Influence of computed tomography angiography reconstruction software on anatomic measurements and endograft component selection for endovascular abdominal.

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Presentation transcript:

Influence of computed tomography angiography reconstruction software on anatomic measurements and endograft component selection for endovascular abdominal aortic aneurysm repair  Matthew A. Corriere, MD, MS, Arsalla Islam, MD, Timothy E. Craven, MSPH, Thomas D. Conlee, MD, Justin B. Hurie, MD, Matthew S. Edwards, MD, MS  Journal of Vascular Surgery  Volume 59, Issue 5, Pages 1224-1231.e3 (May 2014) DOI: 10.1016/j.jvs.2013.11.003 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Pairwise comparisons are shown for centerline aortic diameter measurements by software program. Centerline aortic diameter measurements (in millimeters) at the (A) level of the inferior renal artery and (B) 15 mm distal to the inferior renal artery are included. The solid line represents a simple linear regression, and the dashed line represents a line of unity that would indicate perfect agreement between measurements and is included as visual reference for comparison. A corresponding Bland-Altman plot is presented in Supplementary Fig 1 (online only). AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Pairwise comparisons are shown for centerline (A) right and (B) left common iliac artery diameter measurements (in millimeters) by software program. The solid line represents a simple linear regression, and the dashed line represents a line of unity that would indicate perfect agreement between measurements and is included as visual reference for comparison. A corresponding Bland-Altman plot is presented in Supplementary Fig 2 (online only). AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Pairwise comparisons of inferior renal artery to aortic bifurcation length measurements (in millimeters) are shown by software program. The solid line represents a simple linear regression, and the dashed line represents a line of unity that would indicate perfect agreement between measurements and is included as visual reference for comparison. A corresponding Bland-Altman plot is presented in Supplementary Fig 3 (online only). AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Pairwise comparisons of the inferior renal artery to bilateral internal iliac artery length measurements are shown by software program. Centerline length measurements (in millimeters) from the inferior renal artery to the (A) right and (B) left internal iliac artery origins are included. The solid line represents a simple linear regression, and the dashed line represents a line of unity that would indicate perfect agreement between measurements and is included as visual reference for comparison. A corresponding Bland-Altman plot is presented in Supplementary Fig 4 (online only). AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 Percentage agreement between programs for endograft component selection for (A) device “A,” with sizing based on instructions for use for the Endurant graft (Medtronic Inc, Minneapolis, Minn) and for (B) device “B,” with sizing based on instructions for use for the Zenith graft (Cook Medical, Inc, Bloomington Ind). Identical indicates selection of the same diameter graft by both programs, and within one size indicates programs selected component diameters that were identical or within next smaller or larger size. AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Supplementary Fig 1 (online only) Bland-Altman plot shows proximal aortic diameter measurements by software program. Centerline aortic diameter measurements at the (A) level of the inferior renal artery and (B) 15 mm distal to the inferior renal artery are included. The x-axis represents the mean diameter of measurements between programs, the y-axis represents the difference in measurements between programs, the solid line indicates zero difference (or perfect agreement), and the dashed lines indicate the mean difference ± two standard deviations. AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Supplementary Fig 2 (online only) Bland-Altman plot shows common iliac artery diameter measurements by software program. Included are centerline (A) right and (B) left common iliac artery diameter measurements. The x-axis represents the mean diameter of measurements between programs, the y-axis represents the difference in measurements between programs, the solid line indicates zero difference (or perfect agreement), and the dashed lines indicate the mean difference ± two standard deviations. AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Supplementary Fig 3 (online only) Bland-Altman plot shows inferior renal artery to aortic bifurcation length measurements by software program. The x-axis represents the mean diameter of measurements between programs, the y-axis represents the measurement difference between programs, the solid line indicates zero difference (or perfect agreement), and the dashed lines indicate the mean difference ± two standard deviations. AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Supplementary Fig 4 (online only) The Bland-Altman plot shows inferior renal artery to bilateral internal iliac artery length measurements by software program. Centerline length measurements from the inferior renal artery to the (A) right and (B) left internal iliac artery origins are included. The x-axis represents the mean diameter of measurements between programs, the y-axis represents the measurement difference between programs, the solid line indicates zero difference (or perfect agreement), and the dashed lines indicate the mean difference ± two standard deviations. AquariusNet, TeraRecon Inc, San Mateo, Calif; Osirix, Pixmeo, Geneva, Switzerland; Preview, M2S Inc, Lebanon, NH. Journal of Vascular Surgery 2014 59, 1224-1231.e3DOI: (10.1016/j.jvs.2013.11.003) Copyright © 2014 Society for Vascular Surgery Terms and Conditions