Feasibility of left ventricular volume measurements by three-dimensional speckle tracking echocardiography depends on image quality and degree of left ventricular enlargement: Validation study with cardiac magnetic resonance imaging

Abstract Background Novel 3-dimensional echocardiography with speckle tracking imaging (3D-STE) may have advantages in assessing left ventricular (LV) volume through a cardiac cycle. The feasibility of 3D-STE may be affected by image quality and LV morphology. Methods and results We studied 64 patie...

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Veröffentlicht in:Journal of cardiology 2014-03, Vol.63 (3), p.230-238
Hauptverfasser: Kawamura, Ryo, MD, Seo, Yoshihiro, MD, PhD, FJCC, Ishizu, Tomoko, MD, PhD, FJCC, Atsumi, Akiko, MD, Yamamoto, Masayoshi, MD, Machino-Ohtsuka, Tomoko, MD, Nakajima, Hideki, PhD, Sakai, Satoshi, MD, PhD, Tanaka, Yumiko Oishi, MD, PhD, Minami, Manabu, MD, PhD, Aonuma, Kazutaka, MD, PhD, FJCC
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container_end_page 238
container_issue 3
container_start_page 230
container_title Journal of cardiology
container_volume 63
creator Kawamura, Ryo, MD
Seo, Yoshihiro, MD, PhD, FJCC
Ishizu, Tomoko, MD, PhD, FJCC
Atsumi, Akiko, MD
Yamamoto, Masayoshi, MD
Machino-Ohtsuka, Tomoko, MD
Nakajima, Hideki, PhD
Sakai, Satoshi, MD, PhD
Tanaka, Yumiko Oishi, MD, PhD
Minami, Manabu, MD, PhD
Aonuma, Kazutaka, MD, PhD, FJCC
description Abstract Background Novel 3-dimensional echocardiography with speckle tracking imaging (3D-STE) may have advantages in assessing left ventricular (LV) volume through a cardiac cycle. The feasibility of 3D-STE may be affected by image quality and LV morphology. Methods and results We studied 64 patients (38 men, age 55 ± 12 years) who underwent cardiac magnetic resonance imaging (CMRI) and 3D-STE on the same day. LV end-diastolic volume (EDV) and end-systolic volume (ESV) were measured by both modalities. Imaging qualities were quantified in each of 6 LV segments by an imaging quality score (IQS) of 1–3, and scores were averaged (mean IQS) at end-diastole and end-systole. Compared to CMRI, 3D-STE showed a tendency to underestimate LV volume measurements, but not significantly (EDV: bias = −18 ± 37 ml; ESV: bias = −10 ± 34 ml), and measurements correlated well with those by CMRI (EDV: R = 0.80, ESV: R = 0.86, ejection fraction: R = 0.75, p < 0.001). The absolute differences of LVEDV and ESV between 3D-STE and CMRI correlated significantly with mean IQS (LVEDV, R = −0.35, p = 0.005; LVESV, R = −0.30, p = 0.02). Based on the medium value of LVEDV by CMRI (127 ml), subjects were classified into the small (
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The feasibility of 3D-STE may be affected by image quality and LV morphology. Methods and results We studied 64 patients (38 men, age 55 ± 12 years) who underwent cardiac magnetic resonance imaging (CMRI) and 3D-STE on the same day. LV end-diastolic volume (EDV) and end-systolic volume (ESV) were measured by both modalities. Imaging qualities were quantified in each of 6 LV segments by an imaging quality score (IQS) of 1–3, and scores were averaged (mean IQS) at end-diastole and end-systole. Compared to CMRI, 3D-STE showed a tendency to underestimate LV volume measurements, but not significantly (EDV: bias = −18 ± 37 ml; ESV: bias = −10 ± 34 ml), and measurements correlated well with those by CMRI (EDV: R = 0.80, ESV: R = 0.86, ejection fraction: R = 0.75, p &lt; 0.001). The absolute differences of LVEDV and ESV between 3D-STE and CMRI correlated significantly with mean IQS (LVEDV, R = −0.35, p = 0.005; LVESV, R = −0.30, p = 0.02). Based on the medium value of LVEDV by CMRI (127 ml), subjects were classified into the small (&lt;127 ml) and large LVEDV (≧127 ml) groups. In the large LVEDV group, mean IQS significantly correlated with the absolute differences of LVEDV (mean IQS, r = −0.45, p = 0.01), despite no significant correlation in the small LVEDV group. Conclusion 3D-STE could measure LV volume as well as CMRI, however, its accuracy depends on the quality of the acquired image and particularly on enlargement of the left ventricle.