Postoperative evaluation of left ventricular global strain using cardiac computed tomography in pediatric patients with congenital heart disease: A comparison with echocardiography
We explored the feasibility and reproducibility of cardiac computed tomography (CCT)-derived left ventricular (LV) global strain in postoperative children with congenital heart disease (CHD) and compared its correlation and agreement with transthoracic echocardiography (TTE). Fifty-one patients (28...
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| Veröffentlicht in: | European journal of radiology 2021-09, Vol.142, p.109868-109868, Article 109868 |
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| creator | Xie, Wei-Hui Chen, Li-Jun Hu, Li-Wei Ouyang, Rong-Zhen Guo, Chen Sun, Ai-Min Wang, Qian Qiu, Hai-Sheng Yan, Qin Zhang, Yu-Qi Zhong, Yu-Min |
| description | We explored the feasibility and reproducibility of cardiac computed tomography (CCT)-derived left ventricular (LV) global strain in postoperative children
with congenital heart disease (CHD) and compared its correlation and agreement with transthoracic echocardiography (TTE).
Fifty-one patients (28 males, 23 females) were included who underwent clinically indicated retrospective electrocardiography-triggered CCT. and all patients underwent additional TTE on the same day. LV global longitudinal strain (GLS), global circumferential strain (GCS), and global radial strain (GRS) were measured. Correlations of global strains between CCT and TTE were assessed using Pearson’s correlation coefficient. Intra-class correlation coefficients (ICC) were used to assess CCT intra-observer and inter-observer reproducibility.
GLS and GCS were not significantly different between CCT and TTE (GLS: −23.54 ± 3.24 vs. −23.85 ± 3.72, respectively, p = 0.415; GCS: −28.21 ± 3.55 vs. −28.79 ± 3.69, respectively, p = 0.155). GRS was significantly different between CCT and TTE (60.79 ± 15.11 vs. 41.73 ± 4.27, respectively, p |
| doi_str_mv | 10.1016/j.ejrad.2021.109868 |
| format | Article |
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with congenital heart disease (CHD) and compared its correlation and agreement with transthoracic echocardiography (TTE).
Fifty-one patients (28 males, 23 females) were included who underwent clinically indicated retrospective electrocardiography-triggered CCT. and all patients underwent additional TTE on the same day. LV global longitudinal strain (GLS), global circumferential strain (GCS), and global radial strain (GRS) were measured. Correlations of global strains between CCT and TTE were assessed using Pearson’s correlation coefficient. Intra-class correlation coefficients (ICC) were used to assess CCT intra-observer and inter-observer reproducibility.
GLS and GCS were not significantly different between CCT and TTE (GLS: −23.54 ± 3.24 vs. −23.85 ± 3.72, respectively, p = 0.415; GCS: −28.21 ± 3.55 vs. −28.79 ± 3.69, respectively, p = 0.155). GRS was significantly different between CCT and TTE (60.79 ± 15.11 vs. 41.73 ± 4.27, respectively, p < 0.001). There was good correlation between CCT- and TTE-derived GLS (r = 0.70, p < 0.001) and GCS (r = 0.68, p < 0.001), but GRS showed no correlation between CCT and TTE (r = 0.09, p = 0.54). CCT-derived global strain showed good intra- and inter-observer reproducibility (ICC = 0.86–0.92), except the inter-observer reproducibility for GRS (ICC = 0.77).
