Quantification of Regional Left Ventricular Wall Motion from Real-time 3-Dimensional Echocardiography in Patients with Poor Acoustic Windows: Effects of Contrast Enhancement Tested Against Cardiac Magnetic Resonance - 20/08/11
Reprint requests: Victor Mor-Avi, PhD, University of Chicago MC5084, 5841 S Maryland Ave, Chicago, IL 60637.Résumé |
Objective |
Regional left ventricular function can be assessed by real-time 3-dimensional echocardiography (RT3DE) in patients with good image quality. Our goals were to: (1) test the feasibility of RT3DE quantification of regional wall motion (RWM) in patients with poor acoustic windows who require contrast for endocardial visualization; and (2) validate these measurements against cardiac magnetic resonance (CMR) reference.
Methods |
RT3DE datasets and CMR images were obtained in 24 patients. In 16 of 24 patients with suboptimal endocardial definition, RT3DE imaging was repeated with intravenous contrast and triggering at end systole and end diastole. RT3DE datasets were analyzed using custom software designed to semiautomatically detect and segment the endocardial surface and calculate RWM values. CMR images were analyzed using commercial software to obtain reference values for RWM.
Results |
In 8 of 24 patients with good endocardial definition, RT3DE values of RWM correlated well with CMR (r = 0.73) with a small bias (−1.0 mm). In the remaining 16 patients, analysis of nonenhanced RT3DE datasets yielded lower correlation with CMR (r = 0.61) and a slightly greater bias (−1.5 mm). The agreement with CMR improved significantly (r = 0.76, bias −1.1 mm) with contrast enhancement.
Conclusions |
The agreement between RT3DE and CMR values of RWM is directly related to RT3DE image quality. In patients with poor acoustic windows, dual-triggered contrast enhancement improves the accuracy of RWM quantification to a level similar to that noted in patients with good images without contrast.
Le texte complet de cet article est disponible en PDF.Plan
| Supported by a Grant-in-Aid from the American Heart Association (Dr Mor-Avi) and a Sonographer’s Grant from the American Society of Echocardiography (Mr Coon). |
Vol 19 - N° 7
P. 886-893 - juillet 2006 Retour au numéro
Article précédent
- Effect of Aging on Twist-Displacement Loop by 2-Dimensional Speckle Tracking Imaging
- Hiromi Nakai, Masaaki Takeuchi, Tomoko Nishikage, Michiko Kokumai, Shinichiro Otani, Roberto M. Lang
- Risk Stratification by Treadmill Exercise Echocardiography
- Jesús C. Peteiro, Lorenzo Monserrat, Alberto Bouzas, Pablo Piñon, Javier Mariñas, Beatriz Bouzas, Alfonso Castro-Beiras
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?