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Saba L, Sanfilippo R, Tallapally N, Molinari F, Montisci R, Mallarini G, Suri JS. Evaluation of Carotid Wall Thickness by using Computed Tomography and Semiautomated Ultrasonographic Software. ACTA ACUST UNITED AC 2018. [DOI: 10.1177/154431671103500302] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Purpose The increased thickness of the carotid artery is associated with the development of coronary and cerebrovascular events. In this study our purpose was to evaluate the carotid artery wall thickness (CAWT) by using multidetector-row computed tomography angiography (MDCTA) and the intima media thickness (IMT) by using semiautomated ultrasonography (SA-US) to evaluate the agreement between the two methods. Methods This is a retrospective study, and the institutional review board approval was obtained. Twenty-one patients (age range, 59–81 years) were analyzed with the use of a 16-detector row CT and a sonographic scanner. In total, 14 subjects had shown cerebral ischemic symptoms. The IMT was quantified by the use of specific semiautomated software (ImgTracer™, Global Biomedical Technologies, Roseville, CA) by four expert observers, and the CAWT was measured by use of the MDCTA. Data were compared with the Wilcoxon test for paired samples. Bland–Altman statistics was used to measure the agreement between MDCTA and SA-US. A p value < 0.05 was considered significant. Results Forty-two carotids were analyzed, and the CAWT ranged from 0.64 to 2.99 mm, with a mean value of 1.438 mm. By analyzing the Bland–Altman plots, we observed a good agreement between SA-US and correlation coefficient r were 0.9250 (95% confidence interval [CI] 0.864–0.959; p < 0.0001), 0.9265 (95% CI 0.866–0.961; p < 0.0001), 0.9466 (95% CI 0.902–0.971; p < 0.0001), and 0.8621 (95% CI: 0.756–0.924; p < 0.0001) for observer 1, observer 2, observer 3 and observer 4 respectively. Conclusions Data of this preliminary study by using SA-US and MDCTA demonstrated a good agreement between in the measurement of CAWT and IMT.
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Affiliation(s)
- Luca Saba
- Departments of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari – Polo di Monserrato, s.s. 554 Monserrato (Cagliari) 09045, Italy
| | - Roberto Sanfilippo
- Departments of Vascular Surgery, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari – Polo di Monserrato, s.s. 554 Monserrato (Cagliari) 09045, Italy
| | | | - Filippo Molinari
- Departments of Biolab, Department of Electronics, Politecnico di Torino, Torino, Italy
| | - Roberto Montisci
- Departments of Vascular Surgery, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari – Polo di Monserrato, s.s. 554 Monserrato (Cagliari) 09045, Italy
| | - Giorgio Mallarini
- Departments of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari – Polo di Monserrato, s.s. 554 Monserrato (Cagliari) 09045, Italy
| | - Jasjit S. Suri
- Departments of CTO, Global Biomedical Technologies Inc., California
- Departments of Biomedical Engineering Department, Idaho State University (Aff.), Idaho
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von Stillfried S, Apitzsch JC, Ehling J, Penzkofer T, Mahnken AH, Knüchel R, Floege J, Boor P. Contrast-enhanced CT imaging in patients with chronic kidney disease. Angiogenesis 2016; 19:525-35. [PMID: 27582011 DOI: 10.1007/s10456-016-9524-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Accepted: 08/22/2016] [Indexed: 11/29/2022]
Abstract
Renal microvascular rarefaction characterizes chronic kidney disease (CKD). In murine models of CKD, micro-CT imaging reflected capillary rarefaction using quantification of renal relative blood volume (rBV). In addition, micro-CT imaging revealed morphological alterations of the intrarenal vasculature including reduced vascular branching and lumen diameter. Here, we retrospectively quantified rBV in contrast-enhanced CT angiography in patients and found that, compared to non-CKD patients, those with CKD and renal fibrosis had significantly reduced rBV in the renal cortex. rBV values closely mirrored capillary rarefaction in the corresponding nephrectomy specimens. In patients with follow-up CT angiography, reduction of renal function was paralleled by a decline in rBV. Using virtual autopsy, i.e., postmortem CT angiography, morphometry of intrarenal arteries in 3D-rendered CT images revealed significantly reduced arterial diameter and branching in CKD compared to non-CKD cases. In conclusion, in CKD patients, contrast-enhanced CT imaging with quantification of rBV correlates with functional renal vasculature, whereas virtual autopsy allows morphometric analyses of macrovascular changes. Importantly, the observed vascular alterations in CKD patients mirror those in animals with progressive CKD, suggesting a high relevance of animal models for studying vascular alterations in CKD and renal fibrosis.
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Affiliation(s)
- Saskia von Stillfried
- Institute of Pathology, Aachen University Hospital, Pauwelsstrasse 30, 52074, Aachen, Germany
| | - Jonas C Apitzsch
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany.,Department of Diagnostic and Interventional Radiology, University Hospital, Philipps University Marburg, Marburg, Germany
| | - Josef Ehling
- Department of Experimental Molecular Imaging, University Clinic and Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Aachen, Germany
| | - Tobias Penzkofer
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
| | - Andreas H Mahnken
- Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany.,Department of Diagnostic and Interventional Radiology, University Hospital, Philipps University Marburg, Marburg, Germany
| | - Ruth Knüchel
- Institute of Pathology, Aachen University Hospital, Pauwelsstrasse 30, 52074, Aachen, Germany
| | - Jürgen Floege
- Department of Nephrology, RWTH Aachen University Hospital, Aachen, Germany
| | - Peter Boor
- Institute of Pathology, Aachen University Hospital, Pauwelsstrasse 30, 52074, Aachen, Germany. .,Department of Nephrology, RWTH Aachen University Hospital, Aachen, Germany.
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Saba L, Anzidei M, Piga M, Ciolina F, Mannelli L, Catalano C, Suri JS, Raz E. Multi-modal CT scanning in the evaluation of cerebrovascular disease patients. Cardiovasc Diagn Ther 2014; 4:245-62. [PMID: 25009794 DOI: 10.3978/j.issn.2223-3652.2014.06.05] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2014] [Accepted: 05/07/2014] [Indexed: 11/14/2022]
Abstract
Ischemic stroke currently represents one of the leading causes of severe disability and mortality in the Western World. Until now, angiography was the most used imaging technique for the detection of the extra-cranial and intracranial vessel pathology. Currently, however, non-invasive imaging tool like ultrasound (US), magnetic resonance (MR) and computed tomography (CT) have proven capable of offering a detailed analysis of the vascular system. CT in particular represents an advanced system to explore the pathology of carotid arteries and intracranial vessels and also offers tools like CT perfusion (CTP) that provides valuable information of the brain's vascular physiology by increasing the stroke diagnostic. In this review, our purpose is to discuss stroke risk prediction and detection using CT.
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Affiliation(s)
- Luca Saba
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Michele Anzidei
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Mario Piga
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Federica Ciolina
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Lorenzo Mannelli
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Carlo Catalano
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Jasjit S Suri
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
| | - Eytan Raz
- 1 Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554 Monserrato (Cagliari) 09045, Italy ; 2 Departments of Radiological Sciences, University of Rome La Sapienza, Viale Regina Elena 324, 00161 (Rome), Italy ; 3 Department of Radiology, University of Washington, Seattle, Washington, USA ; 4 Fellow AIMBE, CTO, AtheroPoint LLC, Roseville, CA, USA ; 5 Department of Biomedical Engineering, Idaho State University (Aff.), ID, USA ; 6 Department of Radiology, New York University School of Medicine, New York, USA ; 7 Department of Neurology and Psychiatry, Sapienza University of Rome, Viale dell' Università, 30, 00185 Rome, Italy
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