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| Name | Class |
|---|---|
| HeartFlow, Inc. | INDUSTRY |
The objective of this study is to evaluate the precision of semi-automated lumen boundary identification from coronary computed tomography angiography (cCTA) by current version of HeartFlow software and the impact on fractional flow reserve (FFRCT) by using optical coherence tomography (OCT) as reference standard.
Analysis of cCTA and OCT was conducted under blind in independent organizations.
After unblinding the cCTA and OCT case identification number, the OCT image was co-registered to cCTA data.
After co-registration of cCTA and OCT lesion locations, the minimal lumen area (MLA) was detected with both modalities. FFROCT was calculated using OCT-updated models in which cCTA-based lumen geometry was replaced by OCT-based lumen geometry.
Lesions were grouped according to their severity of calcification (using Agatston score) and minimum lumen diameter.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| severity of calcification | All vessels were divided into tertile groups according to the severity of coronary calcification evaluated by the Agatston score. |
| |
| minimal lumen diameter (MLD) ≥1.0 mm | All lesions were divided according to an MLD ≥1.0 mm, and <1.0 mm by OCT in order to isolate the lesions which an MLD below the OCT catheter size. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| data collection, non-intervention | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between cCTA and OCT for MLA measurements | Immediately after OCT scan |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between FFRCT and FFROCT | Immediately after OCT scan | |
| Impact of calcification on the agreement of MLA between OCT and cCTA measurement | Immediately after OCT scan | |
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Inclusion Criteria:
- Patients who underwent cCTA prior to coronary angiography and OCT within 6 months.
Exclusion Criteria:
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72 vessels in 57 patients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kobe University Graduate School of Medicine, Department of Cardiology | Kobe | Hyōgo | 650-0017 | Japan |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| Impact of calcification on the agreement of FFR between OCT and cCTA |
| Immediately after OCT scan |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |