Coronary calcium measurements by double helical computed tomography: Using the average instead of peak density algorithm improves reproducibility

Joseph Shemesh*, Alexander Tenenbaum, Kenyon K. Kopecky, Sara Apter, Judith Rozenman, Yacov Itzchak, Michael Motro

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

RATIONALE AND OBJECTIVES. Coronary calcium (CC) measured by fast computed tomography (CT) was proposed recently as a noninvasive method of monitoring the coronary atherosclerotic process. Assessment of the reproducibility of CC measurements (mainly interstudy variability) is essential for consistent interpretation of serial studies. METHODS. The authors scanned 74 patients (50 men and 24 women) twice on the same day to determine the interstudy variability of a new scoring algorithm, using the average instead of conventional peak CT density values. RESULTS. Nineteen patients had no calcium on either scan. In the remaining 55 patients, interstudy variability was decreased by 31% using the average algorithm (32%- 23%; P < 0.001). CONCLUSIONS. Using the average instead of conventional peak density score provides better reproducible measurements of calcium by double helical CT.

Original languageEnglish
Pages (from-to)503-506
Number of pages4
JournalInvestigative Radiology
Volume32
Issue number9
DOIs
StatePublished - 1997

Keywords

  • Coronary calcium
  • Reproducibility
  • Spiral computed tomography

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