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Efficiently obtaining a reliable coronary artery centerline from computed tomography angiography data is relevant in clinical practice. Whereas numerous methods have been presented for this purpose, up to now no standardized evaluation methodology has been published to reliably evaluate and compare the performance of the existing or newly developed coronary(More)
Present guidelines discourage the use of CT coronary angiography (CTCA) in symptomatic angina patients. We examined the relation between coronary calcium score (CS) and the performance of CTCA in patients with stable and unstable angina in order to understand under which conditions CTCA might be a gate-keeper to conventional coronary angiography (CCA) in(More)
OBJECTIVES To validate published prediction models for the presence of obstructive coronary artery disease (CAD) in patients with new onset stable typical or atypical angina pectoris and to assess the incremental value of the CT coronary calcium score (CTCS). METHODS We searched the literature for clinical prediction rules for the diagnosis of obstructive(More)
This paper presents a novel method for segmenting the coronary lumen in CTA data. The method is based on graph cuts, with edge-weights depending on the intensity of the centerline, and robust kernel regression. A quantitative evaluation in 28 coronary arteries from 12 patients is performed by comparing the semi-automatic segmentations to manual annotations.(More)
State of the art cardiac computed tomography (CT) enables the acquisition of imaging data of the heart over the entire cardiac cycle at concurrent high spatial and temporal resolution. However, in clinical practice, acquisition is increasingly limited to 3-D images. Estimating the shape of the cardiac structures throughout the entire cardiac cycle from a(More)
This paper presents a 2-D/3-D registration method for the alignment of cardiac X-ray images to ECG gated CTA data of the coronary arteries. The purpose of our work is to provide visualization of instruments in relation to pre-operative CTA data during interventional cardiology for improved image guidance, especially in complex procedures. The method(More)
The aim of our study was to assess the prevalence of variants and anomalies of the coronary artery tree in patients who underwent 64-slice computed tomography coronary angiography (CT-CA) for suspected or known coronary artery disease. A total of 543 patients (389 male, mean age 60.5 +/- 10.9) were reviewed for coronary artery variants and anomalies(More)
PURPOSE To compare the coronary atherosclerotic burden in patients with and without type-2 diabetes using CT Coronary Angiography (CTCA). METHODS AND MATERIALS 147 diabetic (mean age: 65 ± 10 years; male: 89) and 979 nondiabetic patients (mean age: 61 ± 13 years; male: 567) without a history of coronary artery disease (CAD) underwent CTCA. The per-patient(More)
OBJECTIVES To develop prediction models that better estimate the pretest probability of coronary artery disease in low prevalence populations. DESIGN Retrospective pooled analysis of individual patient data. SETTING 18 hospitals in Europe and the United States. PARTICIPANTS Patients with stable chest pain without evidence for previous coronary artery(More)