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cvi42 | Cardiac CT

  • CT Reading Support
  • Plaque Assessment
  • CT

 

CT Reading Support

(incl. Coronary Artery Segmentation & Calcium Scoring)​

cvi42 is intended to be used for viewing, post-processing, qualitative and quantitative evaluation of cardiovascular CT in DICOM format. cvi42 for CT images, provides quantitative measurements for the assessment of coronary artery disease, including coronary artery centerline segmentation, stenosis assessment, and MPR/CMPR visualizations, clinicians can swiftly navigate through studies. The solution also streamlines calcium scoring studies with AI segmentation.1​

Plaque Assessment

cvi42 is a software application that supports clinical diagnostics of cardiac CT images including quantitative measurements of calcified plaques in the coronary arteries (calcium scoring), specifically Agatston and volume and mass calcium scores, evaluation of heart structures including coronaries, aortic and mitral valves.1

Visuals shown for illustrative purposes only.

CINA (for ICH)

ICH workflow

CINA (for LVO)

LVO workflow

For CalanticTM software version 1.0.0, no prior study will be examined.

*ICH refers to intracranial haemorrhage; SAH to subarachnoid haemorrhage; SDH to subdural haemorrhage; IPH to intraparenchymal haemorrhage; IVH to intraventricular haemorrhage; and EDH to epidural haemorrhage.

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    • Non-Contrast CT​
    • Calcium Scoring​
      • As per section 2.2.1 of "2016 SCCT/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: A report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology"2
    • Agatston Scoring​
      • As per section 6.2.1 of "2016 SCCT/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: A report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology"2
    • Function
      • ​Server-side pre-processing and 3D-based, AI-driven left and right heart ventricles segmentations
      • ​Manual editing, such as AutoFOV viewport alignment​ 
      • Endoluminal view and overlay hiding capabilities, enabling a clearer understanding of underlying anatomy
    • Coronaries​ 
      • Zero-click primary and secondary coronary artery centerline segmentation​ 
      • 2-click stenosis assessment​ 
      • MPR and CMPR visualizations​ 
      • Characterize calcified, non-calcified and low density non-calcified plaque​ 
      • Plaque volume definition and editing tools​ 
      • Visual display of plaque type and location​ 
    • Calcium
      • ​Zero-click AI powered calcium definition​ 
      • Percentile risk display based on the MESA study 
    • Aortic Valve​ 
      • Aortic valve: Assisted annulus detection with automated cusp points detection and automated contour placement​ 
      • Aortic valve: smart contouring in ROI placement for valve sizing​ 
      • Aortic valve: Virtual device visualization​ 
      • Aortic valve: Leaflet calcium volume​ 
      • Femoral: Semi-automated femoral centerline segmentation​ 
      • Femoral: Reporting schematic for key measurements​ 
    • Mitral Valve​ 
      • Mitral valve: Simplified annulus definition​ 
      • Mitral valve: Virtual device visualization​ 
      • Mitral valve: Apical access planning​ 
      • Trans-septal: Distance and angle measurements for mitral annulus approach​ 
      • Trans-septal: Superior and inferior vena cava planning​ 
      • Trans-septal: Fluoroscopy simulation​

      cvi42 offers customizable structured reporting for cardiac CT evaluation. Build the report you need for daily clinical practice.

      Standard Integrated Report

      • Simple Clinical data reporting
      • Customizable template builder
      • Infographics, diagrams, screenshots and measurements
      • Export PDF, text, DICOM secondary capture and DICOM encapsulated pdf
      • Simple data classifications
      • Configure consistent findings text including values and results
      • User permissions configuration
      • CAD-RADS v2.0 for standardized reporting3

      cvi42 Report

      • Includes all standard reporting functionalities
      • Advanced Database Search
      • Browser Access
      Patient Information

        Vendor
        Circle Cardiovascular Imaging

        EU risk class and CE marking
        cvi42 has CE marking (CE2797) and risk class IIa

        Reimbursement status
        Not reimbursed

        Target Population
        The target population for cvi42 is not restricted, however cvi42’s semi-automated machine learning algorithms are intended for an adult population.​

        Contradictions
        No contradictions given

        Limitations

        • The Strain Module implements an algorithm for modeling deformation from a two-dimensional (2D) version of the nearly incompressible deformable model and provides reasonably accurate estimates of the global strain measures. However, similar to other devices with such application it poses the following limitations:​
          • The accuracy of the estimates is limited by the image acquisition, image quality, pixel resolution, temporal resolution, presence of artifacts and noise.​​​
          • Results are dependent on the contours; the accuracy can be improved by providing contours in more phases.​
          • There is no established gold standard currently available across vendors and modalities; variability in results may exist comparing with different vendors or modalities.​
        • Plaque assessment results may differ between whole vessel or stenosis area selection. It is recommended to select smaller region that avoids intersections or bifurcations.​
        • Plaque may be incorrectly identified in the center of the vessel. Sculp tool can be used to restore the lumen in the region.​
        • Removing control points from the centerline can lead to varying results.​
          1.
          Instructions for use cvi42, software version 6.0
          2.
          Hecht HS, Cronin P, Blaha MJ, Budoff MJ, Kazerooni EA, Narula J, Yankelevitz D, Abbara S. 2016 SCCT/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: A report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology. J Cardiovasc Comput Tomogr. 2017 Jan-Feb;11(1):74-84. doi: 10.1016/j.jcct.2016.11.003. Epub 2016 Nov 10. Erratum in: J Cardiovasc Comput Tomogr. 2017 Mar - Apr;11(2):170. doi: 10.1016/j.jcct.2017.02.011. PMID: 27916431
          3.
          https://www.jacc.org/doi/10.1016/j.jcmg.2022.07.002 cvi42 | Report

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