1. Photon counting spectral CT component analysis of coronary artery atherosclerotic plaque samples
- Author
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Gerhard Martens, Axel Thran, Monica Sigovan, Loic Boussel, Ewald Roessl, Philippe Douek, Philippe Coulon, Service de Radiologie [Hôpital de la Croix-Rousse - HCL], Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon ( HCL ) -Hospices Civils de Lyon ( HCL ), 1 - Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales ( MOTIVATE ), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé ( CREATIS ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon ( INSA Lyon ), Université de Lyon-Institut National des Sciences Appliquées ( INSA ) -Institut National des Sciences Appliquées ( INSA ) -Hospices Civils de Lyon ( HCL ) -Université Jean Monnet [Saint-Étienne] ( UJM ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ) -Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Institut National des Sciences Appliquées ( INSA ) -Institut National des Sciences Appliquées ( INSA ) -Hospices Civils de Lyon ( HCL ) -Université Jean Monnet [Saint-Étienne] ( UJM ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), Philips Healthcare, Philips Research [Germany], Philips Research, Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), and Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Photon ,Materials science ,[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging ,Contrast Media ,Coronary Artery Disease ,Coronary artery disease ,medicine ,Humans ,Scattering, Radiation ,Radiology, Nuclear Medicine and imaging ,[ SDV.IB.IMA ] Life Sciences [q-bio]/Bioengineering/Imaging ,Photons ,Full Paper ,business.industry ,Compton scattering ,General Medicine ,medicine.disease ,Photon counting ,Plaque, Atherosclerotic ,Intensity (physics) ,Coronary arteries ,medicine.anatomical_structure ,Radiographic Image Interpretation, Computer-Assisted ,Tomography ,Autopsy ,Nuclear medicine ,business ,Tomography, X-Ray Computed ,Artery - Abstract
International audience; Objectives. To evaluate the capabilities of Photon Counting Spectral CT to differentiate components of coronary atherosclerotic plaque based on differences in spectral attenuation and iodine-based contrast agent concentration. Methods. 10 calcified and 13 lipid-rich atheromatous plaques from postmortem human coronary arteries were scanned with a Photon Counting Spectral CT scanner. Individual photons were counted and classified in one of 6 energy bins from 25 to 70 keV.Based on a maximum likelihood approach, maps of Photoelectric Absorption (PA), Compton Scattering (CS) and Iodine Concentration (IC) were reconstructed. Intensity measurements were performed on each map in the vessel wall, the surrounding perivascular fat, the lipid-rich and the calcified plaques. PA and CS values are expressed relative to pure water values. Comparison between these different elements was performed using Kruskal-Wallis tests with pairwise post-hoc Mann-Whitney U tests and Sidak p-values adjustment. Results. Results for vessel wall, surrounding perivascular fat, lipid-rich, and calcified plaques were respectively 1.19+/-0.09, 0.73+/-0.05, 1.08+/-0.14, 17.79+/-6.70 for PA; 0.96+/-0.02, 0.83+/-0.02, 0.91+/-0.03, 2.53+/-0.63 for CS, and 83.3+/-10.1, 37.6+/-8.1, 55.2+/-14.0, 4.9+/-20.0 mmol/l for IC, with significant differences between all tissues for PA, CS and IC (p
- Published
- 2014