Variability in quantitative measurement of the same segment with two different intravascular ultrasound systems: In vivo and in vitro studies
Yuxin Li MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorJunko Honye MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Satoshi Saito MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi-Kami-machi, Itabashi-ku, Tokyo, 173-8610, JapanSearch for more papers by this authorTadateru Takayama MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorShin-Ichiro Yokoyama MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorTadahiro Saruya MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorMotoko Kotani MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorKazuo Harasawa MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorHideyuki Ando MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorMasayoshi Endo MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorKatsuo Kanmatsuse MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorYuxin Li MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorJunko Honye MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Satoshi Saito MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi-Kami-machi, Itabashi-ku, Tokyo, 173-8610, JapanSearch for more papers by this authorTadateru Takayama MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorShin-Ichiro Yokoyama MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorTadahiro Saruya MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorMotoko Kotani MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorKazuo Harasawa MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorHideyuki Ando MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorMasayoshi Endo MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorKatsuo Kanmatsuse MD
Division of Cardiology, Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
Search for more papers by this authorAbstract
We evaluated two different intravascular ultrasound (IVUS) systems, Atlantis and Intrafocus, to verify their accuracy and reproducibility. In an in vivo study on 20 consecutive patients with coronary artery diseases, the minimum lumen diameter (MLD), vessel diameter, lumen area (LA), vessel area, plaque area, and area stenosis rate (% AS) were respectively measured. In an in vitro study, MLD and LA were measured in four metal tubes with different diameters. All of the measured values except for % AS by Atlantis were significantly larger than the values obtained with Intrafocus. Nonuniform rotational distortion (NURD) was estimated as 34% in Atlantis and 1% in Intrafocus. The measurements by Atlantis were larger than the true values while the measurements by Intrafocus were less than the true values in all four metal tubes. These findings suggest that we should clearly avoid the use of different IVUS systems in the same study. Catheter Cardiovasc Interv 2004;62:175–180. © 2004 Wiley-Liss, Inc.
REFERENCES
- 1 GUIDE trial investigators. Discrepancies between angiographic and intravascular ultrasound appearance of coronary lesions undergoing intervention: a report of phase I of the “GUIDE” trial. J Am Coll Cardiol 1993; 21: 118A.
- 2 Hiro T, Leung CY, Russo RJ, et al. Variability in tissue characterization of atherosclerotic plaque by intravascular ultrasound: a comparison of four intravascualr ultrasound systems. Am J Cardiol Imaging 1996; 10: 209–218.
- 3 Hiro ET, Leung CY, Russo RJ, et al. Variability of a three-layered appearance in intravascular ultrasound coronary images: a comparison of morphometric measurements with four intravascular ultrasound systems. Am J Cardiol Imaging 1996; 10: 219–227.
- 4 Di Mario C, Madretsma S, Linker D, et al. The angle of incidence of the ultrasonic beam: a critical factor for the image quality in intravascular ultrasonography. Am Heart J 1993; 125: 442–448.
- 5 Nishimura RA, Edwards WD, Warnes CA, et al. Intravascular ultrasound imaging: in vitro validation and pathologic correlation. J Am Coll Cardiol 1990; 16: 145–154.
- 6 Wenguang L, Gussenhoven WJ, Zhong Y, et al. Validation of quantitative analysis of intravascular ultrasound images. Int J Cardiol Imaging 1991; 6: 247–253.
- 7 Anderson MH, Simpson IA, Katritsis D, et al. Intravascular ultrasound imaging of the coronary arteries: an in vitro evaluation of measurement of area of the lumen and atheroma characterization. Br Heart J 1992; 68: 276–281.
- 8 Chae JS, Brisken AF, Maurer G, et al. Geometric accuracy of intravascular ultrasound imaging. J Am Soc Echocardiogr 1992; 5: 577–587.
- 9 Moriuchi M, Tobis JM, Mahon D, et al. The reproducibility of intravascular ultrasound imaging in vitro. J Am Soc Echocardiogr 1990; 3: 444–450.
- 10 Mintz GS, Douek P, Pichard AD, et al. Target lesion calcification in coronary artery disease: an intravascular ultrasound study. J Am Coll Cardiol 1992; 20: 1149–1155.
- 11 Fitzgerald PJ, Ports TA, Yock PG. Contribution of localized calcium deposits to dissection after angioplasty: an observational study using intravascular ultrasound. Circulation 1992; 86: 64–70.
- 12 ten Hoff H, Korbijn A, Smith TH, et al. Imaging artifacts in mechanically driven ultrasound catheters. Int J Cardiol Imaging 1989; 4: 195–199.
- 13 Crowley RJ, von Behren PL, Couvillon LA, et al. Optimized ultrasound imaging catheters for use in the vascular system. Int J Cardiol Imaging 1989; 4: 145–151.
- 14 Benkeser PJ, Churchwell AL, Lee C, et al. Resolution limitations in intravascular ultrasound imaging. J Am Soc Echocardiogr 1993; 6: 158–165.
- 15 Peters RJ, Kok WE, Rijsterborgh H, et al. Reproducibility of quantitative measurements from intracoronary ultrasound images: beat-to-beat variability and influence of the cardiac cycle. Eur Heart J 1996; 17: 1593–1599.
- 16 Gaster AL, Korsholm L, Thayssen P, et al. Reproducibility of intravascular ultrasound and intracoronary Doppler measurements. Catheter Cardiovasc Interv 2001; 53: 449–458.
- 17 Hausmann D, Lundkvist AJ, Friedrich GJ, et al. Intracoronary ultrasound imaging: intraobserver and interobserver variability of morphometric measurements. Am Heart J 1994; 128: 674–680.
- 18 Potkin BN, Bartorelli AL, Gessert JM, et al. Coronary artery imaging with intravascular high-frequency ultrasound. Circulation 1990; 81: 1575–1585.
- 19 Hodgson JM, Graham SP, Savakus AD, et al. Clinical percutaneous imaging of coronary anatomy using an over-the-wire ultrasound catheter system. Int J Cardiol Imaging 1989; 4: 187–193.
- 20 St Goar FG, Pinto FJ, Alderman EL, et al. Intravascular ultrasound imaging of angiographically normal coronary arteries: an in vivo comparison with quantitative angiography. J Am Coll Cardiol 1991; 18: 952–958.
