ArticleThe international journal of cardiovascular imaging2011
Small coronary calcifications are not detectable by 64-slice contrast enhanced computed tomography.
Article in The international journal of cardiovascular imaging, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Implications of coronary calcification on the assessment of plaque pathology: a comparison of computed tomography and multimodality intravascular imaging.European radiology · 2025Article
- Calcium evaluation using coronary computed tomography in combination with optical coherence tomography.The international journal of cardiovascular imaging · 2023Article
- The Prognostic Value of a Validated and Automated Intravascular Ultrasound-Derived Calcium Score.Journal of cardiovascular translational research · 2021Article
- Predictors for target lesion microcalcifications in patients with stable coronary artery disease: an optical coherence tomography study.Clinical research in cardiology : official journal of the German Cardiac Society · 2018Article
- Type 2 diabetes mellitus is associated with a lower fibrous cap thickness but has no impact on calcification morphology: an intracoronary optical coherence tomography study.Cardiovascular diabetology · 2017Article
- Coronary artery calcification is inversely related to body morphology in patients with significant coronary artery disease: a three-dimensional intravascular ultrasound study.European heart journal. Cardiovascular Imaging · 2014Article
- Patterns of coronary arterial lesion calcification by a novel, cross-sectional CT angiographic assessment.The international journal of cardiovascular imaging · 2013Article
- Lumen and calcium characteristics within calcified coronary lesions. Comparison of computed tomography coronary angiography versus intravascular ultrasound.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2013Article
- Comparison of iodinated contrast media for the assessment of atherosclerotic plaque attenuation values by CT coronary angiography: observations in an ex vivo model.The British journal of radiology · 2013Article
- Small calcified coronary atherosclerotic plaque simulation model: minimal size and attenuation detectable by 64-MDCT and MicroCT.The international journal of cardiovascular imaging · 2012Article
- IVUS detects more coronary calcifications than MSCT; matter of both resolution and cross-sectional assessment?The international journal of cardiovascular imaging · 2011Article
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11 authors.
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Abstract
Recently, small calcifications have been associated with unstable plaques. Plaque calcifications are both in intravascular ultrasound (IVUS) and multi-slice computed tomography (MSCT) easily recognized. However, smaller calcifications might be missed on MSCT due to its lower resolution. Because it is unknown to which extent calcifications can be detected with MSCT, we compared calcification detection on contrast enhanced MSCT with IVUS. The coronary arteries of patients with myocardial infarction or unstable angina were imaged by 64-slice MSCT angiography and IVUS. The IVUS and MSCT images were registered and the arteries were inspected on the presence of calcifications on both modalities independently. We measured the length and the maximum circumferential angle of each calcification on IVUS. In 31 arteries, we found 99 calcifications on IVUS, of which only 47 were also detected on MSCT. The calcifications missed on MSCT (n = 52) were significantly smaller in angle (27° ± 16° vs. 59° ± 31°) and length (1.4 ± 0.8 vs. 3.7 ± 2.2 mm) than those detected on MSCT. Calcifications could only be detected reliably on MSCT if they were larger than 2.1 mm in length or 36° in angle. Half of the calcifications seen on the IVUS images cannot be detected on contrast enhanced 64-slice MSCT angiography images because of their size. The limited resolution of MSCT is the main reason for missing small calcifications.
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