CCT was feasible for postoperative evaluation of LV global strain in pediatric patients with CHD with sufficient reproducibility. CCT-derived global strain can provide additional information in selected CHD patients with poor acoustic windows and who are intolerant to or have contraindications for cardiac magnetic resonance.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2021.109868</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Cardiac computed tomography ; Congenital heart disease ; Global strain ; Postoperative ; Transthoracic echocardiography</subject><ispartof>European journal of radiology, 2021-09, Vol.142, p.109868-109868, Article 109868</ispartof><rights>2021 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-d4684cd6dfb5755d62b74e75df3d3f02b04b430b746021e0269213170d45a3e33</citedby><cites>FETCH-LOGICAL-c336t-d4684cd6dfb5755d62b74e75df3d3f02b04b430b746021e0269213170d45a3e33</cites><orcidid>0000-0002-0164-8752</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejrad.2021.109868$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids></links><search><creatorcontrib>Xie, Wei-Hui</creatorcontrib><creatorcontrib>Chen, Li-Jun</creatorcontrib><creatorcontrib>Hu, Li-Wei</creatorcontrib><creatorcontrib>Ouyang, Rong-Zhen</creatorcontrib><creatorcontrib>Guo, Chen</creatorcontrib><creatorcontrib>Sun, Ai-Min</creatorcontrib><creatorcontrib>Wang, Qian</creatorcontrib><creatorcontrib>Qiu, Hai-Sheng</creatorcontrib><creatorcontrib>Yan, Qin</creatorcontrib><creatorcontrib>Zhang, Yu-Qi</creatorcontrib><creatorcontrib>Zhong, Yu-Min</creatorcontrib><title>Postoperative evaluation of left ventricular global strain using cardiac computed tomography in pediatric patients with congenital heart disease: A comparison with echocardiography</title><title>European journal of radiology</title><description>We explored the feasibility and reproducibility of cardiac computed tomography (CCT)-derived left ventricular (LV) global strain in postoperative children
with congenital heart disease (CHD) and compared its correlation and agreement with transthoracic echocardiography (TTE).
Fifty-one patients (28 males, 23 females) were included who underwent clinically indicated retrospective electrocardiography-triggered CCT. and all patients underwent additional TTE on the same day. LV global longitudinal strain (GLS), global circumferential strain (GCS), and global radial strain (GRS) were measured. Correlations of global strains between CCT and TTE were assessed using Pearson’s correlation coefficient. Intra-class correlation coefficients (ICC) were used to assess CCT intra-observer and inter-observer reproducibility.
GLS and GCS were not significantly different between CCT and TTE (GLS: −23.54 ± 3.24 vs. −23.85 ± 3.72, respectively, p = 0.415; GCS: −28.21 ± 3.55 vs. −28.79 ± 3.69, respectively, p = 0.155). GRS was significantly different between CCT and TTE (60.79 ± 15.11 vs. 41.73 ± 4.27, respectively, p < 0.001). There was good correlation between CCT- and TTE-derived GLS (r = 0.70, p < 0.001) and GCS (r = 0.68, p < 0.001), but GRS showed no correlation between CCT and TTE (r = 0.09, p = 0.54). CCT-derived global strain showed good intra- and inter-observer reproducibility (ICC = 0.86–0.92), except the inter-observer reproducibility for GRS (ICC = 0.77).
CCT was feasible for postoperative evaluation of LV global strain in pediatric patients with CHD with sufficient reproducibility. CCT-derived global strain can provide additional information in selected CHD patients with poor acoustic windows and who are intolerant to or have contraindications for cardiac magnetic resonance.</description><subject>Cardiac computed tomography</subject><subject>Congenital heart disease</subject><subject>Global strain</subject><subject>Postoperative</subject><subject>Transthoracic echocardiography</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc1uGyEUhVHVSHWTPEE3LLsZh58BxpW6sKzmR7LULhIpO8TAHRtrPEyBceX3ygMG21l3Bbqc8wHnIPSNkjklVN7t5rCLxs0ZYbRMFo1sPqEZbRSrlGLqM5oRxUhF6ub1C_qa0o4QIuoFm6G3PyHlMEI02R8Aw8H0U9mGAYcO99BlfIAhR2-n3kS86UNrepxyNH7AU_LDBlsTnTcW27AfpwwO57APm2jG7REX0Qjl9ATAY-EWVsL_fN4W-bCBweeC24KJGTufwCT4gZdnlIk-lVectWC34XzNB_cGXXWmT3D7sV6jl_tfz6vHav374Wm1XFeWc5krV8umtk66rhVKCCdZq2pQwnXc8Y6wltRtzUkZypIbECYXjHKqiKuF4cD5Nfp-4Y4x_J0gZb33yULfmwHClDQTQkiuqGyKlF-kNoaUInR6jH5v4lFTok8d6Z0-d6RPHelLR8X18-KC8ouDh6iTLRnZklkEm7UL_r_-d760oMY</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Xie, Wei-Hui</creator><creator>Chen, Li-Jun</creator><creator>Hu, Li-Wei</creator><creator>Ouyang, Rong-Zhen</creator><creator>Guo, Chen</creator><creator>Sun, Ai-Min</creator><creator>Wang, Qian</creator><creator>Qiu, Hai-Sheng</creator><creator>Yan, Qin</creator><creator>Zhang, Yu-Qi</creator><creator>Zhong, Yu-Min</creator><general>Elsevier