The napkin-ring sign indicates advanced atherosclerotic lesions in coronary CT angiography

JACC: Cardiovascular Imaging

Volumn 5, Issue 12, 2012, Pages 1243-1252

  Maurovich Horvat, Pál ^a,b   Schlett, Christopher L ^a   Alkadhi, Hatem ^a   Nakano, Masataka ^c   Otsuka, Fumiyuki ^c   Stolzmann, Paul ^a   Scheffel, Hans ^a   Ferencik, Maros ^a   Kriegel, Matthias F ^a   Seifarth, Harald ^a   Virmani, Renu ^c   Hoffmann, Udo ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b SEMMELWEIS UNIVERSITY   (Hungary)

^c CVPATH INSTITUTE   (United States)

Author keywords

computed tomography; coronary artery disease; histopathology; napkin ring sign; plaque attenuation pattern; vulnerable coronary plaque

Indexed keywords

ACUTE CORONARY SYNDROME; ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; ATHEROSCLEROSIS; ATHEROSCLEROTIC PLAQUE; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; FEMALE; HISTOLOGY; HUMAN; HUMAN TISSUE; MALE; NAPKIN RING SIGN; PRIORITY JOURNAL;

ADULT; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; CORONARY VESSELS; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PLAQUE, ATHEROSCLEROTIC; REPRODUCIBILITY OF RESULTS; ROC CURVE; SEVERITY OF ILLNESS INDEX; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84865370561     PISSN: 1936878X     EISSN: 18767591     Source Type: Journal    
DOI: 10.1016/j.jcmg.2012.03.019     Document Type: Article

References (45)

