0000000000121991
AUTHOR
T. Voigtlaender
Assessment of image quality of intracoronary ultrasound systems with tissue-equivalent vessel phantoms
Imaging of vascular structures by intracoronary ultrasound (ICUS) is finding more and more applications in coronary diagnosis and in the assessment of interventional access. The authors describe a method for easy and quick production of tissue-equivalent vessel phantoms from a special hydrocolloid. The mechanical tolerance is less than 3/100 mm. With these phantoms the authors tested the calibration and measured the resolution properties of the SONOS intravascular ultrasonic system (Hewlett Packard). The measurements revealed a slight space related underestimation of diameters up to 280 /spl mu/m. Using cross correlation and auto correlation functions the authors analyzed digitized ultrason…
Tissue classification by texture and spectral analysis of intracoronary ultrasound radio-frequency data
Imaging of vascular structures by intracoronary ultrasound allows in principal the recognition of different lesion types due to the echomorphology in the B-mode image. The subjective visual diagnosis is often difficult, especially the differentiation between thrombi and non-calcified plaque. The aim of this study was the extraction of features from the ultrasound radio-frequency signal for an objective characterization of coronary tissue. Methods of texture analysis and frequency analysis were used to differentiate red and white thrombi in vitro. Eight texture parameters of first and second order significantly differentiated red and white thrombi. The backscatter transfer function of red th…
Detection of coronary artery calcifications predicting coronary heart disease: comparison of fluoroscopy and spiral CT.
The aim of this study was to evaluate the clinical relevance of coronary artery calcifications detected by spiral CT, congruence with fluoroscopy (FS) and coronary angiography, and comparison with studies reporting on application of double-helical CT and ultrafast CT. Forty patients underwent spiral CT (2-mm slice thickness, table feed 3 mm/s), coronary angiography, and FS (performed in the usual manner). Stenosis and calcifications were evaluated semiquantitatively. Nineteen patients suffering from a stenosis ≥ 75 % were verified at coronary angiography. All had coronary artery calcification on spiral CT. Fluoroscopy did not detect 8 of 19 patients with a stenosis ≥ 75 % (1 vessel: n = 1; …