcium load may display diagnostically relevant differences in spite of close direct correlation.
doi_str_mv 10.1097/01.rli.0000084257.43062.c2
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MATERIALS AND METHODS:Electron beam computed tomography was performed in 109 heart transplant recipients at the same time as catheter coronary angiography and intracoronary ultrasound. Electron beam computed tomography images were analyzed by 3 software packages marketed for the quantification of coronary calcifications using the same software settings, and the resultant calcium scores correlated with the invasive reference methods by Bland-Altman plots and analysis of the receiver operating characteristics. RESULTS:Although all scoring systems displayed close correlations upon regression analysis (r = 0.94–0.99), their ability to detect disease as per the invasive reference method varied significantly in some instances. The area under the ROC curve varied between Az = 0.78 and 0.85 for the detection of coronary artery stenosis upon coronary angiography (P = 0.05–0.13), and between Az = 0.75 and 0.83 for the detection of accelerated intimal proliferation (P = 0.03–0.18). 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MATERIALS AND METHODS:Electron beam computed tomography was performed in 109 heart transplant recipients at the same time as catheter coronary angiography and intracoronary ultrasound. Electron beam computed tomography images were analyzed by 3 software packages marketed for the quantification of coronary calcifications using the same software settings, and the resultant calcium scores correlated with the invasive reference methods by Bland-Altman plots and analysis of the receiver operating characteristics. RESULTS:Although all scoring systems displayed close correlations upon regression analysis (r = 0.94–0.99), their ability to detect disease as per the invasive reference method varied significantly in some instances. The area under the ROC curve varied between Az = 0.78 and 0.85 for the detection of coronary artery stenosis upon coronary angiography (P = 0.05–0.13), and between Az = 0.75 and 0.83 for the detection of accelerated intimal proliferation (P = 0.03–0.18). 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subjects Adolescent
Adult
Aged
Algorithms
Calcinosis - diagnostic imaging
Coronary Artery Disease - diagnostic imaging
Female
Humans
Male
Middle Aged
ROC Curve
Sensitivity and Specificity
Software Validation
Tomography, X-Ray Computed
title Coronary Artery Calcium Scoring: Diagnostic Accuracy of Different Software Implementations
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