Automated Tracing of the Adventitial Contour of Aortoiliac and Peripheral Arterial Walls in CT Angiography (CTA) to Allow Calculation of Non-calcified Plaque Burden.

Aortoiliac and lower extremity arterial atherosclerotic plaque burden is a risk factor for the development of visceral and peripheral ischemic and aneurismal vascular disease. While prior research allows automated quantification of calcified plaque in these body regions using CT angiograms, no autom...

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Publicado en:Journal of Digital Imaging Vol. 24; no. 6; pp. 1078 - 1087
Autores principales: Raman, Bhargav, Raman, Raghav, Rubin, Geoffrey, Napel, Sandy
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2011
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      pub: Springer Nature
      place: New York, New York
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        atl: Automated Tracing of the Adventitial Contour of Aortoiliac and Peripheral Arterial Walls in CT Angiography (CTA) to Allow Calculation of Non-calcified Plaque Burden.
      aug:
        au:
          Raman, Bhargav
          Raman, Raghav
          Rubin, Geoffrey
          Napel, Sandy
        affil: Department of Radiology, Stanford University School of Medicine, Stanford 94305-5105 USA
      sug:
        subj:
          Algorithms
          Atherosclerosis Radiography
          Atherosclerosis Diagnosis
          Arteries Radiography
          Radiographic Image Interpretation, Computer-Assisted
          Angiography
          Human
          Evaluation Research
          Hypothesis
          T-Tests
          Paired T-Tests
          Sensitivity and Specificity
          P-Value
          Tomography, X-Ray Computed
          Interrater Reliability
      ab: Aortoiliac and lower extremity arterial atherosclerotic plaque burden is a risk factor for the development of visceral and peripheral ischemic and aneurismal vascular disease. While prior research allows automated quantification of calcified plaque in these body regions using CT angiograms, no automated method exists to quantify soft plaque. We developed an automatic algorithm that defines the outer wall contour and wall thickness of vessels to quantify non-calcified plaque in CT angiograms of the chest, abdomen, pelvis, and lower extremities. The algorithm encodes the search space as a constrained graph and calculates the outer wall contour by deriving a minimum cost path through the graph, following the visible outer wall contour while minimizing path tortuosity. Our algorithm was statistically equivalent to a reference standard made by two reviewers. Absolute error was 1.9 ± 2.3% compared to the inter-observer variability of 3.9 ± 3.6%. Wall thickness in vessels with atherosclerosis was 3.4 ± 1.6 mm compared to 1.2 ± 0.4 mm in normal vessels. The algorithm shows promise as a tool for quantification of non-calcified plaque in CT angiography. When combined with previous research, our method has the potential to quantify both non-calcified and calcified plaque in all clinically significant systemic arteries, from the thoracic aorta to the arteries of the calf, over a wide range of diameters. This algorithm has the potential to enable risk stratification of patients and facilitate investigations into the relationships between asymptomatic atherosclerosis and a variety of behavioral, physiologic, pathologic, and genotypic conditions.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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