Effects of cardiac phase on diameter measurements from coronary cineangiograms

The measurement variability of end-diastolic frames is compared with frames taken from the other portions of the cardiac cycle. Two computer measurements, average diameter and minimum, are obtained for every frame of two complete cardiac cycles in angiograms of 20 subjects. Six schemes for sampling frames in various portions of the cardiac cycle are defined and the standard deviation is calculated for pairs of measurements from each scheme. The results suggest that the best strategy for frame selection is to use sequential frames in end-diastole. However, it is noted that if random samples are taken anywhere in the cardiac cycle instead of sequentially in end-diastole, the variability of two vessel edge measures changes from 4.9 percent to 6.3 percent, which is considered to be a small penalty.