PMID- 2011983
OWN - NLM
STAT- MEDLINE
DCOM- 19910503
LR  - 20190622
IS  - 0002-9149 (Print)
IS  - 0002-9149 (Linking)
VI  - 67
IP  - 9
DP  - 1991 Apr 15
TI  - Comparison of intravascular ultrasound, external ultrasound and digital 
      angiography for evaluation of peripheral artery dimensions and morphology.
PG  - 817-22
AB  - Validation of catheter-based intravascular ultrasound imaging has been based on 
      comparisons with histology and digital angiography, each of which may have 
      limitations in the assessment of arterial size and morphology. External, 
      high-frequency ultrasound can accurately determine vessel dimensions and 
      morphology and because, like ultravascular ultrasound, it also provides 
      cross-sectional arterial ultrasound images, it may be a more appropriate 
      technique for the in vivo comparison of arterial dimensions and morphology 
      determined by intravascular ultrasound. Thus, intravascular ultrasound, external 
      2-dimensional ultrasound, Doppler color-flow imaging and digital angiography were 
      compared for assessment of arterial dimensions and wall morphology at 29 femoral 
      artery sites in 15 patients. Intravascular ultrasound and the other 3 imaging 
      modalities correlated well in determination of lumen diameter (2-dimensional, r = 
      0.98, standard error of the estimate [SEE] = 0.14; Doppler color flow, r = 0.91, 
      SEE = 1.11; angiography, r = 0.95, SEE = 0.91) and cross-sectional area 
      (2-dimensional, r = 0.97, SEE = 0.04; Doppler color flow, r = 0.92, SEE = 0.14; 
      angiography, r = 0.96, SEE = 0.08). However, lumen size measured by Doppler color 
      flow was consistently smaller than that measured by the other 3 imaging 
      modalities. Intravascular ultrasound detected arterial plaque at 15 sites, 5 of 
      which were hypoechoic (soft) and 10 hyperechoic with distal shadowing (hard). 
      Plaque was identified at 12 of 15 sites by Z-dimensional imaging (p = 0.30 vs 
      intravascular ultrasound), but at only 6 of 15 sites by angiography (p = 0.003 vs 
      intravascular ultrasound), only 1 of which was thought to be calcified 
      plaque.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Sheikh, K H
AU  - Sheikh KH
AD  - Department of Medicine, Duke University Medical Center, Durham, North Carolina 
      27710.
FAU - Davidson, C J
AU  - Davidson CJ
FAU - Kisslo, K B
AU  - Kisslo KB
FAU - Harrison, J K
AU  - Harrison JK
FAU - Himmelstein, S I
AU  - Himmelstein SI
FAU - Kisslo, J
AU  - Kisslo J
FAU - Bashore, T M
AU  - Bashore TM
LA  - eng
GR  - CA-37586/CA/NCI NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Angiography, Digital Subtraction
MH  - Arteriosclerosis/diagnostic imaging
MH  - Catheterization, Peripheral
MH  - Color
MH  - Doppler Effect
MH  - Female
MH  - Femoral Artery/anatomy & histology/*diagnostic imaging
MH  - Humans
MH  - Image Processing, Computer-Assisted
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Ultrasonography
MH  - Videotape Recording
EDAT- 1991/04/15 00:00
MHDA- 1991/04/15 00:01
CRDT- 1991/04/15 00:00
PHST- 1991/04/15 00:00 [pubmed]
PHST- 1991/04/15 00:01 [medline]
PHST- 1991/04/15 00:00 [entrez]
AID - 0002-9149(91)90613-P [pii]
AID - 10.1016/0002-9149(91)90613-p [doi]
PST - ppublish
SO  - Am J Cardiol. 1991 Apr 15;67(9):817-22. doi: 10.1016/0002-9149(91)90613-p.