Quantitative analyses of cardiac CT plain scan versus CT angiography in assessing epicardial fat volume

ZHANG Yimin; ZHENG Yibing

doi:10.7619/jcmp.20212790

Journal of Clinical Medicine in Practice > 2022 > 26(3): 21-24. > DOI: 10.7619/jcmp.20212790

ZHANG Yimin, ZHENG Yibing. Quantitative analyses of cardiac CT plain scan versus CT angiography in assessing epicardial fat volume[J]. Journal of Clinical Medicine in Practice, 2022, 26(3): 21-24. DOI: 10.7619/jcmp.20212790

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Quantitative analyses of cardiac CT plain scan versus CT angiography in assessing epicardial fat volume

Department of Imaging, Yangzhou Friendly Hospital, Yangzhou, Jiangsu, 225000

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Received Date: July 08, 2021
Available Online: March 10, 2022
Published Date: February 14, 2022

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Abstract

Abstract

Objective To compare the clinical effect of quantitative analysis of CT plain scan and CT angiography (CTA) in assessing epicardial fat volume.
Methods A total of 170 patients with coronary heart disease were selected as study objects, and underwent cardiac CT plain scan and CTA examination at the same period. After uploading the original images to the workstation, patients' heart images were reconstructed based on optimal R-R interphase, and outline of the pericardium was automatically drawn. Epicardial adipose tissue was extracted; volume enhancement tools were used to measure and calculate fat volume; the operation was performed by two senior radiographic physicians using double blind methods. CT plain scan and CTA were used to determine the consistency of measured results of epicardial fat volume.
Results Volume of epicardial fat measured by CT was (99.59±43.14) cm², and was (94.05±45.70) cm³ by CTA, the difference was not statistically significant (P>0.05). Linear regression analysis showed that there was a significant positive correlation between consistency of CT plain scan and that of epicardial fat volume CTA determined by two physicians (R_A²=0.942, R_B²=0.947). Bland-Altman analysis showed that the repetition coefficient errors of CT scan and CTA were 9.45(95%CI, 7.83 to 10.62) cm³ and 7.68 (95%CI, 6.71 to 7.93) cm³, respectively. The correlation coefficient in CT plain scan group was 0.95(95%CI, 0.94 to 0.96), and was 0.96(95%CI, 0.95 to 0.97) in the CTA group, and they had good consistency.
Conclusion Both cardiac CT flat scan and CTA can be used to evaluate the fat volume of the external cardiac membrane, and they both have good consistency in quantitative analysis results, therefore they can be selected according to the actual situations.
- heart,
- volume of epicardial fat,
- plain CT scan,
- CT angiography,
- quantitative analysis

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[1]	NAGAYAMA Y, NAKAMURA N, ITATANI R, et al. Epicardial fat volume measured on nongated chest CT is a predictor of coronary artery disease[J]. Eur Radiol, 2019, 29(7): 3638-3646. doi: 10.1007/s00330-019-06079-x
[2]	马爱珍, 陈殿森, 徐志宾, 等. 应用320排低剂量CT测量心外膜脂肪体积与冠心病的相关性分析[J]. 临床放射学杂志, 2019, 38(11): 2066-2070. http://www.cnki.com.cn/Article/CJFDTotal-LCFS201911014.htm
[3]	高志红, 冯晓阳, 孙锋, 等. 心外膜脂肪体积与冠心病及再发不良心血管事件的相关性研究[J]. 中国循证心血管医学杂志, 2020, 12(10): 1223-1226, 1230. doi: 10.3969/j.issn.1674-4055.2020.10.16
[4]	张雪松, 刘斌, 杜丹丹. 多层螺旋CT评估2型糖尿病患者心外膜脂肪体积与冠状动脉粥样硬化的相关性[J]. 医学研究生学报, 2020, 33(6): 627-632.
[5]	谢美艳, 牛玉军. 应用多层螺旋CT分析冠心病心外膜脂肪体积与左心室功能的相关性[J]. 解放军医学院学报, 2015, 36(11): 1081-1084, 1092. doi: 10.3969/j.issn.2095-5227.2015.11.006
[6]	刘正兵, 王璟, 李建华, 等. 单位体表面积心外膜脂肪体积与冠心病危险性及血管重构的关系研究[J]. 医学研究生学报, 2018, 31(3): 300-303. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYB201803016.htm
[7]	LAZAROS G, ANTONOPOULOS A S, OIKONOMOU E K, et al. Prognostic implications of epicardial fat volume quantification in acute pericarditis[J]. Eur J Clin Invest, 2017, 47(2): 129-136. doi: 10.1111/eci.12711
[8]	吴汉, 李晓岗, 孙玉, 等. 心外膜脂肪CT影像参数与冠心病严重程度相关性研究[J]. 临床军医杂志, 2020, 48(8): 903-905, 909.
[9]	朱莹, 刘艳萍, 李建华, 等. 单位体表面积心外膜脂肪体积与冠状动脉狭窄程度的关系研究[J]. 中西医结合心脑血管病杂志, 2020, 18(18): 3065-3067. doi: 10.12102/j.issn.1672-1349.2020.18.032
[10]	柴亚欣, 牛玉军, 陈大鹏. CT对心外膜脂肪体积与升主动脉弹性的相关性[J]. 中国医学影像学杂志, 2017, 25(7): 525-529. doi: 10.3969/j.issn.1005-5185.2017.07.012
[11]	吴玉辉, 张惠英. 冠状动脉CT血管造影检查中心外膜脂肪及心周脂肪在诊断冠状动脉支架再狭窄中的研究[J]. 中国医学装备, 2017, 14(1): 45-47, 48. doi: 10.3969/J.ISSN.1672-8270.2017.01.015
[12]	刘刚, 江玲, 孙伟. 多层螺旋CT血管造影对颅内缺血性改变颈动脉粥样硬化斑块形态特征的评估价值[J]. 实用临床医药杂志, 2021, 25(17): 52-56. doi: 10.7619/jcmp.20212617
[13]	赵童童, 李涛, 尚进伟, 等. 多层螺旋CT和冠状动脉造影评估冠心病诊断及经皮冠状动脉介入治疗术后评估支架内再狭窄研究[J]. 中国医学装备, 2022, 19(1): 77-81.
[14]	程凯, 查云飞, 胡磊, 等. 心脏CT平扫与CTA定量分析心外膜脂肪体积对比研究[J]. CT理论与应用研究, 2019, 28(5): 585-591. https://www.cnki.com.cn/Article/CJFDTOTAL-CTLL201905013.htm

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