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Current Cardiovascular Imaging Reports
Erschienen in: Current Cardiovascular Imaging Reports 6/2019

01.06.2019 | Cardiac Computed Tomography (B Chow and G Small, Section Editors)

Cardiac CT Assessment of Right and Left Ventricular and Valvular Function

verfasst von: Maan Malahfji, Mouaz H. Al-Mallah

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 6/2019

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Abstract

Purpose of Review

The purpose of this review is to summarize the recent technical and scientific advancements in cardiac computed tomography (CT) assessment of ventricular function and valvular heart disease.

Recent Findings

With improvement in scanner technology and protocols, cardiac CT can be used to assess cardiac function and chamber volumes with excellent accuracy and interobserver reproducibility. CT is a reliable adjunct modality to assess most valvular heart diseases when other modalities are not adequate or provide discrepant data. CT is now the standard of care in planning transcatheter valve interventions.

Summary

Cardiac CT can be reliably used to assess right and left ventricular function albeit with radiation exposure. CT is also helpful as a tiebreaker in complex valvular heart disease when other modalities are discrepant or limited. Further improvement in temporal resolution and reduction of radiation dose will increase utilization of cardiac CT with the goal of comprehensive cardiac assessment.
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Literatur
1.
Al-Mallah MH, Aljizeeri A, Villines TC, Srichai MB, Alsaileek A. Cardiac computed tomography in current cardiology guidelines. J Cardiovasc Comput Tomogr. 2015;9:514–23.CrossRef
2.
Raff GL, Gallagher MJ, O’Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005;46:552–7.CrossRef
3.
Al-Mallah MH, Ahmed AMJCCIR. Controversies in the use of fractional flow reserve form computed tomography (FFRCT) vs. coronary angiography. 2016;9:34.
4.
Nakazato R, Arsanjani R, Achenbach S, Gransar H, Cheng VY, Dunning A, et al. Age-related risk of major adverse cardiac event risk and coronary artery disease extent and severity by coronary CT angiography: results from 15 187 patients from the International Multisite CONFIRM Study. Eur Heart J Cardiovasc Imaging. 2014;15:586–94.CrossRef
5.
Dowsley T, Al-Mallah M, Ananthasubramaniam K, Dwivedi G, McArdle B, Chow BJ. The role of noninvasive imaging in coronary artery disease detection, prognosis, and clinical decision making. Can J Cardiol. 2013;29:285–96.CrossRef
6.
Aljizeeri A, Sulaiman A, Alhulaimi N, Alsaileek A, Al-Mallah MH. Cardiac magnetic resonance imaging in heart failure: where the alphabet begins! Heart Fail Rev. 2017;22:385–99.CrossRef
7.
Rizvi A, Deano RC, Bachman DP, Xiong G, Min JK, Truong QA. Analysis of ventricular function by CT. J Cardiovasc Comput Tomogr. 2015;9:1–12.CrossRef
8.
•• Tabari A, Lo Gullo R, Murugan V, Otrakji A, Digumarthy S, Kalra M. Recent advances in computed tomographic technology: cardiopulmonary imaging applications. 2017;32:89–100. This study of 79 patients showed that cardiac CT provides accurate and reproducible LV and RV volume parameters compared with MR and can be considered a reliable alternative for patients who are not suitable to undergo MR.
9.
Maffei E, Messalli G, Martini C et al. Left and right ventricle assessment with cardiac CT: validation study vs. cardiac MR. 2012;22:1041–1049.
10.
Busch S, Johnson TRC, Wintersperger BJ et al. Quantitative assessment of left ventricular function with dual-source CT in comparison to cardiac magnetic resonance imaging: initial findings. 2008;18:570–575.
