Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements
Left ventricular mass (LVM) measurements made by the truncated ellipsoid algorithm from clinical two-dimensional echocardiograms (2DE) were compared to autopsy weights in 37 patients. All six 2DE instruments were calibrated with an ultrasound phantom to standardize LVM measurements. Measurements wer...
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Veröffentlicht in: | The American heart journal 1989-07, Vol.118 (1), p.133-137 |
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creator | Byrd, Benjamin F. Finkbeiner, Walter Bouchard, Alain Silverman, Norman H. Schiller, Nelson B. |
description | Left ventricular mass (LVM) measurements made by the truncated ellipsoid algorithm from clinical two-dimensional echocardiograms (2DE) were compared to autopsy weights in 37 patients. All six 2DE instruments were calibrated with an ultrasound phantom to standardize LVM measurements. Measurements were made by an experienced echocardiographer (LVM
E) and by an echocardiographer (LVM
N) newly trained in LVM measurement from clinical 2DE tapes of patients with LV weights later confirmed at autopsy. LVM
E (
r = 0.91, SEE ± 41 gm) were more accurate than LVM
N for all 2DE, but LVM
N equalled LVM
E in accuracy for technically good 2DE. Interobserver variability was 36 gm, or 17% of LVM for all 2DE, and fell to 27 gm, or 12% of LVM for technically good 2DE. Segmental wall motion abnormalities and time from 2DE to death did not influence measurement accuracy significantly. LVM measurements by the 2DE truncated ellipsoid formula are accurate and reproducible in patients with normal and abnormal hearts. |
doi_str_mv | 10.1016/0002-8703(89)90083-5 |
format | Article |
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E) and by an echocardiographer (LVM
N) newly trained in LVM measurement from clinical 2DE tapes of patients with LV weights later confirmed at autopsy. LVM
E (
r = 0.91, SEE ± 41 gm) were more accurate than LVM
N for all 2DE, but LVM
N equalled LVM
E in accuracy for technically good 2DE. Interobserver variability was 36 gm, or 17% of LVM for all 2DE, and fell to 27 gm, or 12% of LVM for technically good 2DE. Segmental wall motion abnormalities and time from 2DE to death did not influence measurement accuracy significantly. LVM measurements by the 2DE truncated ellipsoid formula are accurate and reproducible in patients with normal and abnormal hearts.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(89)90083-5</identifier><identifier>PMID: 2741780</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Algorithms ; Autopsy ; Biological and medical sciences ; Cardiovascular system ; Echocardiography ; Female ; Heart - anatomy & histology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Reproducibility of Results ; Ultrasonic investigative techniques</subject><ispartof>The American heart journal, 1989-07, Vol.118 (1), p.133-137</ispartof><rights>1989</rights><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-70654124471858ac83fff3829a91888382271012f1b2690d1e2b31744393fcc03</citedby><cites>FETCH-LOGICAL-c386t-70654124471858ac83fff3829a91888382271012f1b2690d1e2b31744393fcc03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(89)90083-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7269577$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2741780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byrd, Benjamin F.</creatorcontrib><creatorcontrib>Finkbeiner, Walter</creatorcontrib><creatorcontrib>Bouchard, Alain</creatorcontrib><creatorcontrib>Silverman, Norman H.</creatorcontrib><creatorcontrib>Schiller, Nelson B.</creatorcontrib><title>Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Left ventricular mass (LVM) measurements made by the truncated ellipsoid algorithm from clinical two-dimensional echocardiograms (2DE) were compared to autopsy weights in 37 patients. All six 2DE instruments were calibrated with an ultrasound phantom to standardize LVM measurements. Measurements were made by an experienced echocardiographer (LVM
E) and by an echocardiographer (LVM
N) newly trained in LVM measurement from clinical 2DE tapes of patients with LV weights later confirmed at autopsy. LVM
E (
r = 0.91, SEE ± 41 gm) were more accurate than LVM
N for all 2DE, but LVM
N equalled LVM
