Coronary lesion complexity assessed by SYNTAX score in 256-slice dual-source MDCT angiography

PURPOSE The SYNTAX Score (SS) has an important role in grading the complexity of coronary artery disease (CAD) in patients undergoing revascularization. Noninvasive determination of SS prior to invasive coronary angiography (ICA) might optimize patient management. We aimed to evaluate the agreement between ICA and multidetector computed tomography (MDCT) while testing the diagnostic effectiveness of SS-MDCT. METHODS Our study included 108 consecutive patients who underwent both MDCT angiography with a 256-slice dual-source MDCT system and ICA within 14 +/- 3 days. SS was calculated for both ICA and MDCT coronary angiography. Spearman's rank correlation coefficient was used to evaluate the association of SS-MDCT with SS-ICA, and Bland-Altman analysis was performed. RESULTS The degree of agreement between SS-ICA and SS-MDCT was moderate. The mean SS-MDCT was 14.5, whereas the mean SS-ICA was 15.9. After dividing SS into three groups (high [>= 33], intermediate [23-32], and low [<= 22] subgroups), agreement analysis was repeated. There was a significant correlation between SS-MDCT and SS-ICA in the low SS group (r=0.63, P = 0.043) but no significant correlation in the high SS group (r = 0.036, P = 0.677). The inter-test agreement analysis showed at least moderate agreement, whereas thrombotic lesions and the type of bifurcation lesion showed fair agreement. CONCLUSION The calculation of SS-MDCT by adapting SS-ICA parameters achieved nearly the same degree of precision as SS-ICA and was better than SS-ICA, especially in the low SS group.

Yazar Yuceler, Zeyneb
Kantarci, Mecit
Tanboga, Ibrahim Halil
Sade, Recep
Kizrak, Yesim
Pirimoglu, Berhan
Bayraktutan, Ummugulsum
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2311
Tek Biçim Adres 10.5152/dir.2015.15298
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
Dergi Cilt Bilgisi 22
Dergi Sayısı 4
Sayfalar 334 - 340
Yayın Yılı 2016
Eser Adı
[dc.title]
Coronary lesion complexity assessed by SYNTAX score in 256-slice dual-source MDCT angiography
Yazar
[dc.contributor.author]
Yuceler, Zeyneb
Yazar
[dc.contributor.author]
Kantarci, Mecit
Yazar
[dc.contributor.author]
Tanboga, Ibrahim Halil
Yazar
[dc.contributor.author]
Sade, Recep
Yazar
[dc.contributor.author]
Kizrak, Yesim
Yazar
[dc.contributor.author]
Pirimoglu, Berhan
Yazar
[dc.contributor.author]
Bayraktutan, Ummugulsum
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
TURKISH SOC RADIOLOGY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
PURPOSE The SYNTAX Score (SS) has an important role in grading the complexity of coronary artery disease (CAD) in patients undergoing revascularization. Noninvasive determination of SS prior to invasive coronary angiography (ICA) might optimize patient management. We aimed to evaluate the agreement between ICA and multidetector computed tomography (MDCT) while testing the diagnostic effectiveness of SS-MDCT. METHODS Our study included 108 consecutive patients who underwent both MDCT angiography with a 256-slice dual-source MDCT system and ICA within 14 +/- 3 days. SS was calculated for both ICA and MDCT coronary angiography. Spearman's rank correlation coefficient was used to evaluate the association of SS-MDCT with SS-ICA, and Bland-Altman analysis was performed. RESULTS The degree of agreement between SS-ICA and SS-MDCT was moderate. The mean SS-MDCT was 14.5, whereas the mean SS-ICA was 15.9. After dividing SS into three groups (high [>= 33], intermediate [23-32], and low [<= 22] subgroups), agreement analysis was repeated. There was a significant correlation between SS-MDCT and SS-ICA in the low SS group (r=0.63, P = 0.043) but no significant correlation in the high SS group (r = 0.036, P = 0.677). The inter-test agreement analysis showed at least moderate agreement, whereas thrombotic lesions and the type of bifurcation lesion showed fair agreement. CONCLUSION The calculation of SS-MDCT by adapting SS-ICA parameters achieved nearly the same degree of precision as SS-ICA and was better than SS-ICA, especially in the low SS group.
Açıklama
[dc.description]
WOS: 000379846300006
Açıklama
[dc.description]
PubMed: 27328718
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1305-3825
ISSN
[dc.identifier.issn]
1305-3612
İlk Sayfa Sayısı
[dc.identifier.startpage]
334
Son Sayfa Sayısı
[dc.identifier.endpage]
340
Dergi Adı
[dc.relation.journal]
DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
22
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5152/dir.2015.15298
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2311
Görüntülenme Sayısı ( Şehir )
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Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
7
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
16 Nisan 2024 21:21
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SS-ICA SS-MDCT agreement between angiography coronary analysis correlation degree moderate whereas evaluate showed significant patients repeated subgroups) [23-32] dividing intermediate groups PURPOSE especially better precision nearly achieved parameters adapting calculation CONCLUSION lesion bifurcation lesions thrombotic
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