Assessment of left ventricular size and function by 3-dimensional transthoracic echocardiography: Impact of the echocardiography platform and analysis software
Whether echocardiography platform and analysis software impact left ventricular (LV) volumes, ejection fraction (EF), and stroke volume (SV) by transthoracic tridimensional echocardiography (3DE) has not yet been assessed. Hence, our aim was to compare 3DE LV end-diastolic and end-systolic volumes (...
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| Veröffentlicht in: | The American heart journal 2018-08, Vol.202, p.127-136 |
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| creator | Castel, Anne Laure Toledano, Manuel Tribouilloy, Christophe Delelis, François Mailliet, Amandine Marotte, Nathalie Guerbaai, Raphaëlle A Levy, Franck Graux, Pierre Ennezat, Pierre-Vladimir Maréchaux, Sylvestre |
| description | Whether echocardiography platform and analysis software impact left ventricular (LV) volumes, ejection fraction (EF), and stroke volume (SV) by transthoracic tridimensional echocardiography (3DE) has not yet been assessed. Hence, our aim was to compare 3DE LV end-diastolic and end-systolic volumes (EDV and ESV), LVEF, and SV obtained with echocardiography platform from 2 different manufacturers.
3DE was performed in 84 patients (65% of screened consecutive patients), with equipment from 2 different manufacturers, with subsequent off-line postprocessing to obtain parameters of LV function and size (Philips QLAB 3DQ and General Electric EchoPAC 4D autoLVQ). Twenty-five patients with clinical indication for cardiac magnetic resonance imaging served as a validation subgroup.
LVEDV and LVESV from 2 vendors were highly correlated (r = 0.93), but compared with 4D autoLVQ, the use of Qlab 3DQ resulted in lower LVEDV and LVESV (bias: 11 mL, limits of agreement: −25 to +47 and bias: 6 mL, limits of agreement: −22 to +34, respectively). The agreement between LVEF values of each software was poor (intraclass correlation coefficient 0.62) despite no or minimal bias. SVs were also lower with Qlab 3DQ advanced compared with 4D autoLVQ, and both were poorly correlated (r = 0.66). Consistently, the underestimation of LVEDV, LVESV, and SV by 3DE compared with cardiac magnetic resonance imaging was more pronounced with Philips QLAB 3DQ advanced than with 4D autoLVQ.
The echocardiography platform and analysis software significantly affect the values of LV parameters obtained by 3DE. Intervendor standardization and improvements in 3DE modalities are needed to broaden the use of LV parameters obtained by 3DE in clinical practice. |
| doi_str_mv | 10.1016/j.ahj.2018.05.013 |
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3DE was performed in 84 patients (65% of screened consecutive patients), with equipment from 2 different manufacturers, with subsequent off-line postprocessing to obtain parameters of LV function and size (Philips QLAB 3DQ and General Electric EchoPAC 4D autoLVQ). Twenty-five patients with clinical indication for cardiac magnetic resonance imaging served as a validation subgroup.
LVEDV and LVESV from 2 vendors were highly correlated (r = 0.93), but compared with 4D autoLVQ, the use of Qlab 3DQ resulted in lower LVEDV and LVESV (bias: 11 mL, limits of agreement: −25 to +47 and bias: 6 mL, limits of agreement: −22 to +34, respectively). The agreement between LVEF values of each software was poor (intraclass correlation coefficient 0.62) despite no or minimal bias. SVs were also lower with Qlab 3DQ advanced compared with 4D autoLVQ, and both were poorly correlated (r = 0.66). Consistently, the underestimation of LVEDV, LVESV, and SV by 3DE compared with cardiac magnetic resonance imaging was more pronounced with Philips QLAB 3DQ advanced than with 4D autoLVQ.