</description><identifier>ISSN: 0914-5087</identifier><identifier>EISSN: 1876-4738</identifier><identifier>DOI: 10.1016/j.jjcc.2013.08.010</identifier><identifier>PMID: 24145194</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>3-Dimensional echocardiography ; Adult ; Aged ; Cardiac Volume ; Cardiovascular ; Echocardiography, Three-Dimensional - methods ; Feasibility Studies ; Female ; Heart Ventricles - pathology ; Heart Ventricles - physiopathology ; Humans ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - pathology ; Hypertrophy, Left Ventricular - physiopathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Sensitivity and Specificity ; Speckle tracking echocardiography ; Ventricular function</subject><ispartof>Journal of cardiology, 2014-03, Vol.63 (3), p.230-238</ispartof><rights>Japanese College of Cardiology</rights><rights>2013 Japanese College of Cardiology</rights><rights>Copyright © 2013 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-901b5c3f33956e820b809e84af87617e729f3acd7fecc2db917b1c0fc1c25e8a3</citedby><cites>FETCH-LOGICAL-c479t-901b5c3f33956e820b809e84af87617e729f3acd7fecc2db917b1c0fc1c25e8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jjcc.2013.08.010$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24145194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawamura, Ryo, MD</creatorcontrib><creatorcontrib>Seo, Yoshihiro, MD, PhD, FJCC</creatorcontrib><creatorcontrib>Ishizu, Tomoko, MD, PhD, FJCC</creatorcontrib><creatorcontrib>Atsumi, Akiko, MD</creatorcontrib><creatorcontrib>Yamamoto, Masayoshi, MD</creatorcontrib><creatorcontrib>Machino-Ohtsuka, Tomoko, MD</creatorcontrib><creatorcontrib>Nakajima, Hideki, PhD</creatorcontrib><creatorcontrib>Sakai, Satoshi, MD, PhD</creatorcontrib><creatorcontrib>Tanaka, Yumiko Oishi, MD, PhD</creatorcontrib><creatorcontrib>Minami, Manabu, MD, PhD</creatorcontrib><creatorcontrib>Aonuma, Kazutaka, MD, PhD, FJCC</creatorcontrib><title>Feasibility of left ventricular volume measurements by three-dimensional speckle tracking echocardiography depends on image quality and degree of left ventricular enlargement: Validation study with cardiac magnetic resonance imaging</title><title>Journal of cardiology</title><addtitle>J Cardiol</addtitle><description>Abstract Background Novel 3-dimensional echocardiography with speckle tracking imaging (3D-STE) may have advantages in assessing left ventricular (LV) volume through a cardiac cycle. The feasibility of 3D-STE may be affected by image quality and LV morphology. Methods and results We studied 64 patients (38 men, age 55 ± 12 years) who underwent cardiac magnetic resonance imaging (CMRI) and 3D-STE on the same day. LV end-diastolic volume (EDV) and end-systolic volume (ESV) were measured by both modalities. Imaging qualities were quantified in each of 6 LV segments by an imaging quality score (IQS) of 1–3, and scores were averaged (mean IQS) at end-diastole and end-systole. Compared to CMRI, 3D-STE showed a tendency to underestimate LV volume measurements, but not significantly (EDV: bias = −18 ± 37 ml; ESV: bias = −10 ± 34 ml), and measurements correlated well with those by CMRI (EDV: R = 0.80, ESV: R = 0.86, ejection fraction: R = 0.75, p &lt; 0.001). The absolute differences of LVEDV and ESV between 3D-STE and CMRI correlated significantly with mean IQS (LVEDV, R = −0.35, p = 0.005; LVESV, R = −0.30, p = 0.02). Based on the medium value of LVEDV by CMRI (127 ml), subjects were classified into the small (&lt;127 ml) and large LVEDV (≧127 ml) groups. In the large LVEDV group, mean IQS significantly correlated with the absolute differences of LVEDV (mean IQS, r = −0.45, p = 0.01), despite no significant correlation in the small LVEDV group. 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Seo, Yoshihiro, MD, PhD, FJCC ; Ishizu, Tomoko, MD, PhD, FJCC ; Atsumi, Akiko, MD ; Yamamoto, Masayoshi, MD ; Machino-Ohtsuka, Tomoko, MD ; Nakajima, Hideki, PhD ; Sakai, Satoshi, MD, PhD ; Tanaka, Yumiko Oishi, MD, PhD ; Minami, Manabu, MD, PhD ; Aonuma, Kazutaka, MD, PhD, FJCC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-901b5c3f33956e820b809e84af87617e729f3acd7fecc2db917b1c0fc1c25e8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>3-Dimensional echocardiography</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiac Volume</topic><topic>Cardiovascular</topic><topic>Echocardiography, Three-Dimensional - methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Heart Ventricles - pathology</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Hypertrophy, Left Ventricular - pathology</topic><topic>Hypertrophy, Left Ventricular - physiopathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Sensitivity and Specificity</topic><topic>Speckle tracking echocardiography</topic><topic>Ventricular function</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawamura, Ryo, MD</creatorcontrib><creatorcontrib>Seo, Yoshihiro, MD, PhD, FJCC</creatorcontrib><creatorcontrib>Ishizu, Tomoko, MD, PhD, FJCC</creatorcontrib><creatorcontrib>Atsumi, Akiko, MD</creatorcontrib><creatorcontrib>Yamamoto, Masayoshi, MD</creatorcontrib><creatorcontrib>Machino-Ohtsuka, Tomoko, MD</creatorcontrib><creatorcontrib>Nakajima, Hideki, PhD</creatorcontrib><creatorcontrib>Sakai, Satoshi, MD, PhD</creatorcontrib><creatorcontrib>Tanaka, Yumiko Oishi, MD, PhD</creatorcontrib><creatorcontrib>Minami, Manabu, MD, PhD</creatorcontrib><creatorcontrib>Aonuma, Kazutaka, MD, PhD, FJCC</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawamura, Ryo, MD</au><au>Seo, Yoshihiro, MD, PhD, FJCC</au><au>Ishizu, Tomoko, MD, PhD, FJCC</au><au>Atsumi, Akiko, MD</au><au>Yamamoto, Masayoshi, MD</au><au>Machino-Ohtsuka, Tomoko, MD</au><au>Nakajima, Hideki, PhD</au><au>Sakai, Satoshi, MD, PhD</au><au>Tanaka, Yumiko Oishi, MD, PhD</au><au>Minami, Manabu, MD, PhD</au><au>Aonuma, Kazutaka, MD, PhD, FJCC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of left ventricular volume measurements by three-dimensional speckle tracking echocardiography depends on image quality and degree of left ventricular enlargement: Validation study with cardiac magnetic resonance imaging</atitle><jtitle>Journal of cardiology</jtitle><addtitle>J Cardiol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>63</volume><issue>3</issue><spage>230</spage><epage>238</epage><pages>230-238</pages><issn>0914-5087</issn><eissn>1876-4738</eissn><abstract>Abstract Background Novel 3-dimensional echocardiography with speckle tracking imaging (3D-STE) may have advantages in assessing left ventricular (LV) volume through a cardiac cycle. The feasibility of 3D-STE may be affected by image quality and LV morphology. Methods and results We studied 64 patients (38 men, age 55 ± 12 years) who underwent cardiac magnetic resonance imaging (CMRI) and 3D-STE on the same day. LV end-diastolic volume (EDV) and end-systolic volume (ESV) were measured by both modalities. Imaging qualities were quantified in each of 6 LV segments by an imaging quality score (IQS) of 1–3, and scores were averaged (mean IQS) at end-diastole and end-systole. Compared to CMRI, 3D-STE showed a tendency to underestimate LV volume measurements, but not significantly (EDV: bias = −18 ± 37 ml; ESV: bias = −10 ± 34 ml), and measurements correlated well with those by CMRI (EDV: R = 0.80, ESV: R = 0.86, ejection fraction: R = 0.75, p &lt; 0.001). The absolute differences of LVEDV and ESV between 3D-STE and CMRI correlated significantly with mean IQS (LVEDV, R = −0.35, p = 0.005; LVESV, R = −0.30, p = 0.02). Based on the medium value of LVEDV by CMRI (127 ml), subjects were classified into the small (&lt;127 ml) and large LVEDV (≧127 ml) groups. In the large LVEDV group, mean IQS significantly correlated with the absolute differences of LVEDV (mean IQS, r = −0.45, p = 0.01), despite no significant correlation in the small LVEDV group. Conclusion 3D-STE could measure LV volume as well as CMRI, however, its accuracy depends on the quality of the acquired image and particularly on enlargement of the left ventricle.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24145194</pmid><doi>10.1016/j.jjcc.2013.08.010</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects 3-Dimensional echocardiography
Adult
Aged
Cardiac Volume
Cardiovascular
Echocardiography, Three-Dimensional - methods
Feasibility Studies
Female
Heart Ventricles - pathology
Heart Ventricles - physiopathology
Humans
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - pathology
Hypertrophy, Left Ventricular - physiopathology
Magnetic Resonance Imaging
Male
Middle Aged
Sensitivity and Specificity
Speckle tracking echocardiography
Ventricular function
title Feasibility of left ventricular volume measurements by three-dimensional speckle tracking echocardiography depends on image quality and degree of left ventricular enlargement: Validation study with cardiac magnetic resonance imaging
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