Abdominal Aortic Calcium and CAD-RADS 2.0
NCT06956924 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 68
Last updated 2025-05-04
Summary
Background: Abdominal aortic calcium (AAC) is a marker of systemic atherosclerosis and may predict cardiovascular outcomes similarly to coronary artery calcium (CAC). This study evaluates the predictive efficacy of CT-based AAC scores for coronary plaque burden and stenosis using the CAD-RADS 2.0 classification system.
Methods: A prospective cohort of 68 patients (mean age 67.5 years) with chest pain underwent cardiac CT for CAC, AAC scoring, and coronary computed tomography angiography (CCTA) at Kaohsiung Chang Gung Memorial Hospital (June 2021-May 2023). AAC scores were quantified using the Agatston method across 8 cm and 5 cm aortic segments, and outcomes were analyzed based on CAD-RADS 2.0 and plaque burden classifications.
Conditions
- Coronary Artery Disease (CAD)
Interventions
- DIAGNOSTIC_TEST
-
CCTA
The data acquisition protocol was tailored to each patient's heart rate and rhythm. Specifically, a prospectively ECG-triggered volume scan was used to account for heart rates and rhythms, capturing predefined scanning areas during R-R intervals, especially in instances of frequent ectopic beats or irregular heart rates noted during pre-scan ECG monitoring. Imaging system parameters included a gantry rotation time of 0.275 seconds, collimation of 0.5 mm, tube voltage settings ranging from 100 kV to 120 kV, and a tube current-time product between 200 mAs and 450 mAs, with adjustments based on the patient's BMI.
Sponsors & Collaborators
-
Chang Gung Memorial Hospital
lead OTHER
Principal Investigators
-
Chien-Chang Liao, M.D. · Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-06-01
- Primary Completion
- 2023-05-31
- Completion
- 2023-05-31
Countries
- Taiwan
Study Locations
Related Clinical Trials
-
CT Calcium Scoring in Suspected Stable Angina
NCT01660594 · Status: COMPLETED
- Coronary Disease
-
Screening for Coronary Artery Disease USing Primary Evaluation With Coronary CTA in Aviation Medicine (SUSPECT)
NCT05508893 · Status: TERMINATED · Phase: NA
- Coronary Artery Disease (CAD)
- Coronary Artery Calcification
- Occupational Diseases
- +1 more
-
Impact of Patient-Centered Approach for Communicating Coronary Calcium on Cardiovascular Health
NCT06055972 · Status: ACTIVE_NOT_RECRUITING · Phase: NA
- Coronary Artery Disease
- Cardiovascular Diseases
- Smoking
-
Usefulness of Coronary CT Angiography in Patients With Inconclusive Stress Test Results
NCT00465335 · Status: COMPLETED
- Coronary Angiography
- Coronary Disease
-
Evaluation of Asymptomatic Coronary Atherosclerotic Disease Among People of Kalamazoo, MI
NCT02942342 · Status: UNKNOWN · Phase: NA
- Coronary Artery Disease
- Atherosclerosis
More Related Trials
-
Cardiac Computed Tomography In the Management of Patients With indeterminAte or inConclusive Stress Tests
NCT00541203 ·Status: COMPLETED
-
Evaluation of Coronary Artery Calcification Using Gated Stationary Chest Tomosynthesis
NCT03169062 ·Status: COMPLETED ·Phase: NA
-
The AI-CAC Model for Subclinical Atherosclerosis Detection on Chest X-ray
NCT06301009 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
CCTA to Optimize the Diagnostic Yield of Invasive Angiography
NCT03554057 ·Status: COMPLETED
-
Coronary CT Angiography as the Primary Initial Method of Evaluating Patients With Subacute Chest Pain (CT PRIME)
NCT00584337 ·Status: WITHDRAWN
-
Asan Medical Center CCTA Registry
NCT06036901 ·Status: COMPLETED
-
CCTA to Optimize Diagnostic Yield of Invasive Angiography With AI
NCT06648239 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
A Prospective, Multi-center Clinical Trial for Evaluating the Effectiveness and Safety of Online Coronary Angiography-Derived Index of Microcirculatory Resistance (caIMR)
NCT05009667 ·Status: COMPLETED
-
Computed Tomography as the First-Choice Diagnostics in High Pre-Test Probability of Coronary Artery Disease
NCT02591992 ·Status: UNKNOWN ·Phase: NA
-
Database of Patients Undergoing Cardiac Computed Tomographic Angiography at William Beaumont Hospital (CT DATABASE)
NCT00922662 ·Status: COMPLETED
-
Comparison of the Evaluation of CAD by CT AngioScan and Coronary Angiogram
NCT01779986 ·Status: UNKNOWN
-
Coronary Computed Tomography Versus Invasive Angiography for Non-ST Elevation Acute Coronary Syndrome
NCT06101862 ·Status: RECRUITING ·Phase: NA
-
Comparing a Diagnostic and Treatment Strategy of Upfront CTCA With SOC in Patients With Chest Pain and Suspected CAD
NCT05344612 ·Status: RECRUITING ·Phase: NA
-
Long-Term Effects of Subclinical CAD on Cardiac Function
NCT00006497 ·Status: WITHDRAWN
-
Cost Effectiveness and Utility of Computed Tomography Angiography (CTA) and Cardiac Cath
NCT00722813 ·Status: COMPLETED
-
Comparison of Aortic Root Dimension Changes During Cardiac Cycle Between the Patients With and Without Aortic Valve Calcification Using ECG-gated 64-slice and Dual-source 256-slice Computed Tomography Scanners: Results of a Multicenter Study
NCT01755806 ·Status: COMPLETED
-
Investigating the Role of Active Versus Chronic Coronary Artery Calcification on Acute Myocardial Infarct
NCT03712020 ·Status: COMPLETED
-
Computed Tomographic Angiography or Conventional Coronary Angiography in Clinical Decision Making
NCT00566059 ·Status: COMPLETED
-
Advanced Cardiovascular Imaging Consortium
NCT00640068 ·Status: COMPLETED
-
Vascular Toxicities of Immune ChecKpoint Inhibitors : From Bed to Benchside
NCT06020651 ·Status: UNKNOWN ·Phase: NA
-
Optimal Evaluation to Reduce Cardiovascular Imaging Testing
NCT05640752 ·Status: RECRUITING ·Phase: NA
-
Assessment of Patients With Suspected Coronary Artery Disease (CAD): What is the Best Initial Imaging Strategy?
NCT01668290 ·Status: COMPLETED
-
The CArdiac Imaging RegistrY Study
NCT04936867 ·Status: COMPLETED
-
Computed Tomography Coronary Angiography for the Prevention of Myocardial Infarction (The SCOT-HEART 2 Trial)
NCT03920176 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Image Content Analysis of Dural-axis Rotational Versus Standard Coronary Angiography
NCT01776866 ·Status: COMPLETED ·Phase: NA