The echocardiography platform and analysis software significantly affect the values of LV parameters obtained by 3DE. Intervendor standardization and improvements in 3DE modalities are needed to broaden the use of LV parameters obtained by 3DE in clinical practice.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2018.05.013</identifier><identifier>PMID: 29935472</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Bias ; Body Mass Index ; Commerce ; Computer programs ; Correlation coefficient ; Correlation coefficients ; Datasets ; Echocardiography ; Echocardiography, Three-Dimensional - instrumentation ; Equipment Design ; Female ; Heart ; Heart Ventricles - anatomy & histology ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - physiopathology ; Humans ; Impact analysis ; Life Sciences ; Magnetic Resonance Imaging ; Male ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Parameters ; Patients ; Population ; Reproducibility of Results ; Resonance ; Software ; Standardization ; Stroke ; Stroke Volume ; Subgroups ; Ultrasonic imaging ; Ventricle ; Ventricular Function, Left</subject><ispartof>The American heart journal, 2018-08, Vol.202, p.127-136</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><rights>2018. Elsevier Inc.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-7259656836955d8e0307c8597bcf633744d2a00de062cbc85b57e54f78e542c03</citedby><cites>FETCH-LOGICAL-c481t-7259656836955d8e0307c8597bcf633744d2a00de062cbc85b57e54f78e542c03</cites><orcidid>0000-0001-7867-3668 ; 0000-0002-0514-931X ; 0000-0001-9687-0518</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2077432487?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29935472$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-picardie.hal.science/hal-03580331$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Castel, Anne Laure</creatorcontrib><creatorcontrib>Toledano, Manuel</creatorcontrib><creatorcontrib>Tribouilloy, Christophe</creatorcontrib><creatorcontrib>Delelis, François</creatorcontrib><creatorcontrib>Mailliet, Amandine</creatorcontrib><creatorcontrib>Marotte, Nathalie</creatorcontrib><creatorcontrib>Guerbaai, Raphaëlle A</creatorcontrib><creatorcontrib>Levy, Franck</creatorcontrib><creatorcontrib>Graux, Pierre</creatorcontrib><creatorcontrib>Ennezat, Pierre-Vladimir</creatorcontrib><creatorcontrib>Maréchaux, Sylvestre</creatorcontrib><title>Assessment of left ventricular size and function by 3-dimensional transthoracic echocardiography: Impact of the echocardiography platform and analysis software</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Whether echocardiography platform and analysis software impact left ventricular (LV) volumes, ejection fraction (EF), and stroke volume (SV) by transthoracic tridimensional echocardiography (3DE) has not yet been assessed. Hence, our aim was to compare 3DE LV end-diastolic and end-systolic volumes (EDV and ESV), LVEF, and SV obtained with echocardiography platform from 2 different manufacturers.
3DE was performed in 84 patients (65% of screened consecutive patients), with equipment from 2 different manufacturers, with subsequent off-line postprocessing to obtain parameters of LV function and size (Philips QLAB 3DQ and General Electric EchoPAC 4D autoLVQ). Twenty-five patients with clinical indication for cardiac magnetic resonance imaging served as a validation subgroup.
LVEDV and LVESV from 2 vendors were highly correlated (r = 0.93), but compared with 4D autoLVQ, the use of Qlab 3DQ resulted in lower LVEDV and LVESV (bias: 11 mL, limits of agreement: −25 to +47 and bias: 6 mL, limits of agreement: −22 to +34, respectively). The agreement between LVEF values of each software was poor (intraclass correlation coefficient 0.62) despite no or minimal bias. SVs were also lower with Qlab 3DQ advanced compared with 4D autoLVQ, and both were poorly correlated (r = 0.66). Consistently, the underestimation of LVEDV, LVESV, and SV by 3DE compared with cardiac magnetic resonance imaging was more pronounced with Philips QLAB 3DQ advanced than with 4D autoLVQ.
