1
|
Koo HJ, Lee JG, Ko JY, Lee G, Kang JW, Kim YH, Yang DH. Automated Segmentation of Left Ventricular Myocardium on Cardiac Computed Tomography Using Deep Learning. Korean J Radiol 2020; 21:660-669. [PMID: 32410405 PMCID: PMC7231613 DOI: 10.3348/kjr.2019.0378] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 01/23/2020] [Accepted: 02/09/2020] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVE To evaluate the accuracy of a deep learning-based automated segmentation of the left ventricle (LV) myocardium using cardiac CT. MATERIALS AND METHODS To develop a fully automated algorithm, 100 subjects with coronary artery disease were randomly selected as a development set (50 training / 20 validation / 30 internal test). An experienced cardiac radiologist generated the manual segmentation of the development set. The trained model was evaluated using 1000 validation set generated by an experienced technician. Visual assessment was performed to compare the manual and automatic segmentations. In a quantitative analysis, sensitivity and specificity were calculated according to the number of pixels where two three-dimensional masks of the manual and deep learning segmentations overlapped. Similarity indices, such as the Dice similarity coefficient (DSC), were used to evaluate the margin of each segmented masks. RESULTS The sensitivity and specificity of automated segmentation for each segment (1-16 segments) were high (85.5-100.0%). The DSC was 88.3 ± 6.2%. Among randomly selected 100 cases, all manual segmentation and deep learning masks for visual analysis were classified as very accurate to mostly accurate and there were no inaccurate cases (manual vs. deep learning: very accurate, 31 vs. 53; accurate, 64 vs. 39; mostly accurate, 15 vs. 8). The number of very accurate cases for deep learning masks was greater than that for manually segmented masks. CONCLUSION We present deep learning-based automatic segmentation of the LV myocardium and the results are comparable to manual segmentation data with high sensitivity, specificity, and high similarity scores.
Collapse
Affiliation(s)
- Hyun Jung Koo
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - June Goo Lee
- Biomedical Engineering Research Center, Asan Institute of Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Ji Yeon Ko
- Biomedical Engineering Research Center, Asan Institute of Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Gaeun Lee
- Biomedical Engineering Research Center, Asan Institute of Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Joon Won Kang
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Young Hak Kim
- Division of Cardiology, Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Dong Hyun Yang
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
| |
Collapse
|
2
|
Three-dimensional echocardiography in various types of heart disease: a comparison study of magnetic resonance imaging and 64-slice computed tomography in a real-world population. J Echocardiogr 2016; 15:18-26. [PMID: 27589871 DOI: 10.1007/s12574-016-0315-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 08/04/2016] [Accepted: 08/14/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Accurate quantification of left ventricular (LV) volumes [end-diastolic volume (EDV) and end-systolic volume (ESV)] and ejection fraction (EF) is of critical importance. The development of real-time three-dimensional echocardiography (RT3DE) has shown better correlation than two-dimensional (2D) echocardiography with magnetic resonance imaging (MRI) measurements. The aim of our study was to assess the accuracy of RT3DE and 64-slice computed tomography (CT) in the evaluation of LV volumes and function using MRI as the reference standard in a real-world population with various types of heart disease with different chamber geometry. METHODS The study population consisted of 66 patients referred for cardiac MRI for various pathologies. All patients underwent cardiac MRI, and RT3DE and 64 slices CT were then performed on a subsequent day. The study population was then divided into 5 clinical groups depending on the underlying heart disease. RESULTS RT3DE volumes correlated well with MRI values (R 2 values: 0.90 for EDV and 0.94 for ESV). RT3DE measurements of EF correlated well with MRI values (R 2 = 0.86). RT3DE measurements resulted in slightly underestimated values of both EDV and ESV, as reflected by biases of -9.18 and -4.50 mL, respectively. Comparison of RT3DE and MRI in various types of cardiomyopathies showed no statistical difference between different LV geometrical patterns. CONCLUSION These results confirm that RT3DE has good accuracy in everyday clinical practice and can be of clinical utility in all types of cardiomyopathy independently of LV geometric pattern, LV diameter or wall thickness, taking into account a slight underestimation of LV volumes and EF compared to MRI.
Collapse
|
3
|
Kaniewska M, Schuetz GM, Willun S, Schlattmann P, Dewey M. Noninvasive evaluation of global and regional left ventricular function using computed tomography and magnetic resonance imaging: a meta-analysis. Eur Radiol 2016; 27:1640-1659. [DOI: 10.1007/s00330-016-4513-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 05/02/2016] [Accepted: 07/18/2016] [Indexed: 01/06/2023]
|
4
|
Singh RM, Singh BM, Mehta JL. Role of cardiac CTA in estimating left ventricular volumes and ejection fraction. World J Radiol 2014; 6:669-676. [PMID: 25276310 PMCID: PMC4176784 DOI: 10.4329/wjr.v6.i9.669] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 03/30/2014] [Accepted: 07/17/2014] [Indexed: 02/06/2023] Open
Abstract
Left ventricular ejection fraction (LVEF) is an important predictor of cardiac outcome and helps in making important diagnostic and therapeutic decisions such as the treatment of different types of congestive heart failure or implantation of devices like cardiac resynchronization therapy-defibrillator. LVEF can be measured by various techniques such as transthoracic echocardiography, contrast ventriculography, radionuclide techniques, cardiac magnetic resonance imaging and cardiac computed tomographic angiography (CTA). The development of cardiac CTA using multi-detector row CT (MDCT) has seen a very rapid improvement in the technology for identifying coronary artery stenosis and coronary artery disease in the last decade. During the acquisition, processing and analysis of data to study coronary anatomy, MDCT provides a unique opportunity to measure left ventricular volumes and LVEF simultaneously with the same data set without the need for additional contrast or radiation exposure. The development of semi-automated and automated software to measure LVEF has now added uniformity, efficiency and reproducibility of practical value in clinical practice rather than just being a research tool. This article will address the feasibility, the accuracy and the limitations of MDCT in measuring LVEF.
Collapse
|
5
|
Sharma A, Einstein AJ, Vallakati A, Arbab-Zadeh A, Mukherjee D, Lichstein E. Meta-analysis of global left ventricular function comparing multidetector computed tomography with cardiac magnetic resonance imaging. Am J Cardiol 2014; 113:731-8. [PMID: 24355312 DOI: 10.1016/j.amjcard.2013.11.016] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2013] [Revised: 11/06/2013] [Accepted: 11/06/2013] [Indexed: 11/17/2022]
Abstract
We compare the diagnostic accuracy of multidetector row computed tomography (MDCT) to cardiac magnetic resonance imaging (CMR) for evaluating global left ventricular function. We systematically searched PubMed, CINAHL, Cochrane CENTRAL, Scopus, and the Web of Science databases for studies published between 1966 to January 2013 that compared left ventricle (LV) volumes, ejection fraction (EF) and LV mass measured by MDCT and CMR. We performed meta-analyses and used random-effects model with inverse variance weighting test to determine the overall bias and limits of agreement of LV end-diastolic volume, end-systolic volume, stroke volume, and EF measured by MDCT and CMR. Furthermore, subgroup analyses were performed to compare 16-slice and 64-slice MDCT with CMR. Two study authors independently reviewed the 90 articles originally identified and selected 27 studies (n = 831) for analysis. Excellent correlation and a linear relation were seen between MDCT and CMR for LV end-diastolic volume (r = 0.93; p <0.001), LV end-systolic volume (r = 0.95; p <0.001), LV stroke volume (r = 0.85; p <0.001), LV ejection fraction (r = 0.93; p <0.001), and LV mass (r = 0.86; p <0.001). Subgroup analyses showed strong positive correlations for both 16- and 64-slice MDCT. In conclusion, although not the first-line test for LV function assessment in most patients, when appropriate, retrospectively gated MDCT provides an accurate and valid assessment of LV function compared with CMR.
