Yuanliang Xie1,2, Xiang Wang1, Wei Xie1, Faxiang Chen1, Shubo Gao1, Yikai Xu3. 1. Department of Radiology, Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China. 2. Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, No. 1838 Guangzhou Avenue North, Guangzhou, 510050, China. 3. Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, No. 1838 Guangzhou Avenue North, Guangzhou, 510050, China. yikaixu0658@aliyun.com.
Abstract
PURPOSE: Myocardial bridges (MB) have traditionally been considered a benign condition, but recent studies have demonstrated that the clinical complications can be dangerous. The transluminal attenuation gradient (TAG) obtained from coronary computed tomography angiography (CCTA) data (Retrospective ECG-triggered method) has been used in detecting significant stenosis in coronary artery caused by atherosclerosis. Contrast opacification difference (COD) was the parameters calculated as the change between attenuation of mural artery and the median attenuation of presumptive vessel segment; it was evaluated along with TAGstandardized (TAGs) and MB length for predicting MB with systolic compression (MB-SC) in patients diagnosed as MB in left anterior descending coronary artery (LAD) by CCTA or invasive coronary angiograph (ICA). METHODS: A total of 107 MB patients were divided into three groups based on systolic compression (SC), including: Group 1 (MB without SC); Group 2 (MB with mild SC); and Group 3 (MB with significant SC). ANOVA and Kruskal-Wallis analysis indicated TAGs showed the most significant differences for MB identification. RESULTS: This study revealed that TAGs decreasing and COD increasing were dominated in MB with significant SC. CONCLUSIONS: COD had a higher sensitivity and a higher negative predictive value for detecting MB with significant SC than TAGs.
PURPOSE: Myocardial bridges (MB) have traditionally been considered a benign condition, but recent studies have demonstrated that the clinical complications can be dangerous. The transluminal attenuation gradient (TAG) obtained from coronary computed tomography angiography (CCTA) data (Retrospective ECG-triggered method) has been used in detecting significant stenosis in coronary artery caused by atherosclerosis. Contrast opacification difference (COD) was the parameters calculated as the change between attenuation of mural artery and the median attenuation of presumptive vessel segment; it was evaluated along with TAGstandardized (TAGs) and MB length for predicting MB with systolic compression (MB-SC) in patients diagnosed as MB in left anterior descending coronary artery (LAD) by CCTA or invasive coronary angiograph (ICA). METHODS: A total of 107 MB patients were divided into three groups based on systolic compression (SC), including: Group 1 (MB without SC); Group 2 (MB with mild SC); and Group 3 (MB with significant SC). ANOVA and Kruskal-Wallis analysis indicated TAGs showed the most significant differences for MB identification. RESULTS: This study revealed that TAGs decreasing and COD increasing were dominated in MB with significant SC. CONCLUSIONS: COD had a higher sensitivity and a higher negative predictive value for detecting MB with significant SC than TAGs.
Entities:
Keywords:
Contrast opacification difference; Left anterior descending coronary artery; Myocardial bridge; Myocardial bridge with systolic compression; Transluminal attenuation gradient
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