Evidence map›Paper›PMID 28110432›Full record

ArticleThe international journal of cardiovascular imaging2017

Two-by-two cross-over study to evaluate agreement between versions of a quantitative coronary analysis system (QAngio XA).

Kayoko Kozuma, Kosuke Kashiwabara, Tomohiro Shinozaki, Ken Kozuma, Koji Oba, Yutaka Matsuyama

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The international journal of cardiovascular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Cardiovascular imaging 2017 in the International Journal of Cardiovascular Imaging.The international journal of cardiovascular imaging · 2018
    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

6 authors.

Kayoko KozumaDepartment of Biostatistics, Division of Health Sciences and Nursing Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. kayokozuma-tky@umin.ac.jp.ORCID http://orcid.org/0000-0002-1523-1659
Kosuke KashiwabaraDepartment of Biostatistics, Division of Health Sciences and Nursing Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Tomohiro ShinozakiDepartment of Biostatistics, Division of Health Sciences and Nursing Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Ken KozumaDivision of Cardiology, Teikyo University School of Medicine, Tokyo, Japan.
Koji ObaDepartment of Biostatistics, Division of Health Sciences and Nursing Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Yutaka MatsuyamaDepartment of Biostatistics, Division of Health Sciences and Nursing Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current version (ver. 7.3) of the popular quantitative coronary analysis system QAngio XA (Medis Medical Imaging System BV, Leiden, the Netherlands) is widely used without evaluating the agreement between the current and older versions in relation to a change of algorithms. The purpose of this study was to assess the equivalence of averages between QAngio XA versions 7.3 and 6.0. Based on the calculated sample size, angiographic images of 100 patients who underwent percutaneous coronary intervention of a single target lesion were randomly selected from two published studies (OUCH-TL: 154 lesions; OUCH-PRO: 160 lesions). The primary endpoint was the minimum lumen diameter (MLD), and the secondary endpoints were the reference diameter (RefD) and length of the stenotic lesion (LL). Two independent analysts measured the same frame using both previous and current versions of QAngio XA. Version-order for each lesion was randomly determined per coronary locations targeted. Data were analysed by using a mixed model that includes random lesion effects and fixed rater effects and reading-order effects. A Bland-Altman plot of parameters showed no large differences between the versions. Differences in parameters were estimated by the mixed model, and the 95% confidence interval of the MLD, RefD, and LL estimates was from -0.045 to -0.0001 mm, from -0.040 to 0.006 mm, and from -1.08 to 0.46 mm, respectively, compared with the predefined non-inferiority margin of ±0.2 mm. Measurements of MLD and RefD using QAngio XA showed no major systematic differences between versions.

Indexed as

AgedAlgorithmsCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleHumansMaleMiddle AgedObserver VariationPercutaneous Coronary InterventionPredictive Value of TestsRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsCoronary artery diseaseImaging modalitiesMinimum lumen diameterMixed modelQCA

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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.