1. M. Naghavi, P. Libby, E. Falk From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part I Circulation 108 2003 1664 1672
2. R. Virmani, A.P. Burke, A. Farb, F.D. Kolodgie Pathology of the vulnerable plaque J Am Coll Cardiol 47 2006 C13 C18
3. R. Virmani, A.P. Burke, F.D. Kolodgie, A. Farb Vulnerable plaque: the pathology of unstable coronary lesions J Interv Cardiol 15 2002 439 446
4. U. Hoffmann, M. Ferencik, R.C. Cury, A.J. Pena Coronary CT angiography J Nucl Med 47 2006 797 806
5. P. Maurovich-Horvat, B. Ghoshhajra, M. Ferencik Coronary CT angiography for the detection of obstructive coronary artery disease Curr Cardiovasc Imaging Rep 3 2010 355 365
6. S. Achenbach, P. Raggi Imaging of coronary atherosclerosis by computed tomography Eur Heart J 31 2010 1442 1448
7. C.R. Becker, A. Knez, B. Ohnesorge, U.J. Schoepf, M.F. Reiser Imaging of noncalcified coronary plaques using helical CT with retrospective ECG gating AJR Am J Roentgenol 175 2000 423 424
8. S. Achenbach Can CT detect the vulnerable coronary plaque? Int J Cardiovasc Imaging 24 2008 311 312
9. M. Naghavi, P. Libby, E. Falk From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part II Circulation 108 2003 1772 1778
10. J. Narula, P. Garg, S. Achenbach, S. Motoyama, R. Virmani, H.W. Strauss Arithmetic of vulnerable plaques for noninvasive imaging Nat Clin Pract Cardiovasc Med 5 Suppl 2 2008 S2 S10
11. E. Braunwald Epilogue: what do clinicians expect from imagers? J Am Coll Cardiol 47 2006 C101 C103
12. M. Kashiwagi, A. Tanaka, H. Kitabata Feasibility of noninvasive assessment of thin-cap fibroatheroma by multidetector computed tomography J Am Coll Cardiol Img 2 2009 1412 1419
13. G. Nakazawa, K. Tanabe, Y. Onuma Efficacy of culprit plaque assessment by 64-slice multidetector computed tomography to predict transient no-reflow phenomenon during percutaneous coronary intervention Am Heart J 155 2008 1150 1157
14. A. Tanaka, K. Shimada, K. Yoshida Non-invasive assessment of plaque rupture by 64-slice multidetector computed tomography - comparison with intravascular ultrasound Circ J 72 2008 1276 1281
15. P. Maurovich-Horvat, U. Hoffmann, M. Vorpahl, M. Nakano, R. Virmani, H. Alkadhi The napkin-ring sign: CT signature of high risk coronary plaques? J Am Coll Cardiol Img 3 2010 440 444
16. P. Donnelly, P. Maurovich-Horvat, M. Vorpahl Multimodality imaging atlas of coronary atherosclerosis J Am Coll Cardiol Img 3 2010 876 880
17. T. Pflederer, M. Marwan, T. Schepis Characterization of culprit lesions in acute coronary syndromes using coronary dual-source CT angiography Atherosclerosis 211 2010 437 444
18. R. Virmani, F.D. Kolodgie, A.P. Burke, A. Farb, S.M. Schwartz Lessons from sudden coronary death: a comprehensive morphological classification scheme for atherosclerotic lesions Arterioscler Thromb Vasc Biol 20 2000 1262 1275
19. F.D. Kolodgie, H.K. Gold, A.P. Burke Intraplaque hemorrhage and progression of coronary atheroma N Engl J Med 349 2003 2316 2325
20. H.C. Stary, A.B. Chandler, R.E. Dinsmore A definition of advanced types of atherosclerotic lesions and a histological classification of atherosclerosis: a report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association Arterioscler Thromb Vasc Biol 15 1995 1512 1531
21. R. Virmani, A.P. Burke, A. Farb Plaque rupture and plaque erosion Thromb Haemost 82 Suppl 1 1999 1 3
22. S. Achenbach, F. Moselewski, D. Ropers Detection of calcified and noncalcified coronary atherosclerotic plaque by contrast-enhanced, submillimeter multidetector spiral computed tomography: a segment-based comparison with intravascular ultrasound Circulation 109 2004 14 17
23. J.R. Landis, G.G. Koch The measurement of observer agreement for categorical data Biometrics 33 1977 159 174
24. A. Donner, N. Klar Confidence interval construction for effect measures arising from cluster randomization trials J Clin Epidemiol 46 1993 123 131
25. Y. Genc, D. Gokmen, E. Tuccar, B. Yagmurlu Estimation of sensitivity and specificity for clustered data Turk J Med Sci 35 2004 21 24
26. J.A. Hanley, B.J. McNeil The meaning and use of the area under a receiver operating characteristic (ROC) curve Radiology 143 1982 29 36
27. E.R. DeLong, D.M. DeLong, D.L. Clarke-Pearson Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach Biometrics 44 1988 837 845
28. C.R. Becker, B.M. Ohnesorge, U.J. Schoepf, M.F. Reiser Current development of cardiac imaging with multidetector-row CT Eur J Radiol 36 2000 97 103
29. U. Hoffmann, F. Moselewski, K. Nieman Noninvasive assessment of plaque morphology and composition in culprit and stable lesions in acute coronary syndrome and stable lesions in stable angina by multidetector computed tomography J Am Coll Cardiol 47 2006 1655 1662
30. A.W. Leber, A. Knez, A. Becker Accuracy of multidetector spiral computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques: a comparative study with intracoronary ultrasound J Am Coll Cardiol 43 2004 1241 1247
31. S. Schroeder, A.F. Kopp, A. Baumbach Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography J Am Coll Cardiol 37 2001 1430 1435
32. N. Matsumoto, Y. Sato, S. Yoda Prognostic value of non-obstructive CT low-dense coronary artery plaques detected by multislice computed tomography Circ J 71 2007 1898 1903
33. S. Motoyama, M. Sarai, H. Harigaya Computed tomographic angiography characteristics of atherosclerotic plaques subsequently resulting in acute coronary syndrome J Am Coll Cardiol 54 2009 49 57
34. G. Pundziute, J.D. Schuijf, J.W. Jukema Prognostic value of multislice computed tomography coronary angiography in patients with known or suspected coronary artery disease J Am Coll Cardiol 49 2007 62 70
35. J.M. van Werkhoven, J.D. Schuijf, O. Gaemperli Incremental prognostic value of multi-slice computed tomography coronary angiography over coronary artery calcium scoring in patients with suspected coronary artery disease Eur Heart J 30 2009 2622 2629
36. V. Russo, A. Zavalloni, M.L. Bacchi Reggiani Incremental prognostic value of coronary CT angiography in patients with suspected coronary artery disease Circ Cardiovasc Imaging 3 2010 351 359
37. C.R. Becker, K. Nikolaou, M. Muders Ex vivo coronary atherosclerotic plaque characterization with multi-detector-row CT Eur Radiol 13 2003 2094 2098
38. M. Ferencik, R.C. Chan, S. Achenbach Arterial wall imaging: evaluation with 16-section multidetector CT in blood vessel phantoms and ex vivo coronary arteries Radiology 240 2006 708 716
39. A.W. Leber, A. Becker, A. Knez Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound J Am Coll Cardiol 47 2006 672 677
40. F. Cademartiri, N.R. Mollet, G. Runza Influence of intracoronary attenuation on coronary plaque measurements using multislice computed tomography: observations in an ex vivo model of coronary computed tomography angiography Eur Radiol 15 2005 1426 1431
41. K. Pohle, S. Achenbach, B. Macneill Characterization of non-calcified coronary atherosclerotic plaque by multi-detector row CT: comparison to IVUS Atherosclerosis 190 2007 174 180
42. A. Sarwar, J. Rieber, E.A. Mooyaart Calcified plaque: measurement of area at thin-section flat-panel CT and 64-section multidetector CT and comparison with histopathologic findings Radiology 249 2008 301 306
43. S. Motoyama, T. Kondo, M. Sarai Multislice computed tomographic characteristics of coronary lesions in acute coronary syndromes J Am Coll Cardiol 50 2007 319 326
44. A.W. Leber, A. Knez, C.W. White Composition of coronary atherosclerotic plaques in patients with acute myocardial infarction and stable angina pectoris determined by contrast-enhanced multislice computed tomography Am J Cardiol 91 2003 714 718
45. S. Achenbach, K. Boehmer, T. Pflederer Influence of slice thickness and reconstruction kernel on the computed tomographic attenuation of coronary atherosclerotic plaque J Cardiovasc Comput Tomogr 4 2010 110 115