Quantification of left ventricular volumes and ejection fraction using freehand transthoracic three-dimensional echocardiography: Comparison with magnetic resonance imaging

被引:61
作者
Mannaerts, HFJ
van der Heide, JA
Kamp, O
Papavassiliu, T
Marcus, JT
Beek, A
van Rossum, AC
Twisk, J
Visser, CA
机构
[1] VU Univ Med Ctr, Dept Cardiol, NL-1007 MB Amsterdam, Netherlands
[2] VU Univ Med Ctr, Inst Cardiovasc Res, NL-1007 MB Amsterdam, Netherlands
关键词
TIME 3-DIMENSIONAL ECHOCARDIOGRAPHY; CONVENTIONAL NONINVASIVE METHODS; IN-VITRO; VALIDATION; CINEVENTRICULOGRAPHY; ANEURYSM; VIVO;
D O I
10.1067/mje.2003.7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: Our aim was to validate 3-dimensional echocardiography (3DE) for assessment of left ventricular (LV) end-diastolic volume, end-systolic volume (ESV), stroke volume, and ejection fraction (EF) using the freehand-acquisition method. Furthermore, LV volumes by breath hold-versus free breathing-3DE acquisition were assessed and compared with magnetic resonance imaging (MRI). Methods: From the apical position, a fan-like 3DE image was acquired during free breathing and another, thereafter, during breath hold. In 27 patients, 28 breath hold-and 24 free breathing-3DE images were acquired. A total of 17 patients underwent both MRI and 3DE. MRI contours were traced along the outer endocardial contour, including trabeculae, and along the inner endocardial contour, excluding trabeculae, from the LV volume. Results: All 28 (100%) breath hold- and 86% of free breathing-3DE acquisitions could be analyzed. Intraobserver variation (percentual bias +/- 2 SD) of end-diastolic volume, ESV, stroke volume, and EF for breath-hold 3DE was, respectively, 0.3 +/- 10.2%, 0.3 +/- 14.6%, 0.1 +/- 18.4%, and -0.1 +/- 5.8%. For free-breathing 3DE, findings were similar. A significantly better interobserver variability, however, was observed for breath-hold 3DE for ESV and EF. Comparison of breath-hold 3DE with MRI inner contour showed for end-diastolic volume, ESV, stroke volume, and EF, a percentual bias ( 2 SD) of, respectively, -13.5 +/- 26.9%, -17.7 +/- 47.8%, -10.6 +/- 43.6%, and -1.8 +/- 11.6%. Compared with the MRI outer contour, a significantly greater difference was observed, except for EF. Conclusions: 3DE using the freehand method is fast and highly reproducible for (serial) LV volume and EF measurement, and, hence, ideally suited for clinical decision making and trials. Breath-hold 3DE is superior to free-breathing 3DE regarding image quality and reproducibility. Compared with MRI, 3DE underestimates LV volumes, but not EF, which is mainly explained by differences in endocardial contour tracing by MRI (outer contour) and 3DE (inner contour) of the trabecularized endocardium. Underestimation is reduced when breath-hold 3DE is compared with inner contour analysis of the MRI dataset.
引用
收藏
页码:101 / 109
页数:9
相关论文
共 30 条
  • [1] Rapid three-dimensional echocardiography - Clinically feasible alternative for precise and accurate measurement of left ventricular volumes
    Belohlavek, M
    Tanabe, K
    Jakrapanichakul, D
    Breen, JF
    Seward, JB
    [J]. CIRCULATION, 2001, 103 (24) : 2882 - 2884
  • [2] Dynamic three-dimensional freehand echocardiography using raw digital ultrasound data
    Berg, S
    Torp, H
    Martens, D
    Steen, E
    Samstad, S
    Hoivik, I
    Olstad, B
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 1999, 25 (05) : 745 - 753
  • [3] Buck T, 1996, J Am Soc Echocardiogr, V9, P488, DOI 10.1016/S0894-7317(96)90120-0
  • [4] Buck T, 1997, CIRCULATION, V96, P4286
  • [5] Importance of imaging method over imaging modality in noninvasive determination of left ventricular volumes and ejection fraction - Assessment by two- and three-dimensional echocardiography and magnetic resonance imaging
    Chuang, ML
    Hibberd, MG
    Salton, CJ
    Beaudin, RA
    Riley, MF
    Parker, RA
    Douglas, PS
    Manning, WJ
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (02) : 477 - 484
  • [6] In vitro evaluation of three-dimensional ultrasonography based on magnetic scanhead tracking
    Gilja, OH
    Hausken, T
    Olafsson, S
    Matre, K
    Odegaard, S
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 1998, 24 (08) : 1161 - 1167
  • [7] Freehand three-dimensional echocardiography for determination of left ventricular volume and mass in patients with abnormal ventricles: Comparison with magnetic resonance imaging
    Gopal, AS
    Schnellbaecher, MJ
    Shen, ZQ
    Boxt, LM
    Katz, J
    King, DL
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 1997, 10 (08) : 853 - 861
  • [8] ASSESSMENT OF CARDIAC-FUNCTION BY 3-DIMENSIONAL ECHOCARDIOGRAPHY COMPARED WITH CONVENTIONAL NONINVASIVE METHODS
    GOPAL, AS
    SHEN, ZQ
    SAPIN, PM
    KELLER, AM
    SCHNELLBAECHER, MJ
    LEIBOWITZ, DW
    AKINBOBOYE, OO
    RODNEY, RA
    BLOOD, DK
    KING, DL
    [J]. CIRCULATION, 1995, 92 (04) : 842 - 853
  • [9] Unbiased and efficient estimation of left ventricular volumes by three-dimensional echocardiography with coaxial sections.: Validation with magnetic resonance imaging
    Kim, WY
    Terp, KA
    Nyengaard, JR
    Silkjær, T
    Jensen, FT
    [J]. HEART AND VESSELS, 2000, 15 (01) : 35 - 43
  • [10] Three-dimensional echocardiography with tissue harmonic imaging shows excellent reproducibility in assessment of left ventricular volumes
    Kim, WY
    Sogaard, P
    Egeblad, H
    Andersen, NT
    Kristensen, BO
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2001, 14 (06) : 612 - 617