11.
Asferg C, Usinger L, Kristensen TS, Abdulla J. Accuracy of multi-slice computed tomography for measurement of left ventricular ejection fraction compared with cardiac magnetic resonance imaging and two-dimensional transthoracic echocardiography: a systematic review and meta-analysis. Eur J Radiol. 2012;81:e757–62.CrossRef
12.
Arsanjani R, Berman DS, Gransar H et al. Left ventricular function and volume with coronary ct angiography improves risk stratification and identification of patients at risk for incident mortality: results from 7758 patients in the prospective multinational CONFIRM observational cohort study. 2014;273:70–77.
13.
Gebhard C, Buechel RR, Stahli BE, et al. Impact of age and sex on left ventricular function determined by coronary computed tomographic angiography: results from the prospective multicentre CONFIRM study. Eur Heart J Cardiovasc Imaging. 2017;18:990–1000.CrossRef
14.
Ooijen PM van, Jonge GJ de, Oudkerk M. Informatics in radiology: postprocessing pitfalls in using CT for automatic and semiautomatic determination of global left ventricular function. 2012;32:589–599.
15.
Chinnaiyan KM, Peyser P, Goraya T, Ananthasubramaniam K, Gallagher M, DePetris A, et al. Impact of a continuous quality improvement initiative on appropriate use of coronary computed tomography angiography. Results from a multicenter, statewide registry, the Advanced Cardiovascular Imaging Consortium. J Am Coll Cardiol. 2012;60:1185–91.CrossRef
16.
Al-Mallah MH, Aljizeeri A, Alsaileek A, Alharthi M. Routine low-radiation-dose coronary computed tomography angiography. European Heart Journal Supplements. 2014;16:B12–6.CrossRef
17.
Nakazato R, Tamarappoo BK, Smith TW, Cheng VY, Dey D, Shmilovich H, et al. Assessment of left ventricular regional wall motion and ejection fraction with low-radiation dose helical dual-source CT: comparison to two-dimensional echocardiography. J Cardiovasc Comput Tomogr. 2011;5:149–57.CrossRef
18.
•• Yang Y, Yam Y, Chen L, Aljizeeri A, Aliyary Ghraboghly S, al-Harbi I, et al. Assessment of left ventricular ejection fraction using low radiation dose computed tomography. J Nucl Cardiol. 2016;23:414–21 The results of our study suggest that low-dose CT LVEF protocol is feasible, accurate, and fast while delivering a lower radiation dose than traditional RNA.CrossRef
19.
Gopalan D. Right heart on multidetector CT. Br J Radiol 2011;84 Spec No 3:S306-S323.CrossRef
20.
Voges I, Al-Mallah MH, Scognamiglio G, Di Salvo G. Right heart-pulmonary circulation unit in congenital heart diseases. Heart Fail Clin. 2018;14:283–95.CrossRef
21.
Karamitsos TD, Hudsmith LE, Selvanayagam JB, Neubauer S, Francis JM. Operator induced variability in left ventricular measurements with cardiovascular magnetic resonance is improved after training. J Cardiovasc Magn Reson. 2007;9:777–83.CrossRef
22.
Mahrholdt H, Wagner A, Holly TA, Elliott MD, Bonow RO, Kim RJ, et al. Reproducibility of chronic infarct size measurement by contrast-enhanced magnetic resonance imaging. Circulation. 2002;106:2322–7.CrossRef
23.
Valente AM, Cook S, Festa P, et al. Multimodality imaging guidelines for patients with repaired tetralogy of fallot: a report from the AmericanSsociety of Echocardiography: developed in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society for Pediatric Radiology. J Am Soc Echocardiogr. 2014;27:111–41.CrossRef
24.
Al-Mallah M, Kwong RY. Clinical application of cardiac CMR. Rev Cardiovasc Med. 2009;10:134–41.PubMed
25.
