Key result
Serial changes in total atheroma volume and percent atheroma volume were similar between the conventional 1-mm approach and the end-diastolic approach, supporting the use of 1-mm segmentation.
This editorial discusses the methodological trade-offs between end-diastolic and 1-mm interval analysis in serial intravascular ultrasound studies for assessing plaque volume and morphology.
Intravascular ultrasound (IVUS) enables more accurate quantitative assessment of and lumen areas than with angiography, thereby contributing to optimization of stent implantation.IVUS-guided percutaneous coronary intervention in patients with coronary artery disease, particularly in complex anatomical scenarios, 1,2 has shown improve-ment in clinical outcomes in numerous observational studies and randomized controlled trials, leading to its upgraded recommendation in the latest guidelines. 3,4IVUS imaging is
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Kikuchi et al. (2026) conducted an editorial in Coronary artery disease. End-diastolic IVUS analysis vs. 1-mm IVUS analysis was evaluated on Serial changes in total atheroma volume (TAV) and percent atheroma volume (PAV). Serial changes in total atheroma volume and percent atheroma volume were similar between the conventional 1-mm approach and the end-diastolic approach, supporting the use of 1-mm segmentation.
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