Collapse
Affiliation(s)
- Abhishek Sharma
- Department of Medicine, Maimonides Medical Center, Brooklyn, New York.
| | - Andrew J Einstein
- Division of Cardiology, Columbia University Medical Center, New York, New York
| | - Ajay Vallakati
- Division of Cardiology, University of Kansas Medical Center, Kansas City, Kansas
| | - Armin Arbab-Zadeh
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | | | - Edgar Lichstein
- Department of Medicine, Maimonides Medical Center, Brooklyn, New York
| |
Collapse
|
6
|
Arraiza M, Azcárate P, Arias J, de Cecco C, Pueyo J, Rábago G, Bastarrika G. Accuracy of different reconstruction intervals to quantify left ventricular function and mass in cardiac computed tomography examinations. RADIOLOGIA 2012. [DOI: 10.1016/j.rxeng.2011.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
7
|
Sharma A, Arbab-Zadeh A. Assessment of coronary heart disease by CT angiography: current and evolving applications. J Nucl Cardiol 2012; 19:796-806. [PMID: 22527798 DOI: 10.1007/s12350-012-9556-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Computed tomography angiography (CTA) of the heart is a rapidly evolving application for comprehensive assessment of coronary arterial anatomy, myocardial function, perfusion, and myocardial viability. Thus, cardiac CTA is capable of retrieving the most critical information for guiding the management of patients with suspected coronary heart disease (CHD). Ongoing technologic advancements have allowed acquiring such information within minutes, at radiation doses that are lower than those from conventional computed tomography imaging or common nuclear imaging techniques. Cardiac CTA has positioned itself as an imaging modality that may be well suited to fulfill central needs of cardiovascular medicine. This article reviews the evidence for the clinical utility of cardiac CTA in patients with suspected CHD.
Collapse
Affiliation(s)
- Abhishek Sharma
- Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA
| | | |
Collapse
|
8
|
Achenbach S, Barkhausen J, Beer M, Beerbaum P, Dill T, Eichhorn J, Fratz S, Gutberlet M, Hoffmann M, Huber A, Hunold P, Klein C, Krombach G, Kreitner KF, Kühne T, Lotz J, Maintz D, Marholdt H, Merkle N, Messroghli D, Miller S, Paetsch I, Radke P, Steen H, Thiele H, Sarikouch S, Fischbach R. Konsensusempfehlungen der DRG/DGK/DGPK zum Einsatz der Herzbildgebung mit Computertomographie und Magnetresonanztomographie. KARDIOLOGE 2012. [DOI: 10.1007/s12181-012-0417-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
9
|
van Ooijen PMA, de Jonge GJ, Oudkerk M. Informatics in radiology: postprocessing pitfalls in using CT for automatic and semiautomatic determination of global left ventricular function. Radiographics 2012; 32:589-99. [PMID: 22323618 DOI: 10.1148/rg.322115058] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Recent advances in technical capabilities of computed tomographic (CT) scanners, including an increasing number of detector rows, improved spatial and temporal resolution, and the development of retrospective gating, have allowed the acquisition of four-dimensional (4D) datasets of the beating heart. As a result, the heart can be visualized in different phases and CT datasets can be used to assess cardiac function. Many software packages currently exist that allow automatic or semiautomatic evaluation of left ventricular function on the basis of 4D CT datasets. The level of automation varies from extensive, completely manual segmentation by the user to fully automatic evaluation of left ventricular function without any user interaction. Although the reproducibility of functional parameter assessment is reported to be high and intersoftware variability low for larger groups of patients, significant differences can exist among measurements obtained with different software tools from the same dataset. Thus, careful review of automatically or semiautomatically obtained results is required.
Collapse
Affiliation(s)
- Peter M A van Ooijen
- Department of Radiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, EB44, 9713 GZ Groningen, the Netherlands.
| | | | | |
Collapse
|
10
|
Gao Y, Du X, Liang L, Cao L, Yang Q, Li K. Evaluation of right ventricular function by 64-row CT in patients with chronic obstructive pulmonary disease and cor pulmonale. Eur J Radiol 2012; 81:345-53. [DOI: 10.1016/j.ejrad.2010.11.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2010] [Revised: 10/19/2010] [Accepted: 11/03/2010] [Indexed: 11/16/2022]
|
11
|
Arraiza M, Azcárate PM, Arias J, de Cecco CN, Pueyo JC, Rábago G, Bastarrika G. Accuracy of different reconstruction intervals to quantify left ventricular function and mass in cardiac computed tomography examinations. RADIOLOGIA 2011; 54:432-41. [PMID: 21920566 DOI: 10.1016/j.rx.2011.05.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2011] [Revised: 04/15/2011] [Accepted: 05/01/2011] [Indexed: 10/17/2022]
Abstract
PURPOSE To compare the accuracy of cardiac dual-source CT (DSCT) reconstructions obtained at 5% and 10% of the cardiac cycle and MRI for quantifying global left ventricular (LV) function and mass in heart transplant recipients. MATERIAL AND METHODS We prospectively included 23 heart transplant recipients (21 male, mean age 60±11.7 years) who underwent cardiac DSCT and MRI examinations. We compared LV parameters on cardiac DSCT reconstructions obtained at 5% (0%-95%) and 10% (0%-90%) intervals of the cardiac cycle and on double-oblique short-axis MR images. We determined ejection fraction (EF), end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and myocardial mass using commercially available semiautomated segmentation analysis software for DSCT datasets and conventional manual contour tracing for MR studies. RESULTS Using different reconstruction intervals to quantify LV parameters at DSCT resulted in non-significant differences (P>.05). Compared to MRI, DSCT slightly overestimated LV-EDV, ESV, and mass when both 5% (11.5±25.1ml, 6.8±10.9ml, and 28.3±21.6g, respectively) and 10% (mean difference 15.3±26.3ml, 7.4±11.5ml, and 29.3±18.7g, respectively) reconstruction intervals were used. DSCT and MRI estimates of EF and SV were not significantly different. CONCLUSION In heart transplant recipients, DSCT allows reliable quantification of LV function and mass compared with MRI, even using 10% interval reconstructions.
Collapse
Affiliation(s)
- M Arraiza
- Servicio de Radiología, Clínica Universidad de Navarra, Pamplona, Navarra, España
| | | | | | | | | | | | | |
Collapse
|
12
|
Left atrial volume by real-time three-dimensional echocardiography: validation by 64-slice multidetector computed tomography. J Am Soc Echocardiogr 2011; 24:680-6. [PMID: 21530166 DOI: 10.1016/j.echo.2011.03.009] [Citation(s) in RCA: 98] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2010] [Indexed: 12/31/2022]
Abstract
BACKGROUND Left atrial (LA) enlargement has been acknowledged as a significant predictor of cardiovascular morbidity and mortality. METHODS To evaluate the accuracy of two-dimensional and three-dimensional echocardiography for determining LA volume, LA volume measurements by echocardiography were compared with those measured by 64-slice multidetector computed tomography (MDCT) as a reference standard. RESULTS Fifty-seven consecutive patients (mean age, 66 ± 11 years; 59% men) referred to echocardiography and MDCT on the same day were prospectively evaluated. LA volume by three-dimensional echocardiography was correlated closely with that by MDCT (r = 0.95, P < .0001), with 8% underestimation. LA volume by two-dimensional echocardiography was correlated less well with that measured by MDCT (r = 0.86, P < .0001) and consistently underestimated LA volume by 19%, particularly as the left atrium enlarged. CONCLUSIONS LA volume assessment by three-dimensional echocardiography was correlated closely with that measured by MDCT, albeit with an 8% underestimation. Three-dimensional echocardiography is a feasible noninvasive method to evaluate LA volume.
