Aim. The purpose of this study was to evaluate whether the automated carotid intima-media thickness (CIMT) identified by using automated software could predict the SYNTAX score for coronary artery disease (CAD) patients. Methods. Three-hundred-seventy consecutive patients (males 218; median age 69 11 years) who underwent carotid-ultrasound and coronary angiography were analyzed. Two experienced interventional cardiologists calculated the SYNTAX score from the carotid angiograms. After ultrasonographic examinations were performed, the plaque score (PS) was calculated and automated carotid IMT analysis was obtained by a fully automated algorithm. Correlation and stepwise logistic regression analysis were calculated and also the Receiver Operating Characteristics (ROC) curve analysis was computed. Results. The mean SYNTAX score was 8.1+/-14.4; the PS was 7.1+/-14.4 and the mean CIMT was 0.86+/-0.23 mm (Normality rejected with a P-value of 0.001). A statistically significant correlation was found between the CIMT and SYNTAX score (r=0.323; P=0.0001) and between the PS and SYNTAX score (r=0.583; P=0.0001). The area under the ROC curve (Az) between CIMT and coronary artery disease was 0.648 (P=0.0001) and the CIMT of 1 mm or more was associated with the presence coronary artery disease with a specificity of 90.5%. Logistic regression analysis confirmed the association between CIMT and SYNTAX score (P=0.0002). Conclusions. Results of our study using an automated algorithm showed a statistical significant association between CIMT and SYNTAX score and indicated that CIMT may be considered a reliable parameter for prediction of SYNTAX score in Coronary Artery Disease patient population from Japan.

Automated carotid intima-media thickness and its link for prediction of SYNTAX score in Japanese coronary artery disease patients / Ikeda, N; Saba, L; Molinari, Filippo; Piga, M; Meiburger, KRISTEN MARIKO; Sugi, K; Porcu, M; Bocchiddi, L; Acharya, Ur; Nakamura, M; Nakano, M; Nicolaides, A; Suri, Js. - In: INTERNATIONAL ANGIOLOGY. - ISSN 0392-9590. - STAMPA. - 32:3(2013), pp. 339-348.

Automated carotid intima-media thickness and its link for prediction of SYNTAX score in Japanese coronary artery disease patients.

MOLINARI, FILIPPO;MEIBURGER, KRISTEN MARIKO;
2013

Abstract

Aim. The purpose of this study was to evaluate whether the automated carotid intima-media thickness (CIMT) identified by using automated software could predict the SYNTAX score for coronary artery disease (CAD) patients. Methods. Three-hundred-seventy consecutive patients (males 218; median age 69 11 years) who underwent carotid-ultrasound and coronary angiography were analyzed. Two experienced interventional cardiologists calculated the SYNTAX score from the carotid angiograms. After ultrasonographic examinations were performed, the plaque score (PS) was calculated and automated carotid IMT analysis was obtained by a fully automated algorithm. Correlation and stepwise logistic regression analysis were calculated and also the Receiver Operating Characteristics (ROC) curve analysis was computed. Results. The mean SYNTAX score was 8.1+/-14.4; the PS was 7.1+/-14.4 and the mean CIMT was 0.86+/-0.23 mm (Normality rejected with a P-value of 0.001). A statistically significant correlation was found between the CIMT and SYNTAX score (r=0.323; P=0.0001) and between the PS and SYNTAX score (r=0.583; P=0.0001). The area under the ROC curve (Az) between CIMT and coronary artery disease was 0.648 (P=0.0001) and the CIMT of 1 mm or more was associated with the presence coronary artery disease with a specificity of 90.5%. Logistic regression analysis confirmed the association between CIMT and SYNTAX score (P=0.0002). Conclusions. Results of our study using an automated algorithm showed a statistical significant association between CIMT and SYNTAX score and indicated that CIMT may be considered a reliable parameter for prediction of SYNTAX score in Coronary Artery Disease patient population from Japan.
File in questo prodotto:
File Dimensione Formato  
3007-ANGY.pdf

non disponibili

Tipologia: 1. Preprint / submitted version [pre- review]
Licenza: Non Pubblico - Accesso privato/ristretto
Dimensione 1.12 MB
Formato Adobe PDF
1.12 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11583/2542101
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo