Background: Pericoronary adipose tissue (PCAT) and Coronary Artery Disease Reporting and Data System (CAD-RADS) category had prognostic values for major adverse cardiovascular events (MACEs). However, little is known about the difference between CAD-RADS and PCAT computed tomography (CT) attenuation for predicting MACEs. This study was to compare the prognostic value of PCAT and CAD-RADS for MACEs in patients with acute chest pain.
Methods: Between January 2010 and December 2021, all consecutive emergency patients with acute chest pain referred for coronary computed tomography angiography were enrolled in this retrospective study. MACEs included unstable angina requiring hospitalization, coronary revascularization, nonfatal myocardial infarction, and all-cause death. Patients' clinical characteristics, CAD-RADS, and PCAT CT attenuation were used to evaluate risk factors of MACEs using multivariable Cox regression analysis.
Results: A total of 1313 patients were evaluated (mean age, 57.13±12.57 years; 782 men). During a median follow-up of 38 months, 142 of the 1313 patients (10.81%) experienced MACEs. Multivariable Cox regression analysis showed that CAD-RADS categories 2, 3, 4, 5 (hazard ratio range, 2.286-8.325; all <0.005) and right coronary artery PCAT CT attenuation (hazard ratio, 1.033; =0.006) were independent predictors of MACEs after adjusting for clinical risk factors. The C statistics revealed that CAD-RADS improved risk stratification compared with PCAT CT alone (C-index, 0.760 versus 0.712; =0.036). However, the benefit of right coronary artery PCAT CT attenuation combined with CAD-RADS was not significant compared with CAD-RADS alone (0.777 versus 0.760; =0.129).
Conclusions: Right coronary artery PCAT CT attenuation and CAD-RADS were independent predictors of MACEs. However, no incremental prognostic value of right coronary artery PCAT CT attenuation beyond CAD-RADS was detected for MACEs in patients with acute chest pain.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351906 | PMC |
| http://dx.doi.org/10.1161/CIRCIMAGING.122.015120 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
0.5T MRI as a competitor to CT for sinus imaging.
Sci Rep
December 2024
Department of Diagnostic Radiology, Dalhousie University, Halifax, Canada.
The goal of this study was to determine how radiologists' rating of image quality when using 0.5T Magnetic Resonance Imaging (MRI) compares to Computed Tomography (CT) for visualization of pathology and evaluation of specific anatomic regions within the paranasal sinuses. 42 patients with clinical CT scans opted to have a 0.
View Article and Find Full Text PDFImpact of body composition and muscle health phenotypes on survival outcomes in colorectal cancer: a multicenter cohort.
Sci Rep
December 2024
Postgraduate Program in Health Sciences, Health Sciences Center, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Body composition abnormalities are prognostic markers in several types of cancer, including colorectal cancer (CRC). Using our data distribution on body composition assessments and classifications could improve clinical evaluations and support population-specific opportune interventions. This study aimed to evaluate the distribution of body composition from computed tomography and assess the associations with overall survival among patients with CRC.
View Article and Find Full Text PDFStrength and Poisson's ratio of fused filament fabrication parts made from carbon filler enhanced PEEK compounds at elevated temperatures.
Sci Rep
December 2024
School of Electrical Engineering, Aalto University, P.O. Box 15500, Aalto, FI-00076, Finland.
Engineering plastics are finding widespread applications across a broad temperature spectrum, with additive manufacturing (AM) having now become commonplace for producing aerospace-grade components from polymers. However, there is limited data available on the behavior of plastic AM parts exposed to elevated temperatures. This study focuses on investigating the tensile strength, tensile modulus and Poisson's ratio of parts manufactured using fused filament fabrication (FFF) and polyetheretherketone (PEEK) plastics doped with two additives: short carbon fibers (SCFs) and multi-wall carbon nanotubes (MWCNTs).
View Article and Find Full Text PDFAge- and sex-related changes in the position of the mental foramina and age estimation methods that use these changes.
Sci Rep
December 2024
Department of Forensic Medicine, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan.
The position of the mental foramen is reported to change with age. This study aimed to examine age-related changes in the position of the mental foramen in men and women. Among 200 cases (age 21-100 years; 400 foramina) that underwent postmortem computed tomography, 109 (age 21-93 years; 218 foramina) with mandibular first and second premolars were examined using image analysis software to classify the position of the mental foramen according to Fishel's classification, and the χ² test was performed.
View Article and Find Full Text PDFDiagnostic criteria for temporomandibular joint osteoarthritis using standardized uptake value in single-photon emission computed tomography-computed tomography.
Sci Rep
December 2024
Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea.
This study aimed to investigate the cutoff values of standardized uptake values (SUVs) and their accuracy using single-photon emission computed tomography-computed tomography (SPECT-CT) for temporomandibular joint (TMJ) osteoarthritis (OA) based on magnetic resonance imaging (MRI) and clinical examination. We included 106 joints of 53 patients with TMJ OA. SUVmax and SUVpeak of each TMJ was measured.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!