The correlation of epicardial adipose tissue on postmortem CT with coronary artery stenosis as determined by autopsy
The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively c...
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Published in | Forensic science, medicine, and pathology Vol. 11; no. 2; pp. 186 - 192 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Springer US
01.06.2015
Springer |
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ISSN | 1547-769X 1556-2891 1556-2891 |
DOI | 10.1007/s12024-015-9659-7 |
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Abstract | The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: ≥50, <50 %, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis ≥50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis. |
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AbstractList | The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: [greater than or equal to]50, <50 %, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis [greater than or equal to]50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis. The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: ≥50, <50%, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis ≥50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis. The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: ≥50, <50 %, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis ≥50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis. The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: ≥50, <50%, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis ≥50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis.The goal of this study was to assess whether epicardial and paracardial adipose tissue volumes, as determined by computed tomography (CT), correlate with coronary artery stenosis as determined by autopsy. The postmortem CT data and autopsy findings of 116 adult human decedents were retrospectively compared. Subjects were classified into three groups according to their degree of coronary artery stenosis: ≥50, <50%, and no stenosis. Epicardial and paracardial adipose tissue volumes were calculated based on manual segmentation after threshold based masking. In addition, epicardial adipose tissue thickness was measured using a caliper. All three parameters (thickness of epicardial fat and volumes of both epicardial and paracardial fat) were compared among the three groups and correlated with the degree of coronary artery stenosis. The group with no coronary artery stenosis showed the lowest mean values of epicardial adipose tissue volume, while the coronary artery stenosis ≥50 % group showed the highest volume. All measured variables (thickness of epicardial fat and volumes of both epicardial and paracardial fat) correlated significantly with the grade of coronary artery stenosis, even after controlling for BMI, however, epicardial adipose tissue volume exhibited the strongest correlation. This study reveals that there is an association between the degree of coronary artery stenosis and the amount of epicardial fat tissue: The larger the volume of epicardial fat, the higher the degree of coronary artery stenosis. |
Audience | Academic |
Author | Thali, Michael J. Sequeira, Damien I. Flach, Patricia M. Ampanozi, Garyfalia Ebert, Lars C. Ruder, Thomas D. |
Author_xml | – sequence: 1 givenname: Damien I. surname: Sequeira fullname: Sequeira, Damien I. organization: MedStar Union Memorial Hospital, Georgetown University, Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich – sequence: 2 givenname: Lars C. surname: Ebert fullname: Ebert, Lars C. organization: Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich – sequence: 3 givenname: Patricia M. surname: Flach fullname: Flach, Patricia M. organization: Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich – sequence: 4 givenname: Thomas D. surname: Ruder fullname: Ruder, Thomas D. organization: Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Institute of Diagnostic and Interventional Radiology, University Hospital Bern – sequence: 5 givenname: Michael J. surname: Thali fullname: Thali, Michael J. organization: Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich – sequence: 6 givenname: Garyfalia surname: Ampanozi fullname: Ampanozi, Garyfalia email: garyfalia.ampanozi@virtopsy.com, ampanozi@hotmail.com organization: Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25711291$$D View this record in MEDLINE/PubMed |
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author reply e128 18197067 - Invest Radiol. 2008 Feb;43(2):145-53 24723662 - Forensic Sci Med Pathol. 2014 Dec;10 (4):583-606 20664741 - Korean Circ J. 2010 Jul;40(7):328-33 22417843 - Atherosclerosis. 2012 May;222(1):129-34 22579086 - Am J Cardiol. 2012 Aug 15;110(4):534-8 17540190 - Am Heart J. 2007 Jun;153(6):907-17 22361934 - Coron Artery Dis. 2012 Jun;23(4):227-33 20031133 - Atherosclerosis. 2010 May;210(1):150-4 22112684 - Lancet. 2012 Jan 14;379(9811):136-42 21511558 - J Cardiovasc Comput Tomogr. 2011 May-Jun;5(3):172-9 18718744 - Nutr Metab Cardiovasc Dis. 2009 Mar;19(3):211-7 20413524 - Diabetes Care. 2010 Jul;33(7):1635-9 20801451 - Atherosclerosis. 2010 Nov;213(1):279-87 |
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Title | The correlation of epicardial adipose tissue on postmortem CT with coronary artery stenosis as determined by autopsy |
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