Collapse
|
13
|
Grover S, Leong DP, Selvanayagam JB. Evaluation of left ventricular function using cardiac magnetic resonance imaging. J Nucl Cardiol 2011; 18:351-65. [PMID: 21234827 DOI: 10.1007/s12350-010-9334-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Suchi Grover
- Department of Cardiology, Flinders Medical Centre, Bedford Park, SA 5042, Australia
| | | | | |
Collapse
|
14
|
Dual-source CT assessment of ventricular function in healthy and infarcted myocardium: An animal study. Eur J Radiol 2011; 77:443-9. [DOI: 10.1016/j.ejrad.2009.07.037] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 07/25/2009] [Accepted: 07/30/2009] [Indexed: 11/17/2022]
|
15
|
Malagò R, Tavella D, Mantovani W, D’Onofrio M, Caliari G, Pezzato A, Nicolì L, Benussi P, Pozzi Mucelli R. MDCT coronary angiography vs 2D echocardiography for the assessment of left ventricle functional parameters. Radiol Med 2011; 116:505-20. [DOI: 10.1007/s11547-011-0615-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2010] [Accepted: 03/05/2010] [Indexed: 10/18/2022]
|
16
|
MRI may be sufficient for noninvasive assessment of great vessel stents: an in vitro comparison of MRI, CT, and conventional angiography. AJR Am J Roentgenol 2010; 195:865-71. [PMID: 20858811 DOI: 10.2214/ajr.09.4166] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE The purpose of this study was to compare the diagnostic performance of MRI and CT assessment of great vessel stents in an in vitro model. MATERIALS AND METHODS Three contemporary great vessel stent materials (nitinol, platinum-iridium, and stainless steel) were assessed with three luminal conditions: no stenosis, internal stenosis, and external stenosis. Stents of the same material were implanted into an aorta model that was attached to an animal bypass pump with pulsatile flow. Each stent was imaged with conventional angiography as reference standard, 10 different MRI sequences, and CT. The sensitivity and specificity for the identification of stent stenosis was determined and stent lumen measurements compared. RESULTS Of the investigated MRI sequences, three had the highest overall sensitivity and specificity for the identification of stent stenosis in all studied materials: through-plane gradientrecalled echo (GRE) with 75° flip angle (100% and 95%, respectively), in- and through-plane steady-state free precession (SSFP) (99% and 90%) and MR angiography (MRA) with 75° flip angle (93% and 85%). Comparable sensitivity and specificity were achieved with CT (98% and 93%). GRE, SSFP, and MRA sequences tended to underestimate stent lumen diameter in externally nonstenosed stents and overestimate diameter in internally stenosed stents (p < 0.05). CT slightly underestimated external stenoses in all stent types (p < 0.05). CONCLUSION Defined MRI sequences are feasible to assess nitinol, platinum-iridium, and stainless steel great vessel stents with diagnostic performance comparable with CT.
Collapse
|
17
|
Non-coronary use of multidetector computed tomography in cardiology. COR ET VASA 2010. [DOI: 10.33678/cor.2010.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
18
|
Yoon W, Ryu JM, Lee MY, Moon YJ, Lee SH, Park JH, Yun SP, Jang MW, Park SS, Han HJ. 64-channel multi-detector row CT angiographic evaluation of the micropigs for potential living donor lung transplantation. J Vet Sci 2010; 11:185-9. [PMID: 20706024 PMCID: PMC2924478 DOI: 10.4142/jvs.2010.11.3.185] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Micropigs are the most likely source animals for xenotransplantation. However, an appropriate method for evaluating the lung of micropigs had not been established. Therefore, this study was performed to evaluate the feasibility of 64-channel multi-detector row computed tomography (MDCT) to measure the diameter of the pulmonary arteries and the lung volume in micropigs. The mean diameters of the trachea, and left and right bronchi were 1.6 ± 0.17, 1.18 ± 0.14, and 1.1 ± 0.11 cm, respectively. The mean diameters of the main, right, and left pulmonary arteries were 1.38 ± 0.09, 1.07 ± 0.26, and 0.98 ± 0.13 cm and the diameters of right, left, and common inferior pulmonary veins were 0.97 ± 0.20, 0.76 ± 0.20, and 1.99 ± 0.26 cm, respectively. The mean lung volume was 820.3 ± 77.11 mL. The data presented in this study suggest that the MDCT may be a noninvasive, rapid, and accurate investigational method for pulmonary anatomy in living lung donors.
Collapse
Affiliation(s)
- Woong Yoon
- Department of Radiology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju 501-746, Korea
| | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Yoon W, Lee MY, Ryu JM, Moon YJ, Lee SH, Park JH, Yun SP, Jang MW, Park SS, Han HJ. Multidetector row computed tomography evaluation of the micropig kidney as a potential renal donor. J Vet Sci 2010; 11:9-13. [PMID: 20195059 PMCID: PMC2833437 DOI: 10.4142/jvs.2010.11.1.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Multidetector row computed tomography (MDCT) provides anatomical information about the kidney and other internal organs. Presently, the suitability of 64-channel MDCT to assess the kidney of healthy micropigs was evaluated. Morphological evaluations of the kidney and the major renal vessels of six healthy micropigs were carried out using MDCT, recording kidney volume and the diameter and length of renal arteries and veins. The mean diameters and lengths of the renal artery were 0.44 ± 0.05 and 4.51 ± 0.55 cm on the right side and 0.46 ± 0.06 and 3.36 ± 0.27 cm on the left side, respectively. The mean diameters and lengths of the renal vein were 1.44 ± 0.52 and 4.22 ± 1.29 cm on the right side and 1.38 ± 0.17 and 5.15 ± 0.87 cm on the left side, respectively. The mean volume of the right kidney was 79.3 ± 14.5 mL and of the left kidney was 78.0 ± 13.9 mL. The data presented in this study suggest that the MDCT offers a noninvasive, rapid, and accurate method for the evaluation of the renal anatomy in living kidney donors. It also provides sufficient information about extra-renal anatomy important for donor surgery and determination of organ suitability.
