کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6244287 | 1609784 | 2012 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Assessment of left ventricular parameters in orthotopic heart transplant recipients using dual-source CT and contrast-enhanced echocardiography: Comparison with MRI Assessment of left ventricular parameters in orthotopic heart transplant recipients using dual-source CT and contrast-enhanced echocardiography: Comparison with MRI](/preview/png/6244287.png)
ObjectivesTo establish the accuracy and reliability of cardiac dual-source CT (DSCT) and two-dimensional contrast-enhanced echocardiography (CE-Echo) in estimating left ventricular (LV) parameters with respect to cardiac magnetic resonance imaging (CMR) as the reference standard.MethodsTwenty-five consecutive heart transplant recipients (20 male, mean age 62.7 ± 10.4 years, mean time since transplantation 8.1 ± 5.9 years) were prospectively recruited. Two blinded readers independently assessed LV ejection fraction (EF), end-diastolic volume (EDV), end-systolic volume (ESV), and stroke volume (SV) for each patient after manual tracing of the endo- and epicardial contours in DSCT, CE-Echo and CMR cine images. Student's t-test for paired samples for differences, and Bland and Altman plots and Lin's concordance-correlation coefficients (CCC) for agreement were calculated.ResultsThere was no statistical difference between left ventricular parameters determined by DSCT and CMR. CE-Echo resulted in significant underestimation of left ventricular volumes (mean difference EDV: 15.94 ± 14.19 ml and 17.1 ± 17.06 ml, ESV: 8.5 ± 9.3 and 7.32 ± 9.14 ml with respect to DSCT and CMR), and overestimation of EF compared with the cross-sectional imaging modalities (3.78 ± 8.47% and 2.14 ± 8.35% with respect to DSCT and CMR). Concordance correlation coefficients for LV parameters using DSCT and CMR were higher (CCC â¥Â 0.75) than CCC values observed between CE-Echo and DSCT- or CMR-derived data (CCC â¥Â 0.54 and CCC â¥Â 0.49, respectively). Interobserver agreement was higher for DSCT and CMR values (CCC â¥Â 0.72 and CCC â¥Â 0.87, respectively).ConclusionIn orthotopic heart transplantation cardiac DSCT allows accurate and reliable estimation of LV parameters compared with CMR, whereas CE-Echo seems to be insufficient to obtain precise measurements.
Journal: European Journal of Radiology - Volume 81, Issue 11, November 2012, Pages 3282-3288