Impact of analysis interval size on the quality of optical frequency domain imaging assessments of stent implantation for lesions of the superficial femoral artery

Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA). Background. No consensus or validating data are available with respect to the methodology of...

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Published in:Catheterization and cardiovascular interventions Vol. 89; no. 4; pp. 735 - 745
Main Authors: Miki, Kojiro, Fujii, Kenichi, Kawasaki, Daizo, Shibuya, Masahiko, Fukunaga, Masashi, Imanaka, Takahiro, Tamaru, Hiroto, Sumiyoshi, Akinori, Nishimura, Machiko, Horimatsu, Tetsuo, Saita, Ten, Kobayashi, Yuhei, Honda, Yasuhiro, Fitzgerald, Peter J., Masuyama, Tohru, Ishihara, Masaharu
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Abstract Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA). Background. No consensus or validating data are available with respect to the methodology of intravascular imaging analysis for the peripheral arteries. Methods. OFDI was performed for 30 SFA lesions, during endovascular therapy and at the 6‐month follow‐up. Initially, lumen and stent borders were traced at 1‐mm axial intervals. Volumes were calculated using a PC‐based software, and the volume index (VI) was defined as the volume divided by the stent length. Two additional OFDI analyses were performed using 2‐mm and 5‐mm intervals, thereby reducing the number of cross‐sectional image frames analyzed. Results. The mean stent length was 89.7 ± 35.2 mm. The mean difference in baseline minimum lumen area (MLA) was 0.4 mm2 between MLA values from the 1‐mm and 2‐mm interval analyses, and 2.2 mm2 between MLA values from the 1‐mm and 5‐mm interval analyses. In volumetric analysis, there were excellent correlations and good agreements for stent, lumen, and neointimal VI measurements obtained on the basis of different analysis intervals. Conclusions. Using large intervals in OFDI analyses of SFA lesions resulted in few differences in measurement variability of volumetric parameters. However, planar analysis for MLA assessment can be susceptible to high variability when large intervals are applied. © 2016 Wiley Periodicals, Inc.
AbstractList OBJECTIVESThis study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA).BACKGROUNDNo consensus or validating data are available with respect to the methodology of intravascular imaging analysis for the peripheral arteries.METHODSOFDI was performed for 30 SFA lesions, during endovascular therapy and at the 6-month follow-up. Initially, lumen and stent borders were traced at 1-mm axial intervals. Volumes were calculated using a PC-based software, and the volume index (VI) was defined as the volume divided by the stent length. Two additional OFDI analyses were performed using 2-mm and 5-mm intervals, thereby reducing the number of cross-sectional image frames analyzed.RESULTSThe mean stent length was 89.7 ± 35.2 mm. The mean difference in baseline minimum lumen area (MLA) was 0.4 mm2 between MLA values from the 1-mm and 2-mm interval analyses, and 2.2 mm2 between MLA values from the 1-mm and 5-mm interval analyses. In volumetric analysis, there were excellent correlations and good agreements for stent, lumen, and neointimal VI measurements obtained on the basis of different analysis intervals.CONCLUSIONSUsing large intervals in OFDI analyses of SFA lesions resulted in few differences in measurement variability of volumetric parameters. However, planar analysis for MLA assessment can be susceptible to high variability when large intervals are applied. © 2016 Wiley Periodicals, Inc.
Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA). Background. No consensus or validating data are available with respect to the methodology of intravascular imaging analysis for the peripheral arteries. Methods. OFDI was performed for 30 SFA lesions, during endovascular therapy and at the 6-month follow-up. Initially, lumen and stent borders were traced at 1-mm axial intervals. Volumes were calculated using a PC-based software, and the volume index (VI) was defined as the volume divided by the stent length. Two additional OFDI analyses were performed using 2-mm and 5-mm intervals, thereby reducing the number of cross-sectional image frames analyzed. Results. The mean stent length was 89.7±35.2 mm. The mean difference in baseline minimum lumen area (MLA) was 0.4 mm2 between MLA values from the 1-mm and 2-mm interval analyses, and 2.2 mm2 between MLA values from the 1-mm and 5-mm interval analyses. In volumetric analysis, there were excellent correlations and good agreements for stent, lumen, and neointimal VI measurements obtained on the basis of different analysis intervals. Conclusions. Using large intervals in OFDI analyses of SFA lesions resulted in few differences in measurement variability of volumetric parameters. However, planar analysis for MLA assessment can be susceptible to high variability when large intervals are applied. © 2016 Wiley Periodicals, Inc.
