Diagnostic performance of CT angiography to detect pulmonary vein stenosis in children

AbstractTo assess the diagnostic efficiency of CT angiography (CTA) to detect pulmonary vein stenosis in children. We retrospectively identify patients between 0 and 3  years old with confirmed pulmonary vein stenosis with conventional angiography or surgery and available CTA. Patients without confirmed stenosis of the pulmonary veins were included as controls. We excluded patients with previous surgery involving the pulmonary veins, exclusively right-heart conve ntional angiography or insufficient data in the operation note to confirm the status of the pulmonary veins. Two pediatric radiologists evaluated and determine the presence of stenosis and the pulmonary veins affected. Disagreement between the readers were solved by consensus with a third reader. A pediatric cardiologist reviewed the available angiographic images to determine the presence of stenosis. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. Kappa statistics was performed. 26 patients (15 boys, 11 Girls) were included. Conventional angiography (n = 20) and cardiothoracic surgery (n = 6) confirmed the diagnosis of pulmonary vein stenosis in 13 children. The diagnostic performance at patient level showed the sensitivity, specificity, PPV, and NPV were 84.6%, 92.3%, 91.6%, 87.5%, and 88.4%, respecti vely. The interobserver wask = 0.76. The performance at pulmonary vein level showed the sens...
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research

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Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Source Type: research
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Source Type: research
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Source Type: research
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