B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0164-8752</orcidid></search><sort><creationdate>202109</creationdate><title>Postoperative evaluation of left ventricular global strain using cardiac computed tomography in pediatric patients with congenital heart disease: A comparison with echocardiography</title><author>Xie, Wei-Hui ; Chen, Li-Jun ; Hu, Li-Wei ; Ouyang, Rong-Zhen ; Guo, Chen ; Sun, Ai-Min ; Wang, Qian ; Qiu, Hai-Sheng ; Yan, Qin ; Zhang, Yu-Qi ; Zhong, Yu-Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-d4684cd6dfb5755d62b74e75df3d3f02b04b430b746021e0269213170d45a3e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac computed tomography</topic><topic>Congenital heart disease</topic><topic>Global strain</topic><topic>Postoperative</topic><topic>Transthoracic echocardiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xie, Wei-Hui</creatorcontrib><creatorcontrib>Chen, Li-Jun</creatorcontrib><creatorcontrib>Hu, Li-Wei</creatorcontrib><creatorcontrib>Ouyang, Rong-Zhen</creatorcontrib><creatorcontrib>Guo, Chen</creatorcontrib><creatorcontrib>Sun, Ai-Min</creatorcontrib><creatorcontrib>Wang, Qian</creatorcontrib><creatorcontrib>Qiu, Hai-Sheng</creatorcontrib><creatorcontrib>Yan, Qin</creatorcontrib><creatorcontrib>Zhang, Yu-Qi</creatorcontrib><creatorcontrib>Zhong, Yu-Min</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xie, Wei-Hui</au><au>Chen, Li-Jun</au><au>Hu, Li-Wei</au><au>Ouyang, Rong-Zhen</au><au>Guo, Chen</au><au>Sun, Ai-Min</au><au>Wang, Qian</au><au>Qiu, Hai-Sheng</au><au>Yan, Qin</au><au>Zhang, Yu-Qi</au><au>Zhong, Yu-Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative evaluation of left ventricular global strain using cardiac computed tomography in pediatric patients with congenital heart disease: A comparison with echocardiography</atitle><jtitle>European journal of radiology</jtitle><date>2021-09</date><risdate>2021</risdate><volume>142</volume><spage>109868</spage><epage>109868</epage><pages>109868-109868</pages><artnum>109868</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>We explored the feasibility and reproducibility of cardiac computed tomography (CCT)-derived left ventricular (LV) global strain in postoperative children
with congenital heart disease (CHD) and compared its correlation and agreement with transthoracic echocardiography (TTE).
Fifty-one patients (28 males, 23 females) were included who underwent clinically indicated retrospective electrocardiography-triggered CCT. and all patients underwent additional TTE on the same day. LV global longitudinal strain (GLS), global circumferential strain (GCS), and global radial strain (GRS) were measured. Correlations of global strains between CCT and TTE were assessed using Pearson’s correlation coefficient. Intra-class correlation coefficients (ICC) were used to assess CCT intra-observer and inter-observer reproducibility.
GLS and GCS were not significantly different between CCT and TTE (GLS: −23.54 ± 3.24 vs. −23.85 ± 3.72, respectively, p = 0.415; GCS: −28.21 ± 3.55 vs. −28.79 ± 3.69, respectively, p = 0.155). GRS was significantly different between CCT and TTE (60.79 ± 15.11 vs. 41.73 ± 4.27, respectively, p < 0.001). There was good correlation between CCT- and TTE-derived GLS (r = 0.70, p < 0.001) and GCS (r = 0.68, p < 0.001), but GRS showed no correlation between CCT and TTE (r = 0.09, p = 0.54). CCT-derived global strain showed good intra- and inter-observer reproducibility (ICC = 0.86–0.92), except the inter-observer reproducibility for GRS (ICC = 0.77).
CCT was feasible for postoperative evaluation of LV global strain in pediatric patients with CHD with sufficient reproducibility. CCT-derived global strain can provide additional information in selected CHD patients with poor acoustic windows and who are intolerant to or have contraindications for cardiac magnetic resonance.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.ejrad.2021.109868</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0164-8752</orcidid></addata></record> |
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| subjects | Cardiac computed tomography Congenital heart disease Global strain Postoperative Transthoracic echocardiography |
| title | Postoperative evaluation of left ventricular global strain using cardiac computed tomography in pediatric patients with congenital heart disease: A comparison with echocardiography |
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