Collapse
Affiliation(s)
- Woong Yoon
- Department of Radiology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
| | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Schroeder J, Peterschroeder A, Vaske B, Butz T, Barth P, Oldenburg O, Bitter T, Burchert W, Horstkotte D, Langer C. Cardiac volumetry in patients with heart failure and reduced ejection fraction: a comparative study correlating multi-slice computed tomography and magnetic resonance tomography. Reasons for intermodal disagreement. Clin Res Cardiol 2010; 98:739-47. [PMID: 19771459 DOI: 10.1007/s00392-009-0074-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2009] [Accepted: 08/26/2009] [Indexed: 11/29/2022]
Abstract
BACKGROUND In humans with normal hearts multi-slice computed tomography (MSCT) based volumetry was shown to correlate well with the gold standard, cardiac magnetic resonance imaging (CMR). We correlated both techniques in patients with various degrees of heart failure and reduced ejection fraction (HFREF) resulting from cardiac dilatation. METHODS Twenty-four patients with a left ventricular enddiastolic volume (LV-EDV) of C 150 ml measured by angiography underwent MSCT and CMR scanning for left and right ventricular (LV, RV) volumetry. MSCT based short cardiac axis views were obtained beginning at the cardiac base advancing to the apex. These were reconstructed in 20 different time windows of the RR-interval (0-95%) serving for identification of enddiastole (ED) and end-systole (ES) and for planimetry. ED and ES volumes and the ejection fraction (EF) were calculated for LV and RV. MSCT based volumetry was compared with CMR. RESULTS MSCT based LV volumetry significantly correlates with CMR as follows: LV-EDV r = 0.94, LV-ESV r = 0.98 and LV-EF r = 0.93, but significantly overestimates LV-EDV and LV-ESV and underestimates EF (P \ 0.0001). MSCT based RV volumetry significantly correlates with CMR as follows: RV-EDV r = 0.79, RVESV r = 0.78 and RV-EF r = 0.73, but again significantly overestimates RV-EDV and RV-ESV and underestimates RV-EF (P \ 0.0001). CONCLUSION When compared with CMR a continuous overestimation of volumes and underestimation of EF needs to be considered when applying MSCT in HFREF patients.
Collapse
Affiliation(s)
- Janina Schroeder
- Department of Cardiology, Heart and Diabetes Center North Rhine-Westphalia, University Hospital of the Ruhr-University Bochum, Bad Oeynhausen, Germany
| | | | | | | | | | | | | | | | | | | |
Collapse
|
21
|
Palazzuoli A, Cademartiri F, Geleijnse ML, Meijboom B, Pugliese F, Soliman O, Calabrò A, Nuti R, de Feyter P. Left ventricular remodelling and systolic function measurement with 64 multi-slice computed tomography versus second harmonic echocardiography in patients with coronary artery disease: A double blind study. Eur J Radiol 2010; 73:82-8. [PMID: 19013044 DOI: 10.1016/j.ejrad.2008.09.022] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2008] [Revised: 09/19/2008] [Accepted: 09/24/2008] [Indexed: 11/17/2022]
Affiliation(s)
- Alberto Palazzuoli
- Department of Internal Medicine and Metabolic Diseases, Cardiology Section University of Siena, S Maria alle Scotte Hospital, Siena 53100, Italy.
| | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Bastarrika G, Lee YS, Huda W, Ruzsics B, Costello P, Schoepf UJ. CT of coronary artery disease. Radiology 2009; 253:317-38. [PMID: 19864526 DOI: 10.1148/radiol.2532081738] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Technical innovation is rapidly improving the clinical utility of cardiac computed tomography (CT) and will increasingly address current technical limitations, especially the association of this test with relatively high levels of radiation. Guidelines for appropriate indications are in place and are evolving, with an increasing evidence base to ensure the appropriate use of this modality. New technologies and new applications, such as myocardial perfusion imaging and dual-energy CT, are being explored and are widening the scope of coronary CT angiography from mere coronary artery assessment to the integrative analysis of cardiac morphology, function, perfusion, and viability. The scientific evaluation of coronary CT angiography has left the stage of feasibility testing and increasingly, evidence-based data are accumulating on outcomes, prognosis, and cost-effectiveness. In this review, these developments will be discussed in the context of current pivotal transitions in cardiovascular disease management and their potential influence on the current role and future fate of coronary CT angiography will be examined.
Collapse
Affiliation(s)
- Gorka Bastarrika
- Department of Radiology and Division of Cardiology, Medical University of South Carolina, Ashley River Tower, MSC 226, 25 Courtenay Dr, Charleston, SC 29401, USA
| | | | | | | | | | | |
Collapse
|
23
|
Abstract
Multidetector CT (MDCT) with 64-slice capability continues to gain momentum for cardiovascular imaging. Beyond images of coronary arteries, it also provides reliable information on left ventricular structure and function, cardiac venous anatomy, the pulmonary venous system, and right ventricular function-all aspects important in the management of heart failure patients. Potential unique applications in heart failure include cardiac dyssynchrony evaluation, assessing cardiomyopathies, and post-transplant annual follow-up. This review details the multiple applications and limitations of MDCT in the heart failure population, including comparison with other commonly used imaging modalities such as echocardiography and MRI.
Collapse
|
24
|
Pflederer T, Ho K, Anger T, Krähner R, Ropers D, Muschiol G, Renz A, Daniel W, Achenbach S. Assessment of regional left ventricular function by Dual Source Computed Tomography: Interobserver variability and validation to laevocardiography. Eur J Radiol 2009; 72:85-91. [DOI: 10.1016/j.ejrad.2008.06.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2007] [Revised: 05/28/2008] [Accepted: 06/03/2008] [Indexed: 10/21/2022]
|
25
|
Mehta A, Travin MI, Levsky JM, Jain VR, Burton WB, Haramati LB. Ejection Fractions Determined by Cardiac Computed Tomographic Angiography and Single Photon Emission Computed Tomographic Myocardial Perfusion Imaging Are Not Interchangeable. J Comput Assist Tomogr 2009; 33:489-97. [DOI: 10.1097/rct.0b013e3181a1c820] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
26
|
Abadi S, Brook OR, Rispler S, Frenkel A, Engel A, Keidar Z. Hybrid cardiac SPECT/64-slice CTA-derived LV function parameters: correlation and reproducibility assessment. Eur J Radiol 2009; 75:154-8. [PMID: 19443161 DOI: 10.1016/j.ejrad.2009.04.039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2009] [Revised: 04/12/2009] [Accepted: 04/14/2009] [Indexed: 01/28/2023]
Abstract
UNLABELLED The purpose of this study is to define the relationship between SPECT and CTA measured parameters of left ventricular (LV) function and volumes obtained in a single session using SPECT/64-slice CT hybrid imaging device, and in addition, to assess the reproducibility of LV parameters measured using 64-slice CTA. MATERIALS AND METHODS Seventy-six patients with suspected or known coronary artery disease underwent cardiac CTA and GSPECT in one session using a hybrid SPECT/CT device. LV end-diastolic volume (EDV), end-systolic volume (ESV) and ejection fraction (EF) were measured on each component of the hybrid device. For the CTA component, these parameters were re-measured by the same investigator and by a second investigator with an interval of 3-54 weeks. Corresponding GSPECT and CTA measured parameters were compared. For CTA, intra-observer and inter-observer variability of LV function and volume measurements were calculated. RESULTS A very good correlation was found between the GSPECT and CTA measured LVEF (r=0.81), ESV (r=0.90) and EDV (r=0.82). There was a small positive difference by CTA measured LVEF (3.9+/-14.2%), and more prominent positive differences by CTA measured ESV and EDV (9.8+/-14.8 and 44.9+/-23.1cm(3), respectively). There was excellent reproducibility in the measurements of all parameters with very low intra- and inter-observer variability (r=0.93 for EF and 0.98 for EDV and ESV). CONCLUSIONS Although a good correlation was found between the EF measurements obtained from CTA and SPECT, interchangeable use of EF measurements between the two modalities should be done cautiously and interchangeable use of LV EDV and ESV should be avoided.
