Skip to main content

Quantitative coronary arteriography

  • Chapter
Digital Cardiac Imaging
  • 68 Accesses

Abstract

The clinical objective of coronary arteriography is to demonstrate the anatomic basis for the patient’s clinical presentation and to provide information necessary to guide therapy. Coronary artery disease has classically been determined by estimates of percent stenosis from cineangiograms. However, this method has been shown to be characterized by large interobserver and intraobserver variability. As a result, recent attempts have been made to quantitate coronary luminal dimensions more precisely.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Brown BG, Bolson E, Frimer M, Dodge HT: Quantitative coronary arteriography: estimation of dimension, hemodynamic resistance, and atheroma mass of coronary artery lesions using the arteriogram and digital computation. Circulation 55: 329–337, 1977.

    PubMed  CAS  Google Scholar 

  2. Feldman RL, Pepine CJ, Curry RC, Conti CR: Quantitative coronary arteriography using 105 mm photospot angiography and an optical magnifying device. Cathet Cardiovasc Diagn 5: 195, 1979.

    Article  PubMed  CAS  Google Scholar 

  3. MacAlpin RN, Abbasi AS, Grothman JH, Eber L: Human coronary artery size during life. Radiology 108: 567, 1973.

    PubMed  CAS  Google Scholar 

  4. Brown BG, Peterson RB, Pierce CD, Bolson EL, Dodge HT: Arteriographic assessment of coronary disease: advantages, limitations, and clinical uses of a computer-assisted method. In: Rappaport E, Kouchoukos NT, Oparil S, Pitt B, Popp RL, Scheinman MM (eds), Cardiology update 1982 edition. Elsevier Biomedical, New York, 1982, pp 67–98.

    Google Scholar 

  5. Sanders WJ, Alderman EL, Harrison DC: Coronary artery quantitation using digital image processing techniques. IEEE Computers in Cardiol 15–20, 1979.

    Google Scholar 

  6. Zir LM, Miller SW, Dinsmore RE, Gilbert JP, Harthorne JW: Interobserver variability in coronary angiography. Circulation 53: 627–632, 1976.

    PubMed  CAS  Google Scholar 

  7. DeRouen TA, Murray JA, Owen W: Variability in the analysis of coronary arteriograms. Circulation 55: 324–328, 1977.

    PubMed  CAS  Google Scholar 

  8. Sanmarco ME, Brooks SH, Blankenhorn DH: Reproducibility of a concensus panel in the interpretation of coronary angiograms. Am Heart J 96: 430–437, 1978.

    Article  PubMed  CAS  Google Scholar 

  9. Detre KM, Wright PH, Murphy ML, Takaro T: Observer agreement in evaluating coronary angiograms. Circulation 52: 979–986, 1975.

    PubMed  CAS  Google Scholar 

  10. Kennedy JW, Fisher LD, Killip T: Coronary angiography quality control in the Cass Study. In: Bond MG, Insull W, Glagov S, Chandler AB, Cornhill JF (eds), Clinical diagnosis of athe-rosclerosis: quantitative methods of evaluation. Springer-Verlag, New York, 1983, pp 475–491.

    Google Scholar 

  11. Galbraith JE, Murphy ML, DeSoyza N: Coronary angiogram interpretation: interobserver variability. J Am Med Assoc 240: 2053–2056, 1978.

    Article  CAS  Google Scholar 

  12. Schwartz JN, Kong Y, Hackel DB, Bartel AG: Comparison of angiographic and post-mortem findings in patients with coronary artery disease. Am J Cardiol 36: 174–178, 1975.

    Article  PubMed  CAS  Google Scholar 

  13. Vlodaver Z, Freeh R, Van Tassel RA, Edwards JE: Correlation of anti-mortem coronary arteriogram and the post-mortem specimen. Circulation 47: 162–169, 1973.

    PubMed  CAS  Google Scholar 

  14. Zarins CK, Zatina MA, Glagov S: Correlation of post-mortem angiography with pathologic anatomy: Quantitation of atherosclerotic lesions. In: Bond MG, Insull W, Glagov S, Chandler AB, Cornhill JF (eds), Clinical diagnosis of atherosclerosis: quantitative methods of evaluation. Springer-Verlag, New York, 1983, pp 284–306.

    Google Scholar 

  15. Roach MR: Changes in arterial distensibility as a cause of post-stenotic dilatation. Am J Cardiol 12: 802, 1963.

    Article  PubMed  CAS  Google Scholar 

  16. Feldman RL, Nichols WW, Pepine CJ, Conti CR: Hemodynamic significance of the length of a coronary arterial narrowing. Am J Cardiol 41: 865, 1978.

    Article  PubMed  CAS  Google Scholar 

  17. Glagov S, Zarins CK: Quantitating atherosclerosis: problems of definition. In: Bond MG, Insull W, Glagov S, Chandler AB, Cornhill JF (eds), Clinical diagnosis of atherosclerosis: quantitative methods of evaluation. Springer-Verlag, New York, 1983, pp 11–35.

    Google Scholar 

  18. Sandor T, Als AV, Paulin S: Cinedensitometric measurement of coronary arterial stenosis. Cathet Cardiovasc Diagn 5: 229–245, 1979.

    Article  PubMed  CAS  Google Scholar 

  19. Kishan Y, Yerushalmi S, Deutsh V, Neufeld HN: Measurement of coronary arterial lumen by densitometric analysis of angiograms. Angiology 30 (5): 304–312, 1979.

