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Accuracy of multi-detector computed tomographic angiography assisted by post-processing software for diagnosis atheromatous renal artery stenosis
- Source :
- Diagnostic and Interventional Imaging. 94:1123-1131
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- Purpose To compare the diagnostic performance of MDCTA versus renal angiography in the detection of > 50% renal artery stenosis in patients suspected of reno-vascular hypertension. Materials and methods Between January 2005 and January 2010, 92 MDCTA and renal arteriographies were retrospectively analysed. Renal angiographies were read by one interventional radiologist. Three blinded independent readers (two senior radiologists and one technician) scored MDCTA images using three different approaches. Reader 1 scored stenosis using only MPR and MIP. Reader 2 (technician) used only proprietary automatic arterial segmentation software. Reader 3 used the cited software, using manual diameter measurements. Results A total of 92 patients, (235 renal arteries) were assessed in which 48 significant stenosis were found by arteriography. Sensitivity, specificity, of MDCTA compared to renal arteriography were respectively per patient for reader 1: (88%; 80%); for reader 2: (58%; 80%); for reader 3: (96%; 90%) ( P Conclusion When using automated vessel analysis software edited by a radiologist, MDCTA studies had a Sensibility/Specificity of 96%/90% to detect > 50% renal artery stenosis.
- Subjects :
- Adult
Male
Arteriography
medicine.medical_specialty
Renal Artery Obstruction
Renal artery stenosis
Cohort Studies
Hounsfield scale
Multidetector Computed Tomography
Image Processing, Computer-Assisted
medicine
Humans
Radiology, Nuclear Medicine and imaging
In patient
Vessel analysis
Accuracy
Aged
Retrospective Studies
Aged, 80 and over
Radiological and Ultrasound Technology
medicine.diagnostic_test
business.industry
Angiography
Reproducibility of Results
General Medicine
Digital subtraction angiography
Middle Aged
Atherosclerosis
medicine.disease
Multi detector
Computed tomographic angiography
Stenosis
Female
Multidetector computed tomography angiography
Radiology
business
Software
Subjects
Details
- ISSN :
- 22115684
- Volume :
- 94
- Database :
- OpenAIRE
- Journal :
- Diagnostic and Interventional Imaging
- Accession number :
- edsair.doi.dedup.....7b2e53efafd67f8cc3d42c7729547741