Collapse
Affiliation(s)
- Sobhi Abadi
- Medical Imaging Department, Toronto General Hospital, Toronto, Ontario M5G2C4, Canada.
| | | | | | | | | | | |
Collapse
|
27
|
Sarwar A, Shapiro MD, Nasir K, Nieman K, Nomura CH, Brady TJ, Cury RC. Evaluating global and regional left ventricular function in patients with reperfused acute myocardial infarction by 64-slice multidetector CT: A comparison to magnetic resonance imaging. J Cardiovasc Comput Tomogr 2009; 3:170-7. [DOI: 10.1016/j.jcct.2009.05.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2008] [Revised: 04/05/2009] [Accepted: 05/04/2009] [Indexed: 10/20/2022]
|
28
|
Noncoronary applications of cardiac multidetector row computed tomography. JACC Cardiovasc Imaging 2009; 1:94-106. [PMID: 19356412 DOI: 10.1016/j.jcmg.2007.10.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2007] [Revised: 10/14/2007] [Accepted: 10/17/2007] [Indexed: 12/11/2022]
Abstract
Multidetector row computed tomography (MDCT) has a high diagnostic accuracy to evaluate coronary artery stenoses. Additionally, the 4-dimensional aspect of cardiac MDCT allows a comprehensive evaluation of cardiac structure and function. Left ventricular volumes and systolic function can be accurately assessed with MDCT, and imaging of myocardial infarction is a promising application of cardiac MDCT. In addition, MDCT may provide anatomical visualization of heart valves. Also, evaluation of anatomy of the pulmonary veins and cardiac venous system render MDCT a valuable tool for the cardiologist performing electrophysiological procedures. In this article, the role of MDCT in the noninvasive evaluation of cardiac structure and function is discussed. An overview of the wide range of noncoronary applications of cardiac MDCT is provided, focusing on the assessment of left ventricular function, valvular heart disease, and cardiac venous anatomy.
Collapse
|
29
|
Heilmaier C, Nassenstein K, Nielles-Vallespin S, Zuehlsdorff S, Hunold P, Barkhausen J. Assessment of left ventricular function with single breath-hold highly accelerated cine MRI combined with guide-point modeling. Eur J Radiol 2009; 74:492-9. [PMID: 19394783 DOI: 10.1016/j.ejrad.2009.03.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2008] [Revised: 03/10/2009] [Accepted: 03/12/2009] [Indexed: 10/20/2022]
Abstract
PURPOSE To prospectively assess the performance of highly accelerated cine MRI in multi-orientations combined with a new guide-point modeling post-processing technique (GPM approach) for assessment of left ventricular (LV) function compared to the standard summation of slices method based on a stack of short axis views (SoS approach). MATERIALS AND METHODS 33 consecutive patients were examined on a 1.5T scanner with a standard steady state free precession (SSFP) sequence (TR, 3.0 ms; TE, 1.5m; flip angle (FA), 60 degrees ; acceleration factor (AF), 2) analyzed with the SoS method and a highly accelerated, single breath-hold temporal parallel acquisition SSFP sequence (TR, 4.6 ms; TE, 1.1 ms; AF, 3) post-processed with the GPM method. LV function values were measured by two independent readers with different experience in cardiac MRI and compared by using the paired t-test and F-test. Inter- and intraobserver agreements were calculated using Bland-Altman-Plots. RESULTS Mean acquisition and post-processing time was significantly shorter with the GPM approach (15s/3 min versus 360 s/6 min). For all LV function parameters interobserver agreement between the experienced and non-experienced reader was significantly improved when the GPM approach was used. However, end-diastolic and end-systolic volumes were larger for the GPM technique when compared to the SoS method (P<0.001), whereas ejection fraction estimation yielded equivalent results (P>0.121). In both readers and for all parameters variances did not differ significantly (P>or=0.409) and the two approaches showed an excellent linear correlation (r>0.951). CONCLUSION Due to its accurate, fast and reproducible assessment of LV function parameters highly accelerated MRI combined with the GPM technique may become the technique of first choice for assessment of LV function in clinical routine.
Collapse
Affiliation(s)
- Christina Heilmaier
- Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
| | | | | | | | | | | |
Collapse
|
30
|
Anatomy and Terminology for the Interpretation and Reporting of Cardiac MDCT: Part 2, CT Angiography, Cardiac Function Assessment, and Noncoronary and Extracardiac Findings. AJR Am J Roentgenol 2009; 192:584-98. [DOI: 10.2214/ajr.08.1178] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
|
31
|
Sayyed SH, Cassidy MM, Hadi MA. Use of multidetector computed tomography for evaluation of global and regional left ventricular function. J Cardiovasc Comput Tomogr 2009; 3:S23-34. [DOI: 10.1016/j.jcct.2008.10.016] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2008] [Revised: 10/17/2008] [Accepted: 10/25/2008] [Indexed: 10/21/2022]
|
32
|
Ahn YK, Ryu JM, Jeong HC, Kim YH, Jeong MH, Lee MY, Lee SH, Park JH, Yun SP, Han HJ. Comparison of cardiac function and coronary angiography between conventional pigs and micropigs as measured by multidetector row computed tomography. J Vet Sci 2008; 9:121-6. [PMID: 18487932 PMCID: PMC2839088 DOI: 10.4142/jvs.2008.9.2.121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Pigs are the most likely source animals for cardiac xenotransplantation. However, an appropriate method for estimating the cardiac function of micropigs had not been established. Computed tomography (CT) analysis aimed at estimating cardiac function and assessing the coronary arteries has not been carried out in micropigs. This study determined the feasibility of evaluating cardiac function in a micropig model using multidetector row computed tomography (MDCT) and compared the cardiac function values with those of conventional pigs. The mean age of the conventional pigs and micropigs was approximately 80 days and approximately 360 days, respectively. The mean body weight in the conventional pigs and micropigs was 29.70 ± 0.73 and 34.10 ± 0.98 kg, respectively. Cardiac MDCT detected ejection fractions of 52.93 ± 3.10% and 59.00 ± 5.56% and cardiac outputs of 1.46 ± 0.64 l/min and 1.21 ± 0.24 l/min in conventional pigs and micropigs, respectively. There were no significant differences in cardiac function between conventional pigs and micropigs in the reconstructed CT images. There were also no differences in the coronary angiographic images obtained by MDCT. It is expected that the results of this study will help improve understanding of cardiac function in micropigs. The data presented in this study suggest that MDCT is a feasible method for evaluating cardiac function in micropigs.
