Detection of mild coronary stenoses using the dynamic spatial reconstructor

Wolfgang J.T. Spyra, Malcolm R. Bell, Robert C. Bahn, Alan R. Zinsmeister, Erik L. Ritman, Alfred A. Bove

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The accuracy of the Dynamic Spatial Reconstructor (DSR) in the detection of moderate coronary artery stenoses was examined in 20 closed-chest dogs. Twenty-eight hollow plastic cylinders were embolized into the left coronary arteries and produced 25% to 56% reductions in arterial lumina diameter. For each dog, one three-dimensional (3-D) image of the heart was reconstructed from each DSR scan recorded during injection of contrast into the aortic root. Analysis involved blinded visual analysis by four independent observers of multiview projection images computed from the single 3-D image. Postmortem coronary angiograms of the isolated heart were considered definitive for location of the stenoses. Overall sensitivity of detection by DSR was 89% and specificity 81%. Sensitivity of detecting stenoses < 50% was 98%. Receiver operating characteristics (ROC) analysis showed that detection of stenoses in the left coronary arteries is of equal sensitivity and specificity.

Original languageEnglish (US)
Pages (from-to)472-479
Number of pages8
JournalInvestigative radiology
Volume25
Issue number5
DOIs
StatePublished - May 1990

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Keywords

  • Angiography
  • Observer performance
  • Receiver operating characteristics
  • Three-dimensional images

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Spyra, W. J. T., Bell, M. R., Bahn, R. C., Zinsmeister, A. R., Ritman, E. L., & Bove, A. A. (1990). Detection of mild coronary stenoses using the dynamic spatial reconstructor. Investigative radiology, 25(5), 472-479. https://doi.org/10.1097/00004424-199005000-00002