ArticleThe international journal of cardiovascular imaging2015
Subtraction coronary computed tomography in patients with severe calcification.
Article in The international journal of cardiovascular imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- A calcification subtraction method for postmortem coronary computed tomography angiography.International journal of legal medicine · 2025Article
- [Assessment of Coronary Stenosis Using Coronary CT Angiography in Patients with High Calcium Scores: Current Limitations and Future Perspectives].Journal of the Korean Society of Radiology · 2024Review
- Diagnostic performance of deep learning-based vessel extraction and stenosis detection on coronary computed tomography angiography for coronary artery disease: a multi-reader multi-case study.La Radiologia medica · 2023Article
- Scoring model to predict low image quality of drug-eluting stent evaluated by computed tomography coronary angiography.Heart and vessels · 2022Article
- Post-processing calcium subtraction method to minimize stenosis-overestimation by blooming artifact.Technology and health care : official journal of the European Society for Engineering and Medicine · 2022Article
- Diagnostic Accuracy of Subtraction Coronary CT Angiography in Severely Calcified Segments: Comparison Between Readers With Different Levels of Experience.Frontiers in cardiovascular medicine · 2022Article
- Incremental Diagnostic Value of CT Fractional Flow Reserve Using Subtraction Method in Patients with Severe Calcification: A Pilot Study.Journal of clinical medicine · 2021Article
- Feasibility of Subtraction Coronary Computed Tomographic Angiography and Influencing Factor Analysis: a Retrospective Study.Current medical science · 2021Article
- Subtraction improves the accuracy of coronary CT angiography for detecting obstructive disease in severely calcified segments.European radiology · 2021Article
- Advances in CT Techniques in Vascular Calcification.Frontiers in cardiovascular medicine · 2021Review
- Diagnostic Improvements of Deep Learning-Based Image Reconstruction for Assessing Calcification-Related Obstructive Coronary Artery Disease.Frontiers in cardiovascular medicine · 2021Article
- Modified Subtraction Coronary CT Angiography with a Two-Breathhold Technique: Image Quality and Diagnostic Accuracy in Patients with Coronary Calcifications.Korean journal of radiology · 2019Article
- Subtraction CT angiography improves evaluation of significant coronary artery disease in patients with severe calcifications or stents-the C-Sub 320 multicenter trial.European radiology · 2018Article
- Diagnostic accuracy of a modified subtraction coronary CT angiography method with short breath-holding time: a feasibility study.The British journal of radiology · 2016Article
- Assessment of coronary in-stent restenosis: value of subtraction coronary computed tomography angiography.The international journal of cardiovascular imaging · 2016Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To investigate the clinical usefulness of subtraction coronary computed tomographic angiography (CCTA) in patients with severe calcification. A 320-row area detector CT system was used in this study. The subjects were 78 patients (47 men and 31 women, 739 years of age) with an Agatston score of >300 who were able to undergo prospective one-beat scanning during a single breath-hold. The CCTA findings were compared against invasive coronary angiography. The diagnostic capabilities of CCTA for the severely calcified segments with and without the additional information provided by subtraction CCTA were compared. Severe calcification was observed in 174 (31.9%) of the 546 segments, and non-assessable regions were observed in 74 (13.6%) of the segments. The addition of subtraction CCTA information improved the diagnostic accuracy for segments with severe calcification from 67.8 to 82.8% on a per-segment basis and from 70.1 to 82.1% on a per-patient basis, with non-assessable segments considered to be stenotic. When non-assessable segments were considered to be an incorrect diagnosis, the diagnostic accuracy was improved from 48.3 to 75.9% on a per-segment basis and from 43.3 to 79.1% on a per-patient basis. In addition, when evaluation was limited to non-assessable segments, subtraction CCTA provided a diagnostic accuracy of 81.1% when non-assessable segments were considered to be stenotic or 66.2% when non-assessable segments were considered to be an incorrect diagnosis. Subtraction CCTA improves the diagnostic capabilities of CCTA in patients with severe calcification.
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