Skip to main content
Erschienen in: The International Journal of Cardiovascular Imaging 2/2012

01.12.2012 | Original Paper

Assessment of right ventricular function with 320-slice volume cardiac CT: comparison with cardiac magnetic resonance imaging

verfasst von: Xiaoyong Huang, Xin Pu, Ruiyu Dou, Xi Guo, Zixu Yan, Zhaoqi Zhang, Meng Li, Hong Jiang, Biao Lu

Erschienen in: The International Journal of Cardiovascular Imaging | Sonderheft 2/2012

Einloggen, um Zugang zu erhalten

Abstract

To evaluate the accuracy and feasibility of right ventricular function parameters measurement using 320-slice volume cardiac CT. Retrospective analysis of 50 consecutive patients (23 men, 27 women) with suspected pulmonary diseases was performed in electrocardiogram (ECG)-gated cardiac CT and cardiac magnetic resonance (CMR). Parameters including right ventricular end-diastolic volume (RVEDV), right ventricular end- systolic volume (RVESV), right ventricular stroke volume (RVSV), right ventricular cardiac output (RVCO), and right ventricular ejection fraction (RVEF) were semi-automatically and separately calculated from both CT and CMR data. Significant difference between measurements was measured by paired t test and two-variable linear regression analysis with Pearson’s correlation coefficient. Bland–Altman analysis was performed in each pair of parameters. There was little variability between the measurements by the two observers (kappa = 0.895–0.980, P < 0.05). There was good correlation between all parameters obtained by CT and CMR (P < 0.001): RVEDV (108.5 ± 21.9 ml, 113.5 ± 24.8 ml, r = 0.944), RVESV (69.8 ± 33.4 ml, 73.2 ± 35.4 ml, r = 0.972), RVSV (39.0 ± 13.2 ml, 40.2 ± 13.3 ml, r = 0.977), RVCO (2.6 ± 0.7 l, 2.6 ± 0.7 l. r = 0.958), RVEF (38.8 ± 19.1 %, 39.1 ± 19.3 %, r = 0.990), and there was no significant difference between CT and CMR measurements in RVEF (n = 50, t = −0.677, P > 0.05). 320-slice volume cardiac CT is an accurate non-invasive technique to evaluate RV function.
Literatur
1.
Zurück zum Zitat Menzel T, Kramm T, Bruckner A, Mohr-Kahaly S, Mayer E, Meyer J (2002) Quantitative assessment of right ventricular volumes in severe chronic thromboembolic pulmonary hypertension using transthoracic three-dimensional echocardiography: changes due to pulmonary thromboendarterectomy. Eur J Echocardiogr 3(1):67–72PubMedCrossRef Menzel T, Kramm T, Bruckner A, Mohr-Kahaly S, Mayer E, Meyer J (2002) Quantitative assessment of right ventricular volumes in severe chronic thromboembolic pulmonary hypertension using transthoracic three-dimensional echocardiography: changes due to pulmonary thromboendarterectomy. Eur J Echocardiogr 3(1):67–72PubMedCrossRef
2.
Zurück zum Zitat Liang L, Xu W, Li K, Du X, Gao Y (2009) Assessment of right ventricular function with 64-detector CT. Chin J Med Imaging Technology 25(6):1025–1028 Liang L, Xu W, Li K, Du X, Gao Y (2009) Assessment of right ventricular function with 64-detector CT. Chin J Med Imaging Technology 25(6):1025–1028
3.
Zurück zum Zitat Oldershaw P (1992) Assessment of right ventricular function and its role in clinical practice. Br Heart J 68(1):12–15PubMedCrossRef Oldershaw P (1992) Assessment of right ventricular function and its role in clinical practice. Br Heart J 68(1):12–15PubMedCrossRef
4.
Zurück zum Zitat Goldstein J (2005) The right entricle: what’s right and what’s wrong. Coron Artery Dis 16:1–3CrossRef Goldstein J (2005) The right entricle: what’s right and what’s wrong. Coron Artery Dis 16:1–3CrossRef
5.
Zurück zum Zitat Barkhausen J, Ruehm SG, Goyen M, Buck T, Laub G, Debatin JF (2001) MR evaluation of ventricular function: true fast imaging with steady-state precession versus fast low-angle shot cine MR imaging: feasibility study. Radiology 219(1):264–269PubMed Barkhausen J, Ruehm SG, Goyen M, Buck T, Laub G, Debatin JF (2001) MR evaluation of ventricular function: true fast imaging with steady-state precession versus fast low-angle shot cine MR imaging: feasibility study. Radiology 219(1):264–269PubMed
