Correlation between the pericoronary fat attenuation index and the CT image reconstruction parameters
- VernacularTitle:冠状动脉周围脂肪衰减指数与CT图像重建参数的相关性研究
- Author:
Lihong CHEN
1
;
Gongting CHEN
;
Ganglian FAN
;
Yanan LI
;
Tingting QU
;
Le CAO
;
Zhijie JIAN
;
Jianxin GUO
Author Information
- Keywords: coronary artery; atherosclerosis; computed tomography(CT); reconstruction parameter; pcricoronary fat
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2024;45(4):547-551
- CountryChina
- Language:Chinese
- Abstract: Objective To evaluate the relationship between the pericoronary fat attenuation index(FAI)and the image reconstruction parameters of computed tomography(CT)coronary angiography,including reconstruction kernel,iterative reconstruction algorithm and image thickness.Methods Forty-four CT coronary angiography scans were prospectively enrolled.All scans were reconstructed by three means as follows:① Four different kernels(Soft_AA,Soft_BA,Soft_CA,and Soft_DA,sharpness from low to high)as the iterative reconstruction algorithm(KARL5)and image thickness(0.5 mm)remained unchanged.② Filtered back projection(FBP)and iterative reconstruction kernel(KARL5)as the kernel and image thickness(0.5 mm)remained unchanged.③ Different image thickness(0.5 mm and 1 mm)as the kernel(Soft_AA)and iterative reconstruction algorithm(KARL5)remained unchanged.The FAI of left anterior descending artery(LAD),left circumflex artery(LCX),and right coronary artery(RCA)was calculated using a dedicated software.Paired t-test and analysis of variance were used for statistical analysis.Results For LAD,LCX and RCA:① The differences of FAI among different reconstruction kernels reached statistical significance(P<0.001),and FAI decreased as the sharper kernel was used.③ Compared with FBP,the FAI of KARL5-reconstructed images significantly increased(P<0.001).③ Compared with 0.5 mm,the FAI of images with 1.0 mm thickness significantly decreased(P<0.001).Conclusion The kernel,iterative reconstruction algorithms,and image thickness all have a significant impact on the FAI of each coronary artery.When using FAI for clinical diagnosis,the effect of CT reconstruction parameters should be taken into account.