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An overview of coronary quantitation techniques as of 1989

  • Chapter
Quantitative Coronary Arteriography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 117))

Summary

In this chapter an extensive overview is presented on the state of the art in quantitative geometric and densitometric computer-aided analysis of coronary obstructions as of early 1989. All the data provided were obtained by requesting a total of 16 investigators known to the author to be actively involved in the development of quantitative coronary arteriography (QCA) techniques to complete a questionnaire including 29 questions on the different aspects of QCA. From this overview a number of conclusions can be drawn, particularly when comparing the results with those from early 1987: (1) there is an increased interest in the development of QCA-techniques for on-line use in the catheterization laboratory; (2) modern workstations and very powerful personal computers are increasingly being used; (3) software is mostly written in Pascal and C; (4) in the majority of the cases the edge definition is based on a combination of 1st- and 2nd-derivative functions; (5) correction for the limited resolution of the X-ray system is still insufficiently used; (6) in the majority of the cases image calibration is based on the measurement of the size of the coronary catheter segment; (7) there has been no signal of new developments in the definition of clinically relevant parameters except for the stenotic flow reserve; (8) densitometry remains a problematic technique; and (9) the use of more extensive and particularly standardized validation procedures should be encouraged.

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  1. Thoraxcenter, Erasmus University and University Hospital Rotterdam Dijkzigt, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands

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Reiber, J.H.C. (1991). An overview of coronary quantitation techniques as of 1989. In: Reiber, J.H.C., Serruys, P.W. (eds) Quantitative Coronary Arteriography. Developments in Cardiovascular Medicine, vol 117. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3726-3_4

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  • Online ISBN: 978-94-011-3726-3

  • eBook Packages: Springer Book Archive

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