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Wu LA, Chang CI, Wang JK, Shih TTF, Wu MH, Chen SJ. Reference curves for the aortic area by age. Acad Radiol 2013; 20:16-24. [PMID: 22963725 DOI: 10.1016/j.acra.2012.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2012] [Revised: 07/18/2012] [Accepted: 08/02/2012] [Indexed: 11/25/2022]
Abstract
RATIONALE AND OBJECTIVES The aim of this study was to establish reference curves and formulas for aortic cross-sectional area in patients from infancy to young adulthood. MATERIALS AND METHODS Patients (aged 2 days to 18.1 years) who underwent electrocardiographically gated cardiac computed tomography between May 2004 and December 2011 were retrospectively examined. These patients were further divided into a group of normal controls (without aortic disease) and a group with coarctation of aorta. In the group of normal controls, the cross-sectional area of the aorta was measured at six locations: the sinotubular junction, distal ascending aorta, proximal arch, distal arch, aortic isthmus, and descending aorta (DAO). Interobserver and intraobserver variability, gender differences, the relationship between aortic cross-sectional areas and age, and the ratio to the DAO were also examined. The area ratio to the DAO was also examined in the group with coarctation of the aorta. RESULTS A total of 65 patients and 365 measurable aortic segments were included in the analysis (55 normal controls and 10 patients with coarctation of aorta). Interobserver and intraobserver variability was limited (aside from measurements of the sinotubular junction). There were no gender differences in age and the cross-sectional areas of the different aortic segments. In the group of normal controls, the cross-sectional area of each aortic segment was highly correlated with age (all >0.90, P < .001). The reference curves and formulas for aortic cross-sectional area by age were also determined for further clinical use. In the normal controls, the <95% confidence intervals of the ratios of aortic isthmus to DAO, distal arch to DAO, and proximal arch to DAO were approximately 0.6, 0.8, and 1.0, respectively. In addition, in the group with coarctation, all area ratios of aortic isthmus to DAO were <0.6, which was significantly different from the group of normal controls (P < .001). The area ratios of distal arch to DAO and proximal arch to DAO were also significantly different between two groups (P < .001 for both). CONCLUSIONS Measurement of aortic area was reproducible. The established reference curves and formulas and minimal area ratios were convenient for further clinical use.
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Kaijzel EL, van Heijningen PM, Wielopolski PA, Vermeij M, Koning GA, van Cappellen WA, Que I, Chan A, Dijkstra J, Ramnath NW, Hawinkels LJ, Bernsen MR, Löwik CW, Essers J. Multimodality Imaging Reveals a Gradual Increase in Matrix Metalloproteinase Activity at Aneurysmal Lesions in Live Fibulin-4 Mice. Circ Cardiovasc Imaging 2010; 3:567-77. [DOI: 10.1161/circimaging.109.933093] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Eric L. Kaijzel
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Paula M. van Heijningen
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Piotr A. Wielopolski
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Marcel Vermeij
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Gerben A. Koning
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Wiggert A. van Cappellen
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Ivo Que
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Alan Chan
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Jouke Dijkstra
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Natasja W.M. Ramnath
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Lukas J.A.C. Hawinkels
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Monique R. Bernsen
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Clemens W.G.M. Löwik
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
| | - Jeroen Essers
- From the Department of Endocrinology and Metabolic Diseases (E.L.K., I.Q., C.W.G.M.L.); Department of Radiology (J.D.), Division of Image Processing; and Department of Molecular Cell Biology and Centre for Biomedical Genetics (L.J.A.C.H.), Leiden University Medical Center, Leiden, The Netherlands; Department of Cell Biology and Genetics (P.M.H., N.W.M.R., J.E.), Department of Radiology (P.A.W., M.R.B.), Department of Pathology (M.V.), Department of Surgical Oncology (G.A.K.), Department of Vascular
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