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A Rosetta Stone for Coronary Calcium Risk Stratification: Agatston, Volume, and Mass Scores in 11,490 Individuals

John A. Rumberger1 and Leon Kaufman2,3

1 The Ohio State University, Columbus, OH 43210.
2 AccuImage Diagnostics Corporation, 400 Grandview Dr., South San Francisco, CA 94080.



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Fig. 1. Chart shows age distribution for men (black bars) and women (white bars) of patients in this study. There were 11,490 patients, 63% male.

 


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Fig. 2. Graph shows comparison of results for 75th percentile range for men and women as reported in Hoff et al. [10] (Kondos database).

 


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Fig. 3. Graph shows Agatston scores for men.

 


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Fig. 4. Graph shows volume scores for men.

 


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Fig. 5. Graph shows mass scores (bone ash equivalent) for men.

 


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Fig. 6. Graph shows Agatston scores for women.

 


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Fig. 7. Graph shows volume scores for women.

 


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Fig. 8. Graph shows mass scores (bone ash equivalent) for women.

 


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Fig. 9. Graph shows reproducibility of three scoring methods in 35 patients. Approximately 50% of all nonzero scores fall within 25% reproducibility. Mean is 38% for all three methods. There is no significant difference among them. Black bars = Agatston score, white bars = volume score, gray bars = mass score.

 


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Fig. 10. Graph shows comparison of volume and mass scores in phantom consisting of five aluminum wires with diameters between 0.3 and 3.2 mm for two scanners with spatial resolution of 1.02 and 1.54 mm full-width at half-maximum. At resolution of 1.5 mm, smallest wire falls below detection threshold.

 


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Fig. 11. Graph shows (for data in Fig.10) percentage of deviation from known volume for same scanners.

 

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