Jamiel A, Ebid M, Ahmed AM, Ahmed D, Al-Mallah MH. The role of myocardial viability in contemporary cardiac practice. Heart Fail Rev. 2017;22:401–13.CrossRef
26.
Al-Mallah MH, Shareef MN. The role of cardiac magnetic resonance imaging in the assessment of non-ischemic cardiomyopathy. Heart Fail Rev. 2011;16:369–80.CrossRef
27.
Tandri H, Calkins H. MR and CT imaging of arrhythmogenic cardiomyopathy. Cardiac electrophysiology clinics. 2011;3:269–80.CrossRef
28.
Doherty JU, Kort S, Mehran R, Schoenhagen P, Soman P. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for Multimodality Imaging in Valvular Heart Disease. J Am Coll Cardiol. 2017;70:1647 LP–1672.CrossRef
29.
Habis M, Daoud B, Roger VL, Ghostine S, Caussin C, Ramadan R, et al. Comparison of 64-slice computed tomography planimetry and Doppler echocardiography in the assessment of aortic valve stenosis. The Journal of heart valve disease. 2007;16:216–24.PubMed
30.
Ropers D, Ropers U, Marwan M, Schepis T, Pflederer T, Wechsel M, et al. Comparison of dual-source computed tomography for the quantification of the aortic valve area in patients with aortic stenosis versus transthoracic echocardiography and invasive hemodynamic assessment. Am J Cardiol. 2009;104:1561–7.CrossRef
31.
Nasir K, Katz R, Al-Mallah M, et al. Relationship of aortic valve calcification with coronary artery calcium severity: the Multi-Ethnic Study of Atherosclerosis (MESA). J Cardiovasc Comput Tomogr. 2010;4:41–6.CrossRef
32.
Bonow RO, Brown AS, Gillam LD et al. ACC/AATS/AHA/ASE/EACTS/HVS/SCA/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for the Treatment of Patients With Severe Aortic Stenosis. J Am Coll Cardiol 2017:24131.
33.
•• Clavel M-A, Malouf J, Messika-Zeitoun D, Araoz PA, Michelena HI, Enriquez-Sarano M. Aortic valve area calculation in aortic stenosis by CT and Doppler echocardiography. JACC Cardiovasc Imaging. 2015;8:248–57 The study showed that computed tomography is superior to echocardiography for measuring the left ventricular outflow tract and calculating the aortic valve area with regard to hemodynamic correlations and survival outcome prediction after a diagnosis of aortic stenosis.CrossRef
34.
Clavel M-A, Messika-Zeitoun D, Pibarot P, Aggarwal SR, Malouf J, Araoz PA, et al. The complex nature of discordant severe calcified aortic valve disease grading: new insights from combined Doppler echocardiographic and computed tomographic study. J Am Coll Cardiol. 2013;62:2329–38.CrossRef
35.
Delgado V, Clavel M-A, Hahn RT, et al. How do we reconcile echocardiography, computed tomography, and hybrid imaging in assessing discordant grading of aortic stenosis severity? JACC Cardiovasc Imaging. 2019;12:267–82.CrossRef
36.
Pawade T, Clavel M-A, Tribouilloy C, et al. Computed tomography aortic valve calcium scoring in patients with aortic stenosis. Circulation Cardiovascular imaging. 2018;11:e007146.CrossRef
37.
Binder RK, Webb JG, Willson AB, Urena M, Hansson NC, Norgaard BL, et al. The impact of integration of a multidetector computed tomography annulus area sizing algorithm on outcomes of transcatheter aortic valve replacement: a prospective, multicenter, controlled trial. J Am Coll Cardiol. 2013;62:431–8.CrossRef
38.
Khalique OK, Hahn RT, Gada H et al. Quantity and location of aortic valve complex calcification predicts severity and location of paravalvular regurgitation and frequency of post-dilation after balloon-expandable transcatheter aortic valve replacement. J Am Coll Cardiol Intv 2014.
39.
Ko SM, Park JH, Shin JK, Kim JS. Assessment of the regurgitant orifice area in aortic regurgitation with dual-source CT: comparison with cardiovascular magnetic resonance. Journal of Cardiovascular Computed Tomography. 2015;9:345–53.CrossRef