E in accuracy for technically good 2DE. Interobserver variability was 36 gm, or 17% of LVM for all 2DE, and fell to 27 gm, or 12% of LVM for technically good 2DE. Segmental wall motion abnormalities and time from 2DE to death did not influence measurement accuracy significantly. LVM measurements by the 2DE truncated ellipsoid formula are accurate and reproducible in patients with normal and abnormal hearts.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Autopsy</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart - anatomy & histology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><subject>Ultrasonic investigative techniques</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVJSDdp_0EDPpTQHJzqw7akS2EJTRNYyKU9C-1olCjY1kayW_bfR9td9piTRswzw7wPIV8YvWGUdd8ppbxWkopvSl9rSpWo2w9kwaiWdSeb5oQsjshHcp7zS_l2XHVn5IzLhklFF-RpCTAnC9vKjq5KuEnRzRDWoQ_Ttoq-gj6MAWzfFwJe55DQVdO_WLsw4JhDHG1fITxHsMmF-JTs5jlANdicqwFtnhMWbsqfyKm3fcbPh_eC_Ln7-fv2vl49_nq4Xa5qEKqbakm7tmG8aSRTrbKghPdeKK6tZkqpUnFZwnPP1rzT1DHka8FKWKGFB6Diglzt95YgrzPmyQwhA_a9HTHO2UhNpWq1KmCzByHFnBN6s0lhsGlrGDU7v2Ynz-zkGaXNf7-mLWOXh_3zekB3HDoILf2vh77NxZpPdoSQj5gsV7dSFuzHHsPi4m_AZDIEHAFdEQyTcTG8f8cb7YKW3w</recordid><startdate>19890701</startdate><enddate>19890701</enddate><creator>Byrd, Benjamin F.</creator><creator>Finkbeiner, Walter</creator><creator>Bouchard, Alain</creator><creator>Silverman, Norman H.</creator><creator>Schiller, Nelson B.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890701</creationdate><title>Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements</title><author>Byrd, Benjamin F. ; Finkbeiner, Walter ; Bouchard, Alain ; Silverman, Norman H. ; Schiller, Nelson B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-70654124471858ac83fff3829a91888382271012f1b2690d1e2b31744393fcc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Autopsy</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart - anatomy & histology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><topic>Ultrasonic investigative techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Byrd, Benjamin F.</creatorcontrib><creatorcontrib>Finkbeiner, Walter</creatorcontrib><creatorcontrib>Bouchard, Alain</creatorcontrib><creatorcontrib>Silverman, Norman H.</creatorcontrib><creatorcontrib>Schiller, Nelson B.</creatorcontrib><collection>Pascal-Francis</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>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Byrd, Benjamin F.</au><au>Finkbeiner, Walter</au><au>Bouchard, Alain</au><au>Silverman, Norman H.</au><au>Schiller, Nelson B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1989-07-01</date><risdate>1989</risdate><volume>118</volume><issue>1</issue><spage>133</spage><epage>137</epage><pages>133-137</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Left ventricular mass (LVM) measurements made by the truncated ellipsoid algorithm from clinical two-dimensional echocardiograms (2DE) were compared to autopsy weights in 37 patients. All six 2DE instruments were calibrated with an ultrasound phantom to standardize LVM measurements. Measurements were made by an experienced echocardiographer (LVM
E) and by an echocardiographer (LVM
N) newly trained in LVM measurement from clinical 2DE tapes of patients with LV weights later confirmed at autopsy. LVM
E (
r = 0.91, SEE ± 41 gm) were more accurate than LVM
N for all 2DE, but LVM
N equalled LVM
E in accuracy for technically good 2DE. Interobserver variability was 36 gm, or 17% of LVM for all 2DE, and fell to 27 gm, or 12% of LVM for technically good 2DE. Segmental wall motion abnormalities and time from 2DE to death did not influence measurement accuracy significantly. LVM measurements by the 2DE truncated ellipsoid formula are accurate and reproducible in patients with normal and abnormal hearts.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2741780</pmid><doi>10.1016/0002-8703(89)90083-5</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Algorithms Autopsy Biological and medical sciences Cardiovascular system Echocardiography Female Heart - anatomy & histology Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Reproducibility of Results Ultrasonic investigative techniques |
title | Accuracy and reproducibility of clinically acquired two-dimensional echocardiographic mass measurements |
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