The echocardiography platform and analysis software significantly affect the values of LV parameters obtained by 3DE. Intervendor standardization and improvements in 3DE modalities are needed to broaden the use of LV parameters obtained by 3DE in clinical practice.</description><subject>Adult</subject><subject>Aged</subject><subject>Bias</subject><subject>Body Mass Index</subject><subject>Commerce</subject><subject>Computer programs</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Datasets</subject><subject>Echocardiography</subject><subject>Echocardiography, Three-Dimensional - instrumentation</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Ventricles - anatomy & histology</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Impact analysis</subject><subject>Life Sciences</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Parameters</subject><subject>Patients</subject><subject>Population</subject><subject>Reproducibility of Results</subject><subject>Resonance</subject><subject>Software</subject><subject>Standardization</subject><subject>Stroke</subject><subject>Stroke Volume</subject><subject>Subgroups</subject><subject>Ultrasonic imaging</subject><subject>Ventricle</subject><subject>Ventricular Function, 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China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castel, Anne Laure</au><au>Toledano, Manuel</au><au>Tribouilloy, Christophe</au><au>Delelis, François</au><au>Mailliet, Amandine</au><au>Marotte, Nathalie</au><au>Guerbaai, Raphaëlle A</au><au>Levy, Franck</au><au>Graux, Pierre</au><au>Ennezat, Pierre-Vladimir</au><au>Maréchaux, Sylvestre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of left ventricular size and function by 3-dimensional transthoracic echocardiography: Impact of the echocardiography platform and analysis software</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>202</volume><spage>127</spage><epage>136</epage><pages>127-136</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><abstract>Whether echocardiography platform and analysis software impact left ventricular (LV) volumes, ejection fraction (EF), and stroke volume (SV) by transthoracic tridimensional echocardiography (3DE) has not yet been assessed. Hence, our aim was to compare 3DE LV end-diastolic and end-systolic volumes (EDV and ESV), LVEF, and SV obtained with echocardiography platform from 2 different manufacturers.
3DE was performed in 84 patients (65% of screened consecutive patients), with equipment from 2 different manufacturers, with subsequent off-line postprocessing to obtain parameters of LV function and size (Philips QLAB 3DQ and General Electric EchoPAC 4D autoLVQ). Twenty-five patients with clinical indication for cardiac magnetic resonance imaging served as a validation subgroup.
LVEDV and LVESV from 2 vendors were highly correlated (r = 0.93), but compared with 4D autoLVQ, the use of Qlab 3DQ resulted in lower LVEDV and LVESV (bias: 11 mL, limits of agreement: −25 to +47 and bias: 6 mL, limits of agreement: −22 to +34, respectively). The agreement between LVEF values of each software was poor (intraclass correlation coefficient 0.62) despite no or minimal bias. SVs were also lower with Qlab 3DQ advanced compared with 4D autoLVQ, and both were poorly correlated (r = 0.66). Consistently, the underestimation of LVEDV, LVESV, and SV by 3DE compared with cardiac magnetic resonance imaging was more pronounced with Philips QLAB 3DQ advanced than with 4D autoLVQ.
The echocardiography platform and analysis software significantly affect the values of LV parameters obtained by 3DE. Intervendor standardization and improvements in 3DE modalities are needed to broaden the use of LV parameters obtained by 3DE in clinical practice.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29935472</pmid><doi>10.1016/j.ahj.2018.05.013</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7867-3668</orcidid><orcidid>https://orcid.org/0000-0002-0514-931X</orcidid><orcidid>https://orcid.org/0000-0001-9687-0518</orcidid></addata></record> |
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| subjects | Adult Aged Bias Body Mass Index Commerce Computer programs Correlation coefficient Correlation coefficients Datasets Echocardiography Echocardiography, Three-Dimensional - instrumentation Equipment Design Female Heart Heart Ventricles - anatomy & histology Heart Ventricles - diagnostic imaging Heart Ventricles - physiopathology Humans Impact analysis Life Sciences Magnetic Resonance Imaging Male Middle Aged NMR Nuclear magnetic resonance Parameters Patients Population Reproducibility of Results Resonance Software Standardization Stroke Stroke Volume Subgroups Ultrasonic imaging Ventricle Ventricular Function, Left |
| title | Assessment of left ventricular size and function by 3-dimensional transthoracic echocardiography: Impact of the echocardiography platform and analysis software |
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