Collapse
Affiliation(s)
- Young Keun Ahn
- College of Veterinary Medicine, Biotherapy Human Resources Center, Chonnam National University, Gwangju 500-757, Korea
| | | | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Abbara S, Chow BJW, Pena AJ, Cury RC, Hoffmann U, Nieman K, Brady TJ. Assessment of left ventricular function with 16- and 64-slice multi-detector computed tomography. Eur J Radiol 2008; 67:481-6. [PMID: 17826936 DOI: 10.1016/j.ejrad.2007.07.022] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2006] [Revised: 07/25/2007] [Accepted: 07/30/2007] [Indexed: 11/18/2022]
Abstract
BACKGROUND Important to the risk stratification and management of cardiac patients is the assessment of left ventricular function (LVEF), thus imaging modalities which can provide both anatomical and functional data is desirable. Electrocardiographic (ECG) gated multi-detector computed tomographic (MDCT) images may provide accurate assessment of LV ejection fraction, volume and dimensions but have shown systemic errors in the past due to slow gantry rotation speed. METHODS Between May 2004 and January 2005, 306 patients underwent ECG-gated cardiac CT studies at the Massachusetts General Hospital. Patients with available CT data sets and a recent (within 3 months) ECHO and/or SPECT perfusion imaging were included in the study. ECG-gated data sets were acquired either with a 16-slice or with a 64-slice MDCT. Functional MDCT data sets were reconstructed in 10 cardiac phases (5-95%) with 1.5mm slices. Images were processed and interpreted by two observers blinded to ECHO and SPECT results. RESULTS A total of 69 patients had MDCT and ECHO or SPECT within 3 months (33 had 16-slice and 36 had 64-slice MDCT). There was fair correlation between LVEF measured by 16-slice MDCT and 'ECHO or SPECT' (62+/-10% vs. 62+/-10%; r=0.56). There was poor correlation between LVEF measured by 16-slice MDCT and ECHO (64+/-10% vs. 59+/-11%; r=0.26) and there was good correlation between LVEF measured by 16-slice MDCT and SPECT (62+/-11% and 64+/-9%, respectively; r=0.76). There was very good correlation between LVEF measured by 64-slice MDCT and 'ECHO or SPECT' (57+/-15% vs. 58+/-13%; r=0.86). There was very good correlation between LVEF measured by MDCT and ECHO (56+/-14% vs. 54+/-15%; r=0.89) and between LVEF measured by 64-slice MDCT and SPECT (60+/-13% and 60+/-14%, respectively; r=0.90). CONCLUSION The assessment of LVEF and LV dimensions with 64-slice MDCT provide values which are similar to those obtained by echocardiography and Tc-99m gated SPECT. The accuracy of the 64-slice MDCT with a gantry rotation speed of 330 ms (when compared to ECHO and SPECT) may be superior to that of the 16-slice MDCT at 420 ms gantry rotation.
Collapse
Affiliation(s)
- Suhny Abbara
- Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 165 Cambridge Street, Suite 400, Boston, MA 02114, United States.
| | | | | | | | | | | | | |
Collapse
|
34
|
Measurement of left ventricular volume and ejection fraction with computed tomography: Small steps toward clinical utility. J Cardiovasc Comput Tomogr 2008; 2:231-3. [DOI: 10.1016/j.jcct.2008.05.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2008] [Accepted: 05/29/2008] [Indexed: 11/18/2022]
|
35
|
DOĞAN H, VELDKAMP WJH, DIBBETS-SCHNEIDER P, SPIJKERBOER AM, MERTENS BJA, KROFT LJM, DE ROOS A, GELEIJNS J. Effects of heart rate, filling and slice thickness on the accuracy of left ventricular volume measurements in a dynamic cardiac phantom using ECG-gated MDCT. Br J Radiol 2008; 81:577-82. [DOI: 10.1259/bjr/92798700] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
36
|
Multidetector computed tomography evaluation of left ventricular volumes: Sources of error and guidelines for their minimization. J Cardiovasc Comput Tomogr 2008; 2:222-30. [DOI: 10.1016/j.jcct.2008.05.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2007] [Revised: 04/04/2008] [Accepted: 05/12/2008] [Indexed: 11/18/2022]
|
37
|
Quantification of left ventricular function and mass in heart transplant recipients using dual-source CT and MRI: initial clinical experience. Eur Radiol 2008; 18:1784-90. [DOI: 10.1007/s00330-008-0949-2] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2007] [Accepted: 02/22/2008] [Indexed: 01/20/2023]
|
38
|
Global left-ventricular function assessment using dual-source multidetector CT: effect of improved temporal resolution on ventricular volume measurement. Eur Radiol 2008; 18:2087-94. [DOI: 10.1007/s00330-008-0982-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2007] [Revised: 02/11/2008] [Accepted: 03/10/2008] [Indexed: 10/22/2022]
|
39
|
Mazonakis M, Pagonidis K, Schlosser T, Hunold P, Damilakis J, Barkhausen J, Gourtsoyiannis N. Stereological estimation of left-ventricular volumetric and functional parameters from multidetector-row computed tomography data. Eur Radiol 2008; 18:1338-49. [DOI: 10.1007/s00330-008-0901-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2007] [Revised: 02/11/2008] [Accepted: 02/13/2008] [Indexed: 10/22/2022]
|
40
|
Patel S, Sundaram B, Kazerooni EA. Approach to analyzing and reporting coronary computed tomography. Semin Roentgenol 2008; 43:113-21. [PMID: 18329522 DOI: 10.1053/j.ro.2008.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Smita Patel
- Division of Cardiothoracic Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan 48109-5868, USA.
| | | | | |
Collapse
|
41
|
Bastarrika G, Arraiza M, Pueyo JC, Herraiz MJ, Zudaire B, Villanueva A. Quantification of left ventricular function and mass in cardiac Dual-Source CT (DSCT) exams: comparison of manual and semiautomatic segmentation algorithms. Eur Radiol 2008; 18:939-46. [PMID: 18292999 DOI: 10.1007/s00330-007-0849-x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2007] [Revised: 11/02/2007] [Accepted: 12/28/2007] [Indexed: 12/20/2022]
Abstract
The purpose of our study was to evaluate reliability of left ventricular (LV) function and mass quantification in cardiac DSCT exams comparing manual contour tracing and a region-growing-based semiautomatic segmentation analysis software. Thirty-three consecutive patients who underwent cardiac DSCT exams were included. Axial 1-mm slices were used for the semiautomated technique, and short-axis 8-mm slice thickness multiphase image reconstructions were the basis for manual contour tracing. Left ventricular volumes, ejection fraction and myocardial mass were assessed by both segmentation methods. Length of time needed for both techniques was also recorded. Left ventricular functional parameters derived from semiautomatic contour detection algorithm were not statistically different from manual tracing and showed an excellent correlation (p<0.001). The semiautomatic contour detection algorithm overestimated LV mass (180.30+/-44.74 g) compared with manual contour tracing (156.07+/-46.29 g) (p<0.001). This software allowed a significant reduction of the time needed for global LV assessment (mean 174.16+/-71.53 s, p<0.001). Objective quantification of LV function using the evaluated region-growing-based semiautomatic segmentation analysis software is feasible, accurate, reliable and time-effective. However, further improvements are needed to equal results achieved by manual contour tracing, especially with regard to LV mass quantification.
