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. 2014 Aug;9(3):151–155. doi: 10.15420/icr.2014.9.3.151

Table 1: Similarities and differences IVUS-based imaging modalities.

VH IMAP Integrated backscatter
Backscatter radiofrequency signal analysis Autoregressive model Fast Fourier transformation Fast Fourier transformation
Colour code Fibrous: green
Fibrofatty: light green
Necrotic core: red
Dense calcium: white
Fibrotic: light green
Lipidic: yellow
Necrotic: pink
Calcified: blue
Fibrosis: light green
Dense fibrosis: yellow
Lipid: blue
Calcified: red
Ex vivo Validation against histology The overall predictive accuracies were 93.5 % for fibrous, 94.1 % for fibro-fatty, 95.8 % for necrotic core, and 96.7 % for dense calcium regions with sensitivities and specificities ranging from 72 % to 99 %[36] The accuracies at the highest level of confidence (75-100%) were 95 % for fibrotic, 98 % for lipidic, 97 % for necrotic, and 98 % for calcified regions[25] The sensitivity was 100 % for calcification, 94 % for fibrosis, and 84 % for lipid pool. The specificity was 99 % for calcification, 93 % for fibrosis, and 67 % for lipid pool[37]
In vivo validation of vulnerable plaque The diagnostic accuracy to detect TCFA as determined by optical coherence tomography was 86 % with sensitivity 89 %, specificity 86 %[38]
Limitations
  • Acoustic shadowing behind the calcified tissue is expressed as fibrous of fibrofatty tissue

  • VH shows external elastic membrane as a grey media stripe

  • VH misclassifies stent struts as calcification with or without necrotic core

  • Thrombus may be misclassified as fibrous or fibrofatty plaque

  • Acoustic shadowing behind the calcified tissue and the wire artifact is expressed as necrotic tissue

  • Metallic stent struts appear as dense calcium without necrotic core

  • It cannot show plaque composition behind a severe calcification and guidewire

  • It does not have the signal profile of metallic stent struts

  • Intimal hyperplasia and lipid pool have similar IB values