Summary
In this paper an overview is given of the current state-of-the-art in quantitative coronary arteriography (QCA) and of anticipated future developments. The conventional QCA approaches with automated contour detection techniques based on Minimal Cost contour detection Algorithms (MCA) have been well established and validated. The functional significance of an obstruction can be assessed by measuring the perfusion of the myocardium at different flow conditions, the Myocardial Flow Reserve (MFR). The development of the Gradient Field Transform approach for the quantitation of complex lesions represents a major step forward in QCA. Future developments are directed towards digital-only analyses, standardization of the file formats (DICOM), the incorporation of computer networks and the analyses of the coronary tree for optimizing the image acquisition.
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Reiber, J.H.C. et al. (1995). Evolution of quantitative coronary arteriography. In: Van Der Wall, E.E., Marwick, T.H., Reiber, J.H.C. (eds) Advances in Imaging Techniques in Ischemic Heart Disease. Developments in Cardiovascular Medicine, vol 171. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0365-7_11
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DOI: https://doi.org/10.1007/978-94-011-0365-7_11
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