Collapse
Affiliation(s)
- Gorka Bastarrika
- Department of Radiology, Clínica Universitaria. Universidad de Navarra, Avda. Pío XII, 36, 31008 Pamplona, Spain.
| | | | | | | | | | | |
Collapse
|
42
|
Juergens KU, Seifarth H, Range F, Wienbeck S, Wenker M, Heindel W, Fischbach R. Automated Threshold-Based 3D Segmentation Versus Short-Axis Planimetry for Assessment of Global Left Ventricular Function with Dual-Source MDCT. AJR Am J Roentgenol 2008; 190:308-314. [DOI: 10.2214/ajr.07.2283] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Affiliation(s)
- Kai Uwe Juergens
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
| | - Harald Seifarth
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
| | - Felix Range
- Department of Cardiology and Angiology, University of Muenster, Muenster, Germany
| | - Susanne Wienbeck
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
| | - Mirja Wenker
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
| | - Walter Heindel
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
| | - Roman Fischbach
- Department of Clinical Radiology, University of Muenster, Albert-Schweitzer-Straße 33, D-48149 Muenster, Germany
- Department of Radiology, Asklepios Clinic Altona, Hamburg, Germany
| |
Collapse
|
43
|
Sibley CT, Lima JA. Assessment of ventricular structure and function with multidetector CT and MRI. Curr Cardiol Rep 2008; 10:67-71. [DOI: 10.1007/s11886-008-0013-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|
44
|
Wen H, Marsolo KA, Bennett EE, Kutten KS, Lewis RP, Lipps DB, Epstein ND, Plehn JF, Croisille P. Adaptive postprocessing techniques for myocardial tissue tracking with displacement-encoded MR imaging. Radiology 2008; 246:229-40. [PMID: 18096537 DOI: 10.1148/radiol.2461070053] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
UNLABELLED The purpose of this study was to prospectively assess the effects of two adaptive postprocessing techniques on the evaluation of myocardial function with displacement-encoded magnetic resonance (MR) imaging, including sensitivity for abnormal wall motion, with two-dimensional echocardiography as the reference standard. Sixteen patients (11 men, five women; age range, 26-74 years) and 12 volunteers (six men, six women; age range, 29-53 years) underwent breath-hold MR imaging. Institutional review board approval and informed consent were obtained. Adaptive phase-unwrapping and spatial filtering techniques were compared with conventional phase-unwrapping and spatial filtering techniques. Use of the adaptive techniques led to a reduced rate of failure with the phase-unwrapping technique from 18.9% to 0.6% (P < .001), resulted in lower variability of segmental strain measurements among healthy volunteers (P < .001 to P = .02), and increased the sensitivity of quantitative detection of abnormal segments in patients from 82.5% to 87.7% (P = .034). The adaptive techniques improved the semiautomated postprocessing of displacement-encoded cardiac images and increased the sensitivity of detection of abnormal wall motion in patients. SUPPLEMENTAL MATERIAL http://radiology.rsnajnls.org/cgi/content/full/246/1/229/DC1.
Collapse
Affiliation(s)
- Han Wen
- National Heart, Lung and Blood Institute, National Institutes of Health, Bldg 10, B1D416, 10 Center Dr, Bethesda, MD 20892, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
45
|
Dual-source CT with improved temporal resolution in assessment of left ventricular function: a pilot study. AJR Am J Roentgenol 2007; 189:1064-70. [PMID: 17954641 DOI: 10.2214/ajr.07.2228] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Functional analysis using MDCT has been limited by insufficient temporal resolution. The aim of this study was to assess the performance of a dual-source CT system with improved temporal resolution in the determination of both volume- or time-dependent functional parameters and regional wall motion in comparison with cine MRI. SUBJECTS AND METHODS Twenty patients (15 of whom had previous myocardial infarction) were prospectively examined using dual-source CT. MRI was used as the standard of reference. Using the Simpson's method, ventricular volumes were determined for the whole of the cardiac cycle and results compared using Parson's correlation and Bland-Altman analysis. Regional wall motion was assessed on cine images and compared using weighted kappa statistics. RESULTS Dual-source CT revealed a strong correlation with cine MRI regarding the quantification of end-diastolic volume (r = 0.98), end-systolic volume (r = 0.99), stroke volume (r = 0.96), and ejection fraction (r = 0.95). Good correlation was obtained for peak ejection rate (r = 0.79) and peak filling rate (r = 0.84), whereas agreement proved only moderate for time-to-peak ejection rate (r = 0.68) or time-to-peak filling rate from end-systole (r = 0.64). The mean difference for ejection fraction was negligible (bias, 0.72%). Good agreement between both techniques was likewise found for regional wall motion (kappa = 0.88). CONCLUSION With the improvement of temporal resolution between 42 and 83 milliseconds, dual-source CT not only enables accurate assessment of global functional parameters, but it also allows for quantification of time-dependent variables and reliable evaluation of regional wall motion.
Collapse
|
46
|
Mizuno N, Funabashi N, Imada M, Tsunoo T, Endo M, Komuro I. Utility of 256-slice cone beam tomography for real four-dimensional volumetric analysis without electrocardiogram gated acquisition. Int J Cardiol 2007; 120:262-7. [PMID: 17084925 DOI: 10.1016/j.ijcard.2006.07.219] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2006] [Accepted: 07/22/2006] [Indexed: 11/29/2022]
Abstract
PURPOSE Current ECG-gated multislice CT can reveal any cardiac phase data, including four-dimensional (4D) images, but cannot acquire the whole heart in one scanning, and arrhythmias impair the quality of the images. We used a prototype 256-slice cone beam CT (Athena, Sony Toshiba), with which the whole heart can be acquired in one scanning. MATERIALS AND METHODS A pulsating device with contrast material (300 mgI/dl) diluted 10x with saline was moved at 5, 40, 60, 70, and 90 to-and-fro movements/min. Non-ECG-gated 256-slice cone beam CT with 256 x 0.5 mm slice thickness was performed during one to-and-fro motion at each rate. After acquisition, each to-and-fro motion was divided into 20 frames, and each volume was measured and volumetric curves were constructed. RESULTS Even without ECG-gated acquisition, the configuration of the pulsating device at any rate continued to the through plane without any gaps, and the 4D movie of the pulsating device could be observed at any rate except 60 movements/min. Volumes of end-diastole (ED) and end-systole (ES), and ejection fraction (EF) at static state were 81.7, 17.5 ml, and 79% respectively. ED volumes were 81.7, 81.7, 70.3, 63.7, 68.3 and 65.9 ml, ES volumes were 17.5, 30.9, 39.8, 62.7, 55.0 and 43.2 ml, and EF was 79, 62, 43, 2, 19 and 34% at 0, 5, 40, 60, 70, and 90 to-and-fro movements/min, respectively. The ratios of ED volume, using the static state as the reference, were 100, 86, 78, 84 and 81%, those of ES volume were 177, 227, 358, 314 and 247%, and those of EF were 78, 54, 3, 24 and 43% at 5, 40, 60, 70, and 90 to-and-fro movements/min, respectively. From the configuration of volumetric curves, only 5/min could be evaluated. At 60 movements/min, the same device images without any motion were observed in 4D images during one to-and-fro motion. This may be because one to-and-fro time and one scanning time were the same (1 s). CONCLUSION Even without ECG-gated acquisition, this new 256-slice cone beam CT achieved real 4D analysis of the pulsating device. The ED volume and the configuration of volumetric curve could only be evaluated up to 5 movements/min, but because of poor spatial resolution (1 s/rotation), even at 5 movements/min ES volume tended to be overestimated. As a result, EF tended to be underestimated, which may be improved in the next generation (0.5 s/rotation).