    Article  Google Scholar 

  20. Hoornstra K, Hanselman JMH, Holland WPJ, DeWey Peters GW, ZWamborn AW: Videoden-sitometry for measuring blood vessel diameter. Acta Radiol Diagn 21: 155–164, 1980.

    CAS  Google Scholar 

  21. Sandor T, Sridharb, Paulin S: Remote densitometric analysis of stenotic lesions. Int J Bio Med Comp 10: 15–22, 1979.

    Article  CAS  Google Scholar 

  22. Crawford DW, Brooks SH, Barndt R, Blankenhorn DH: Measurement of atherosclerotic luminal irregularity and obstruction by radiographic densitometry. Invest Radio 12: 307–313, 1977.

    Article  CAS  Google Scholar 

  23. Kruger RA: Estimation of the diameter of an iodine concentration within blood vessels using digital radiography devices. Med Phys 8 (5): 652–658, 1981.

    Article  PubMed  CAS  Google Scholar 

  24. Nichols AB, Gabrich CFO, Fenoglio JJ, Esser PD: Quantification of relative coronary arterial stenosis by cinevideodensitometric analysis of coronary arteriograms. Circulation 69: 512–522, 1984.

    Article  PubMed  CAS  Google Scholar 

  25. Buis B, Endlick B, Amtzenius AC: A technique for measuring the diameter of coronary arteries and venous bypass grafts from 70 mm spot films. In: Lichtlen PR (ed), Coronary angiography and angina pectoris. George Thieme Verlag, Stuttgart, 1976, pp 265–272.

    Google Scholar 

  26. Feldman RL, Pepine CJ, Curry RC, Conti CR: Case against routine use of glyceryl trinitrate before coronary arteriography. Brit Heart J 40: 992, 1978.

    Article  PubMed  CAS  Google Scholar 

  27. Feldman RL, Pepine CJ, Curry RC, Conti CR: Coronary arterial responses to graded doses of nitroglycerin. Am J Cardiol 43: 91, 1979.

    Article  PubMed  CAS  Google Scholar 

  28. Gensini GG, Kelly AE, DaCosta BCB, Huntington PP: Quantitative angiography: the measure-ment of coronary vasomobility in the intact animal and man. Chest 60: 522–530, 1971.

    Article  PubMed  CAS  Google Scholar 

  29. Rafflenbeul W, Heim R, Dzeuiba M, Henkel B, Lichtlen P: Morphometric analysis of coronary arteries. In: Lichtlen P (ed), Coronary angiography and angina pectoris, Symp of the Eur Soc of Cardiol. Georg Thein Verlag, Stuttgart, 1976 pp 255–265.

    Google Scholar 

  30. Rafflenbeul W, Smith LR, Rogers WJ, Mantle JA, Rackley CE, Russell RO: Quantitative coronary arteriography: coronary anatomy of patients with unstable angina pectoris reexamined 1 year after optimal medical therapy. Am J Cardiol 43: 699–707, 1979.

    Article  PubMed  CAS  Google Scholar 

  31. McMahon MM, Brown BG, Cukingnan R, Rolett EL, Bolson E, Frimer M, Dodge HT: Quantitative coronary angiography: measurement of the ’critical’ stenosis in patients with unsta-ble angina and single vessel disease without collaterals. Circulation 60: 106–113, 1979.

    PubMed  CAS  Google Scholar 

  32. Smith DN, Colfer H, Brymer JF, Pitt B, Kliman SH: A semiautomatic computer technique for processing coronary angiograms. IEEE Computers in Cardiol 325–328, 1981.

    Google Scholar 

  33. Smith DN, Colfer HT, Delp EJ, Walton JA, Pitt B: Cellular image transformation with an application to quantitative coronary arteriography. IEEE J Biomed Eng (in press).

    Google Scholar 

  34. Reiber JHC, Booman F, Tan HS, Slager CJ, Schuurbiers JCH, Gerbrands JJ, Meester GT: A cardiac image analysis system: objective quantitative processing of angiograms. IEEE Computers in Cardiol 239–242, 1978.

    Google Scholar 

  35. Booman F, Reiber JHC, Gerbrands JJ, Slager CJ, Schuurbiers JCH, Meester GT: Quantitative analysis of coronary occlusions from coronary cineangiograms. IEEE Computers in Cardiol 177–180, 1979.

    Google Scholar 

  36. Spears JR, Sandor T, Als AV, Malagold M, Markis JE, Grossman W, Serur JR, Paulin S: Computerized image analysis for quantitative measurement of vessel diameter from cineangio¬grams. Circulation 68: 453–461, 1983.

    Article  PubMed  CAS  Google Scholar 

  37. Selzer RH: Atherosclerosis quantitation by computer image analysis. In: Bond MG, Insull W, Glagov S, Chandler AB, Cornhill JF (eds), Clinical diagnosis of atherosclerosis: quantitative methods of evaluation. Springer-Verlag, New York, 1983, pp 43–45.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Martinus Nijhoff Publisher, Dordrecht

About this chapter

Cite this chapter

Laufer, N., Buda, A.J. (1985). Quantitative coronary arteriography. In: Buda, A.J., Delp, E.J. (eds) Digital Cardiac Imaging. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4996-6_9

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-4996-6_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8712-4

  • Online ISBN: 978-94-009-4996-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics