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
Hauptverfasser: Byrd, Benjamin F., Finkbeiner, Walter, Bouchard, Alain, Silverman, Norman H., Schiller, Nelson B.
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container_end_page 137
container_issue 1
container_start_page 133
container_title The American heart journal
container_volume 118
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
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source MEDLINE; Elsevier ScienceDirect Journals Complete
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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