Evidence map›Paper›PMID 26667446›Full record

ArticleThe international journal of cardiovascular imaging2016

Enhanced characterization of calcified areas in intravascular ultrasound virtual histology images by quantification of the acoustic shadow: validation against computed tomography coronary angiography.

Alexander Broersen, Michiel A de Graaf, Jeroen Eggermont, Ron Wolterbeek, Pieter H Kitslaar, Jouke Dijkstra, Jeroen J Bax, Johan H C Reiber, Arthur J Scholte

Abstract readValidation Study
In one paragraph

Article in The international journal of cardiovascular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Emerging techniques in atherosclerosis imaging.The British journal of radiology · 2019
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alexander BroersenDivision of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands. a.broersen@lumc.nl.
Michiel A de GraafDepartment of Cardiology, Leiden University Medical Center, Albinusdreef 2, Postal zone 2300 RC, 2333 ZA, Leiden, The Netherlands.
Jeroen EggermontDivision of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Ron WolterbeekDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Pieter H KitslaarDivision of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Jouke DijkstraDivision of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Jeroen J BaxDepartment of Cardiology, Leiden University Medical Center, Albinusdreef 2, Postal zone 2300 RC, 2333 ZA, Leiden, The Netherlands.
Johan H C ReiberDivision of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Arthur J ScholteDepartment of Cardiology, Leiden University Medical Center, Albinusdreef 2, Postal zone 2300 RC, 2333 ZA, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We enhance intravascular ultrasound virtual histology (VH) tissue characterization by fully automatic quantification of the acoustic shadow behind calcified plaque. VH is unable to characterize atherosclerosis located behind calcifications. In this study, the quantified acoustic shadows are considered calcified to approximate the real dense calcium (DC) plaque volume. In total, 57 patients with 108 coronary lesions were included. A novel post-processing step is applied on the VH images to quantify the acoustic shadow and enhance the VH results. The VH and enhanced VH results are compared to quantitative computed tomography angiography (QTA) plaque characterization as reference standard. The correlation of the plaque types between enhanced VH and QTA differs significantly from the correlation with unenhanced VH. For DC, the correlation improved from 0.733 to 0.818. Instead of an underestimation of DC in VH with a bias of 8.5 mm(3), there was a smaller overestimation of 1.1 mm(3) in the enhanced VH. Although tissue characterization within the acoustic shadow in VH is difficult, the novel algorithm improved the DC tissue characterization. This algorithm contributes to accurate assessment of calcium on VH and could be applied in clinical studies.

Indexed as

Computed Tomography AngiographyMultidetector Computed TomographyPlaque, AtheroscleroticUltrasonography, InterventionalAlgorithmsAutomationCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFibrosisHumansImage Interpretation, Computer-AssistedNecrosisPredictive Value of TestsReproducibility of ResultsRetrospective StudiesAcoustic shadowPlaque constitutionQuantitative CT angiographyTissue characterization

Identifiers

PMID26667446
PMCPMC4819503

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.