40.
Lembcke A, Durmus T, Westermann Y, Geigenmueller A, Claus B, Butler C, et al. Assessment of mitral valve stenosis by helical MDCT: comparison with transthoracic Doppler echocardiography and cardiac catheterization. Am J Roentgenol. 2011;197:614–22.CrossRef
41.
Messika-Zeitoun D, Serfaty J-M, Laissy J-P, Berhili M, Brochet E, Iung B, et al. Assessment of the mitral valve area in patients with mitral stenosis by multislice computed tomography. J Am Coll Cardiol. 2006;48:411–3.CrossRef
42.
Guerrero M, Dvir D, Himbert D, Urena M, Eleid M, Wang DD, et al. Transcatheter mitral valve replacement in native mitral valve disease with severe mitral annular calcification: results from the first multicenter global registry. J Am Coll Cardiol Intv. 2016;9:1361–71.CrossRef
43.
Cavalcante JL, Al-Mallah M, Arida M, Garcia-Sayan E, Chattahi J, Ananthasubramaniam K. The relationship between spontaneous echocontrast, transesophageal echocardiographic parameters, and blood hemoglobin levels. J Am Soc Echocardiogr. 2008;21:868–72.CrossRef
44.
Romero J, Husain SA, Kelesidis I, Sanz J, Medina HM, Garcia MJ. Detection of left atrial appendage thrombus by cardiac computed tomography in patients with atrial fibrillation. 2013;6:185–194.
45.
Arnous S, Killeen RP, Martos R, Quinn M, McDonald K, Dodd JD. Quantification of mitral regurgitation on cardiac computed tomography. J Comput Assist Tomogr. 2011;35:625–30.CrossRef
46.
Guo Y-K, Yang Z-G, Ning G, Rao L, Dong L, Pen Y, et al. Isolated mitral regurgitation: quantitative assessment with 64-section multidetector CT—comparison with MR imaging and echocardiography. Radiology. 2009;252:369–76.CrossRef
47.
Groves AM, Win T, Charman SC, Wisbey C, Pepke-Zaba J, Coulden RA. Semi-quantitative assessment of tricuspid regurgitation on contrast-enhanced multidetector CT. Clin Radiol. 2004;59:715–9.CrossRef
48.
Hahn RT, George I, Kodali SK et al. Early single-site experience with transcatheter tricuspid valve replacement. JACC Cardiovasc Imaging 2018:2784.
49.
•• Praz F, Khalique OK, Dos Reis Macedo LG, Pulerwitz TC, Jantz J, Wu IY, et al. Comparison between three-dimensional echocardiography and computed tomography for comprehensive tricuspid annulus and valve assessment in severe tricuspid regurgitation: implications for tricuspid regurgitation grading and transcatheter therapies. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 2018;31:1190–1202.e3 This study showed that in patients with severe tricuspid regurgitation, semiautomated indirect planimetry results in high agreement between TEE and CT for TA sizing and measurement of the tricuspid valve area.CrossRef
50.
Gündüz S, Özkan M, Kalçik M, Gürsoy OM, Astarcioğlu MA, Karakoyun S, Aykan AÇ, Biteker M, Gökdeniz T, Kaya H, Yesin M, Duran NE, Sevinç D, Güneysu T Sixty-four-section cardiac computed tomography in mechanical prosthetic heart valve dysfunction: thrombus or pannus. Circulation: Cardiovascular Imaging 2015.
51.
Kim JY, Suh YJ, Han K, Kim YJ, Choi BW. Diagnostic value of advanced imaging modalities for the detection and differentiation of prosthetic valve obstruction: a systematic review and meta-analysis. JACC Cardiovasc Imaging 2019.
Metadaten
Titel
Cardiac CT Assessment of Right and Left Ventricular and Valvular Function
verfasst von
Maan Malahfji
Mouaz H. Al-Mallah
Publikationsdatum
01.06.2019
Verlag
Springer US
Erschienen in
Current Cardiovascular Imaging Reports / Ausgabe 6/2019
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-019-9495-3

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