This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA). No consensus or validating data are available with respect to the methodology of intravascular imaging analysis for the peripheral arteries. OFDI was performed for 30 SFA lesions, during endovascular therapy and at the 6-month follow-up. Initially, lumen and stent borders were traced at 1-mm axial intervals. Volumes were calculated using a PC-based software, and the volume index (VI) was defined as the volume divided by the stent length. Two additional OFDI analyses were performed using 2-mm and 5-mm intervals, thereby reducing the number of cross-sectional image frames analyzed. The mean stent length was 89.7 ± 35.2 mm. The mean difference in baseline minimum lumen area (MLA) was 0.4 mm between MLA values from the 1-mm and 2-mm interval analyses, and 2.2 mm between MLA values from the 1-mm and 5-mm interval analyses. In volumetric analysis, there were excellent correlations and good agreements for stent, lumen, and neointimal VI measurements obtained on the basis of different analysis intervals. Using large intervals in OFDI analyses of SFA lesions resulted in few differences in measurement variability of volumetric parameters. However, planar analysis for MLA assessment can be susceptible to high variability when large intervals are applied. © 2016 Wiley Periodicals, Inc.
Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of the superficial femoral artery (SFA). Background. No consensus or validating data are available with respect to the methodology of intravascular imaging analysis for the peripheral arteries. Methods. OFDI was performed for 30 SFA lesions, during endovascular therapy and at the 6‐month follow‐up. Initially, lumen and stent borders were traced at 1‐mm axial intervals. Volumes were calculated using a PC‐based software, and the volume index (VI) was defined as the volume divided by the stent length. Two additional OFDI analyses were performed using 2‐mm and 5‐mm intervals, thereby reducing the number of cross‐sectional image frames analyzed. Results. The mean stent length was 89.7 ± 35.2 mm. The mean difference in baseline minimum lumen area (MLA) was 0.4 mm2 between MLA values from the 1‐mm and 2‐mm interval analyses, and 2.2 mm2 between MLA values from the 1‐mm and 5‐mm interval analyses. In volumetric analysis, there were excellent correlations and good agreements for stent, lumen, and neointimal VI measurements obtained on the basis of different analysis intervals. Conclusions. Using large intervals in OFDI analyses of SFA lesions resulted in few differences in measurement variability of volumetric parameters. However, planar analysis for MLA assessment can be susceptible to high variability when large intervals are applied. © 2016 Wiley Periodicals, Inc.
Author Fitzgerald, Peter J.
Imanaka, Takahiro
Nishimura, Machiko
Kobayashi, Yuhei
Kawasaki, Daizo
Miki, Kojiro
Honda, Yasuhiro
Horimatsu, Tetsuo
Fukunaga, Masashi
Saita, Ten
Shibuya, Masahiko
Ishihara, Masaharu
Sumiyoshi, Akinori
Tamaru, Hiroto
Fujii, Kenichi
Masuyama, Tohru
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  organization: Division of Cardiovascular Medicine and Coronary Heart Disease Hyogo College of Medicine
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  surname: Saita
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  organization: Division of Cardiovascular Medicine and Coronary Heart Disease Hyogo College of Medicine
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  givenname: Yuhei
  surname: Kobayashi
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  organization: Division of Cardiovascular Medicine Stanford University School of Medicine
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  surname: Ishihara
  fullname: Ishihara, Masaharu
  organization: Division of Cardiovascular Medicine and Coronary Heart Disease Hyogo College of Medicine
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CitedBy_id crossref_primary_10_1080_17434440_2017_1280391
crossref_primary_10_1253_circj_CJ_20_0470
crossref_primary_10_1253_circj_CJ_20_1200
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Keywords optical coherence tomography
endovascular therapy
peripheral artery disease
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Snippet Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for...
This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for lesions of...
Objectives This study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for...
OBJECTIVESThis study aimed to investigate the influence of analysis interval size on optical frequency domain imaging (OFDI) assessment of stent therapy for...
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SubjectTerms Aged
Angiography
Cross-Sectional Studies
Endovascular Procedures - standards
endovascular therapy
Female
Femoral Artery - diagnostic imaging
Femoral Artery - surgery
Follow-Up Studies
Humans
Male
optical coherence tomography
Peripheral Arterial Disease - diagnosis
Peripheral Arterial Disease - surgery
peripheral artery disease
Prospective Studies
Reproducibility of Results
Stents
Time Factors
Tomography, Optical Coherence - methods
Title Impact of analysis interval size on the quality of optical frequency domain imaging assessments of stent implantation for lesions of the superficial femoral artery
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fccd.26673
https://www.ncbi.nlm.nih.gov/pubmed/27515475
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https://search.proquest.com/docview/1859718235
Volume 89
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