Diagnostic value of Multi Detector Computed Tomography in Assessment of Epicardial Adipose Tissue with Coronary Artery Disease | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 26 August 2023 PDF (371.97 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.224511.1859 | ||
| Authors | ||
| Medhat Refaat1; Mona Othman Abo Elezz1; Ibrahim Mostafa Helmy1; Ahmed Fathi Mohamed Ibrahim Helal* 2; Islam Mahmoud El-shazly3 | ||
| 1Professor of Radiodiagnosis, Faculty of Medicine, Benha University | ||
| 2Department of Radiodiagnosis Faculty of Medicine- AinSham University | ||
| 3Lecturer of Radiodiagnosis, Faculty of Medicine, Benha University | ||
| Abstract | ||
| Background: Current Multi Detector Computed Tomography (MDCT) systems allow the visualization of the entire heart volume during an entire heart cycle with high density resolution. MDCT imaging is thus opened to a wide spectrum of cardiac applications. This study aimed to evaluate out the diagnostic value of multi detector computed tomographic in assessment of epicardial adipose tissue with coronary artery disease. Methods: This Prospective, non-controlled nonrandomized study was conducted on 75 patients who underwent CT angiogram due to acute coronary syndrome occurrence. For further assessment of CAD patients divided into two groups: non-CAD group: 25 subjects with normal coronary arteries and CAD group: 50 subjects with coronary artery lesion. Results: This study included 75 patients; their mean age was 61.85 years. 61% of the studied subjects were males and 38% were females. ROC curve of EFV was conducted for prediction of CAD disease activity. EFV showed 0.813 area under curve at cut off level 60.39 with good sensitivity and specificity. ROC curve of Ca score was conducted for prediction of CAD disease activity. Ca score showed 0.947 area under curve at cut off level 90 with high sensitivity and specificity. Conclusion: The EAT volume has good prognostic value for developing CAD and increased EAT is considered a risk factor for CAD. Ca score could have an appropriate prognostic value for the determination of coronary artery disease. | ||
| Keywords | ||
| Diagnostic value; Multi Detector Computed Tomography; Epicardial Adipose Tissue; Coronary Artery Disease | ||
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