Collapse
|
47
|
Pouleur AC, le Polain de Waroux JB, Pasquet A, Vanoverschelde JLJ, Gerber BL. Aortic valve area assessment: multidetector CT compared with cine MR imaging and transthoracic and transesophageal echocardiography. Radiology 2007; 244:745-54. [PMID: 17630357 DOI: 10.1148/radiol.2443061127] [Citation(s) in RCA: 124] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
PURPOSE To prospectively compare the accuracy of multidetector computed tomographic (CT) measurements of the aortic valve area (AVA) with transesophageal echocardiography (TEE) and cine magnetic resonance (MR) measurements of this area for preoperative examination of patients undergoing cardiac surgery, with transthoracic echocardiography (TTE) as the reference standard. MATERIALS AND METHODS After giving informed consent for the institutional review board-approved study protocol, 48 patients (33 men, 15 women; mean age, 62 years+/-13 [standard deviation]) with (n=27) or without (n=21) aortic stenosis underwent multidetector CT, cine MR, TTE, and TEE before undergoing cardiac surgery. AVAs derived with manual planimetry by using cine short-axis multidetector CT, MR, and TEE images obtained through the aortic valve were compared among each other and with AVAs measured by using continuity equation TTE at regression and Bland-Altman analyses. The diagnostic accuracy of multidetector CT for detection of aortic stenosis was compared with that of TTE by using kappa statistics and receiver operating characteristic curves. RESULTS Multidetector CT-derived AVA correlated highly with MR-derived (r=0.98, P<.001), TEE-derived (r=0.98, P<.001), and TTE-derived (r=0.96, P<.001) AVA. Multidetector CT planimetry AVAs (mean AVA+/-standard deviation, 2.5 cm2+/-1.7) were not significantly different from MR planimetry (2.4 cm2+/-1.8, P>.99) or TEE planimetery (2.5 cm2+/-1.7, P=.21) AVAs, but they were significantly larger than TTE-derived AVAs (2.0 cm2+/-1.5, P<.001). With TTE as the reference standard, multidetector CT correctly (kappa=0.88, P<.001) depicted all 21 normal, six of eight mildly stenotic (AVA>or=1.2 cm2 and <2.0 cm2), seven of eight moderately stenotic (AVA>or= 0.8 cm2 and <1.2 cm2), and 10 of 11 severely stenotic (AVA<0.8 cm2) valves. It also correctly depicted all 14 bicuspid valves identified with TEE, eight of which were missed with TTE. CONCLUSION Multidetector CT enables accurate noninvasive assessment of the AVA.
Collapse
Affiliation(s)
- Anne-Catherine Pouleur
- Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires St Luc, Université Catholique de Louvain, Av Hippocrate 10/2806, B-1200 Woluwe St Lambert, Belgium
| | | | | | | | | |
Collapse
|
48
|
Lee JS, Lee JS, Kim SJ, Kim IJ, Kim YK, Choo KS. Comparison of gated blood pool SPECT and spiral multidetector computed tomography in the assessment of right ventricular functional parameters: validation with first-pass radionuclide angiography. Ann Nucl Med 2007; 21:159-66. [PMID: 17561587 DOI: 10.1007/s12149-006-0004-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The aim of this study was to compare gated blood pool single photon emission computed tomography (SPECT) (GBPS) and multidetector row computed tomography (MDCT) for the determination of right ventricular ejection fraction (RVEF) and right ventricular volumes (RVV) and to compare first-pass radionuclide angiography (FP-RNA) as the gold standard. METHODS Twenty consecutive patients (11 men, 9 women) referred for MDCT for the evaluation of the presence of coronary artery disease underwent FP-RNA and GBPS. RESULTS The mean right ventricular end-diastolic volume (EDV) calculated with GBPS revealed a statistically significant lower value than that of MDCT. The mean right ventricular end-systolic volume (ESV) calculated with GBPS was also lower than that of MDCT. A comparison of right ventricular EDV from GBPS and MDCT yielded a correlation coefficient of 0.5972. Right ventricular ESV between GBPS and MDCT showed a correlation coefficient of 0.5650. The mean RVEFs calculated with FP-RNA (39.8% +/- 4.0%), GBPS (43.7% +/-6.9%0), and MDCT (40.4% + 7.7%) showed no statistical differences (Kruskal-Wallis statistics 4.538, P = 0.1034). A comparison of RVEFs from FP-RNA and GBPS yielded a correlation coefficient of 0.7251; RVEFs between FP-RNA and MDCT showed a correlation coefficient of 0.6166 and between GBPS and MDCT showed a correlation coefficient of 0.6367. CONCLUSION The RVEF, EDV, and ESV calculated by GBPS had good correlation with those obtained with MDCT. In addition, there were no statistical differences of RVEF calculated from FP-RNA, GBPS, and MDCT. However, with regard to RVV, EDV and ESV from GBPS revealed statistically significantly lower values than those of MDCT. Although reasonable correlations among these modalities were obtained, the agreement among these three modalities was not good enough for interchangeable use in the clinical setting. Also, these results should be confirmed in patients with cardiac diseases in future larger population-based studies.
Collapse
Affiliation(s)
- Jung S Lee
- Department of Orthopaedic Surgery, Pusan National University Hospital, Busan, South Korea
| | | | | | | | | | | |
Collapse
|
49
|
Sixty-four-slice CT in the assessment of global and regional left ventricular function: Comparison with MRI in a porcine model of acute and subacute myocardial infarction. Eur Radiol 2007; 17:2948-56. [DOI: 10.1007/s00330-007-0673-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2007] [Revised: 03/22/2007] [Accepted: 04/19/2007] [Indexed: 11/26/2022]
|
50
|
Ferencik M, Gregory SA, Butler J, Achenbach S, Yeh RW, Hoffmann U, Inglessis I, Cury RC, Nieman K, McNulty IA, Healy JA, Brady TJ, Semigran MJ, Jang IK. Analysis of Cardiac Dimensions, Mass and Function in Heart Transplant Recipients Using 64-slice Multi-detector Computed Tomography. J Heart Lung Transplant 2007; 26:478-84. [PMID: 17449417 DOI: 10.1016/j.healun.2007.01.041] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2006] [Revised: 01/18/2007] [Accepted: 01/30/2007] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Heart transplant recipients present a challenge to cardiac multi-detector computed tomography (MDCT) imaging due to high resting heart rates and body mass indices. Previous studies demonstrated the feasibility of coronary allograft vasculopathy detection by MDCT in heart transplant recipients. However, its performance in assessing cardiac structure and function in these patients has not been evaluated. The aim of this study was to compare 64-slice MDCT analysis of cardiac structure and function to 2-dimensional echocardiography in heart transplant recipients. METHODS Two independent observers used both semi-automated and automated software to measure chamber dimensions and left ventricular ejection fraction and mass in 20 heart transplant recipients by 64-slice MDCT. Inter-observer variability was determined. The results were compared with echocardiographic measurements provided by another blinded observer. RESULTS There was moderate agreement between MDCT and echocardiography for chamber dimension measurements, except for left atrial diameter. Ejection fraction by MDCT was slightly lower (mean difference: -2 +/- 9%, p = 0.29) than that obtained by echocardiography and the correlation was moderate (R = 0.49 to 0.54). Left ventricular mass measurements were significantly lower by MDCT (mean difference: -87 +/- 44 g, p < 0.001). Inter-observer agreement for MDCT analysis of left ventricular function (R = 0.90) and mass (R = 0.83) were excellent. CONCLUSIONS These findings demonstrate moderate agreement between 64-slice MDCT and echocardiography in the assessment of chamber dimensions as well as left ventricular mass and function in heart transplant recipients with low inter-observer variability. Also, the addition of cardiac structural and functional analysis to MDCT coronary angiography requires no additional scan time, contrast administration or radiation exposure.
Collapse
Affiliation(s)
- Maros Ferencik
- Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|