ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025
Precision and Accuracy of Dimensional Assessment of Luminal Contours by Commercially Available Quantitative Angiography Software as a Prerequisite to Angiography Based FFR and Other Derived Parametrics.
Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Impact of Angiography-Derived Physiological Patterns of CAD and Optimal Hemodynamics Post-PCI on Residual Angina.JACC. Asia · 2026Article
- Is Minimum Lumen Diameter the Main Determinant of the Diagnostic Performance of Angiography-Based Vessel Fractional Flow Reserve?Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundAccurate dimensional measurements are critical for quantitative coronary angiography (QCA) and serve as the first step in angiography-based fractional flow reserve (FFR) calculations.
aimsTo compare minimum lumen diameter (MLD) measurements across multiple QCA or anigo-based FFR software programs using phantom models.
methodsFourteen QCA and angio-based FFR programs were evaluated using six plexiglass phantoms, each containing three sequential bifurcations with known true values for the MLD of the proximal main, distal main, and side branch vessels. The accuracy and precision of MLD measurements were assessed by comparing software-measured values with true values across 54 MLD measurement points. No manual correction of the vessel contour was performed. The results of the 14 programs were reported anonymously.
resultsThe mean differences between the measured and true values were small (< 0.1 mm), however, in two angio-based FFR programs, the discrepancies were large (> 0.3 mm). The standard deviations of the differences were approximately 0.1 mm, except in one angio-based FFR program, where it exceeded 0.3 mm. Differences from true values were more pronounced in small (≦ 0.7 mm) compared to large (> 0.7 mm) true MLDs. The reproducibility of measurements was high (Pearson's correlation coefficient > 0.98) across all programs.
conclusionVariations in MLD measurements were observed among different QCA and angio-based FFR programs. These variations may influence diagnostic performance and can seriously impact decisions made solely using angio-based FFR.
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Registered trials
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