Observer repeatability and interscan reproducibility of 18F-sodium fluoride coronary microcalcification activity.

Observer repeatability and interscan reproducibility of 18F-sodium fluoride coronary microcalcification activity.
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DOI:
10.1007/s12350-020-02221-1
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发表时间:
2022-03
期刊:
Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
影响因子:
--
通讯作者:
Slomka PJ
Slomka PJ
中科院分区:
其他
文献类型:
--
作者:
Tzolos E;Kwiecinski J;Lassen ML;Cadet S;Adamson PD;Moss AJ;Joshi N;Williams MC;van Beek EJR;Dey D;Berman DS;Dweck MR;Newby DE;Slomka PJ

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我们的目的是建立冠状动脉18f -氟化钠正电子发射断层扫描(PET)摄取的观察者可重复性和扫描间可重复性,使用一种新的半自动方法,冠状动脉微钙化活性(CMA)。多支冠状动脉疾病患者接受多次PET和CTA混合成像(PET/CTA)。CMA定义为整个冠状树的综合标准化摄取值(SUV)超过背景SUV 2个标准差。在血管和患者水平上确定同一观察者之间(观察者内重复性)、两个观察者之间(观察者间重复性)和两次扫描之间的重复性系数(扫描间重复性)。在19例患者中,在相隔12±5天的两次PET/CT扫描中,对43条冠状动脉进行了两次CMA评估。观察者内重复性、观察者间重复性和扫描间重复性均有极好的类内相关性(均≥0.991)。对于冠状动脉18f - naf摄取存在(CMA=0)或不存在(CMA=0),观察者内、观察者间和扫描间的一致性为100%。所有测量的平均CMA为3.12±0.62,重复性系数≤10%:在每个血管和每个患者水平上,观察者内分别为0.24和0.22,观察者间分别为0.30和0.29,扫描间分别为0.33和0.32。CMA是冠状动脉粥样硬化活动的可重复和可再现的全球测量。
We aimed to establish the observer repeatability and interscan reproducibility of coronary 18F-sodium-fluoride positron emission tomography (PET) uptake using, a novel semi-automated approach, coronary microcalcification activity (CMA). Patients with multivessel coronary artery disease underwent repeated hybrid PET and computed tomography angiography (CTA) imaging (PET/CTA). CMA was defined as the integrated standardized uptake values (SUV) in the entire coronary tree exceeding 2 standard deviations above the background SUV. Coefficients of repeatability between the same observer (intraobserver repeatability), between 2 observers (interobserver repeatability) and coefficient of reproducibility between 2 scans (interscan reproducibility), were determined at vessel and patient level. In 19 patients, CMA was assessed twice in 43 coronary vessels on two PET/CT scans performed 12±5 days apart. There was excellent intraclass correlation for intraobserver and interobserver repeatability as well as interscan reproducibility (all ≥0.991). There was 100% intraobserver, interobserver and interscan agreement for the presence (CMA>0) or absence (CMA=0) of coronary18F-NaF uptake. Mean CMA was 3.12±0.62 with coefficients of repeatability of ≤10% for all measures: intraobserver 0.24 and 0.22, interobserver 0.30 and 0.29 and interscan 0.33 and 0.32 at a per-vessel and per-patient level respectively. CMA is a repeatable and reproducible global measure of coronary atherosclerotic activity.
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