6.
Zurück zum Zitat Mogelvang J, Stubgaard M, Thomsen C, Henriksen O (1988) Evaluation of right ventricular volumes measured by magnetic resonance imaging. Eur Heart J 9(5):529–533PubMed Mogelvang J, Stubgaard M, Thomsen C, Henriksen O (1988) Evaluation of right ventricular volumes measured by magnetic resonance imaging. Eur Heart J 9(5):529–533PubMed
7.
8.
Zurück zum Zitat Helbing WA, Bosch HG, Maliepaard C, Rebergen SA, van der Geest RJ, Hansen B, Ottenkamp J, Reiber JH, de Roos A (1995) Comparison of echocardiographic methods with magnetic resonance imaging for assessment of right ventricular function in children. Am J Cardiol 76(8):589–594PubMedCrossRef Helbing WA, Bosch HG, Maliepaard C, Rebergen SA, van der Geest RJ, Hansen B, Ottenkamp J, Reiber JH, de Roos A (1995) Comparison of echocardiographic methods with magnetic resonance imaging for assessment of right ventricular function in children. Am J Cardiol 76(8):589–594PubMedCrossRef
9.
Zurück zum Zitat Danilouchkine MG, Westenberg JJ, de Roos A, Reiber JH, Lelieveldt BP (2005) Operator induced variability in cardiovascular MR: left ventricular measurements and their reproducibility. J Cardiovasc Magn Reson 7(2):447–457PubMedCrossRef Danilouchkine MG, Westenberg JJ, de Roos A, Reiber JH, Lelieveldt BP (2005) Operator induced variability in cardiovascular MR: left ventricular measurements and their reproducibility. J Cardiovasc Magn Reson 7(2):447–457PubMedCrossRef
10.
Zurück zum Zitat Ghaye B, Ghuysen A, Bruyere PJ, D’Orio V, Dondelinger RF (2006) Can CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism? What the radiologist needs to know. Radiographics 26(1):23–39. doi:10.1148/rg.261055062 discussion 39–40PubMedCrossRef Ghaye B, Ghuysen A, Bruyere PJ, D’Orio V, Dondelinger RF (2006) Can CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism? What the radiologist needs to know. Radiographics 26(1):23–39. doi:10.​1148/​rg.​261055062 discussion 39–40PubMedCrossRef
12.
Zurück zum Zitat Spencer KT, Garcia MJ, Weinart L, Vignon P, Lang R (1999) Assessment of right ventricular and right atrial systolic and diastolic performance using automated border detection. Echocardiography 16(7, Pt 1):643–652PubMedCrossRef Spencer KT, Garcia MJ, Weinart L, Vignon P, Lang R (1999) Assessment of right ventricular and right atrial systolic and diastolic performance using automated border detection. Echocardiography 16(7, Pt 1):643–652PubMedCrossRef
13.
Zurück zum Zitat Thorne MC (1992) 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 21(1–3):51–52. doi:0306-4549(92)90053-E Thorne MC (1992) 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP 21(1–3):51–52. doi:0306-4549(92)90053-E
14.
Zurück zum Zitat Manzke R, Grass M, Nielsen T, Shechter G, Hawkes D (2003) Adaptive temporal resolution optimization in helical cardiac cone beam CT reconstruction. Med Phys 30(12):3072–3080PubMedCrossRef Manzke R, Grass M, Nielsen T, Shechter G, Hawkes D (2003) Adaptive temporal resolution optimization in helical cardiac cone beam CT reconstruction. Med Phys 30(12):3072–3080PubMedCrossRef
15.
Zurück zum Zitat Wintersperger BJ, Nikolaou K (2005) Basics of cardiac MDCT: techniques and contrast application. Eur Radiol 15(Suppl 2):B2–B9PubMed Wintersperger BJ, Nikolaou K (2005) Basics of cardiac MDCT: techniques and contrast application. Eur Radiol 15(Suppl 2):B2–B9PubMed
Metadaten
Titel
Assessment of right ventricular function with 320-slice volume cardiac CT: comparison with cardiac magnetic resonance imaging
verfasst von
Xiaoyong Huang
Xin Pu
Ruiyu Dou
Xi Guo
Zixu Yan
Zhaoqi Zhang
Meng Li
Hong Jiang
Biao Lu
Publikationsdatum
01.12.2012
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe Sonderheft 2/2012
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-012-0156-8

Weitere Artikel der Sonderheft 2/2012

The International Journal of Cardiovascular Imaging 2/2012 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.