Feasibility of New Transthoracic Three-Dimensional Echocardiographic Automated Software for Left Heart Chamber Quantification in Children

Amadieu, Romain; Hadeed, Khaled; Jaffro, M.; Karsenty, Clément; Ratsimandresy, Miarisoa; Dulac, Yves; Acar, Philippe

doi:10.1016/j.echo.2018.08.001

Cited by 7 publications

(4 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The moderate precision of automated 3DE for LVESV measurements can explain the moderate correlation for LVEF between automated 3DE and CMR. This was also reported in some previous publications ( 15 , 17 ). In our cohort, LA volumes were underestimated by automated 3DE, which was consistent with previous studies ( 11 ).…”

Section: Discussionsupporting

confidence: 91%

“…In these studies, automated 3DE measurements have shown strong correlations with values derived from 2DE, manual 3DE, and CMR ( 11 , 15 , 16 ). These results were widely verified in adults, children, healthy population, and patients with specific diseases, including mitral regurgitation or atrial fibrillation ( 10 , 17 , 18 ). However, a transplanted heart is different from a normal one in cardiac anatomy, including its special location and structure after the orthotopic transplantation.…”

Section: Discussionmentioning

confidence: 62%

See 1 more Smart Citation

Left Heart Chamber Volumetric Assessment by Automated Three-Dimensional Echocardiography in Heart Transplant Recipients

Zhang

Sun

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

BackgroundRecently, a new automated software (Heart Model) was developed to obtain three-dimensional (3D) left heart chamber volumes. The aim of this study was to verify the feasibility and accuracy of the automated 3D echocardiographic algorithm in heart transplant (HTx) patients. Conventional manual 3D transthoracic echocardiographic (TTE) tracings and cardiac magnetic resonance (CMR) images were used as a reference for comparison.MethodsThis study enrolled 103 healthy HTx patients prospectively. In protocol 1, left ventricular end-diastolic volume (LVEDV), LV end-systolic volume (LVESV), left atrial max volume (LAVmax), LA minimum volume (LAVmin) and LV ejection fraction (LVEF) were obtained using the automated 3D echocardiography (3DE) and compared with corresponding values obtained through the manual 3DE. In protocol 2, 28 patients’ automated 3DE measurements were compared with CMR reference values. The impacts of contour edit and surgical technique were also tested.ResultsHeart Model was feasible in 97.1% of the data sets. In protocol 1, there was strong correlation between 3DE and manual 3DE for all the parameters (r = 0.77 to 0.96, p<0.01). Compared to values obtained through manual measurements, LV volumes and LVEF were overestimated by the automated algorithm and LA volumes were underestimated. All the biases were small except for that of LAVmin. After contour adjustment, the biases reduced and all the limits of agreement were clinically acceptable. In protocol 2, the correlations for LV and LA volumes were strong between automated 3DE with contour edit and CMR (r = 0.74 to 0.93, p<0.01) but correlation for LVEF remained moderate (r = 0.65, p < 0.01). Automated 3DE overestimated LV volumes but underestimated LVEF and LA volumes compared with CMR. The limits of agreement were clinically acceptable only for LVEDV and LAVmax.ConclusionSimultaneous quantification of left heart volumes and LVEF with the automated Heart Model program is rapid, feasible and to a great degree it is accurate in HTx recipients. Nevertheless, only LVEDV and LAVmax measured by automated 3DE with contour edit seem applicable for clinical practice when compared with CMR. Automated 3DE for HTx recipients is a worthy attempt, though further verification and optimization are needed.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 62%

Left Heart Chamber Volumetric Assessment by Automated Three-Dimensional Echocardiography in Heart Transplant Recipients

Zhang

Sun

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…[11][12][13] Advances in automated software technology will further promote its use into daily clinical practice as it allows rapid analysis of five representative beats, improving LV volumes and EF accuracy and reproducibility in these patients ( Figure 5). [14][15][16][17][18] 19,20 One caveat to the reporting of 3DE LV volumes is that currently there are no age-or gender-specific reference ranges for interpretation. Previous studies have produced promising values in large cohorts; however, these are population specific and have been based on healthy subjects.…”

Section: Valid It Y Of 3de For a Ss E Ss Ment Of Lef T Ventri Cul Amentioning

confidence: 99%

“…Advances in automated software technology will further promote its use into daily clinical practice as it allows rapid analysis of five representative beats, improving LV volumes and EF accuracy and reproducibility in these patients (Figure 5). 14‐18 This method of assessing multiple LV 3D volumes in patients with atrial fibrillation may ultimately prove to be more reliable than CMR values as CMR only assesses a single heartbeat.…”

Section: Validity Of 3de For Assessment Of Left Ventricular Volumes Amentioning

confidence: 99%

Three‐dimensional echocardiographic acquisition and validity of left ventricular volumes and ejection fraction

Jenkins

Tsang

2020

Echocardiography

View full text Add to dashboard Cite

Transthoracic (TTE) and transesophageal (TEE) three-dimensional echocardiography (3DE) is now used in daily clinical practice. Advancements in technology have improved image acquisition with higher frame rates and increased resolution. Different 3DE acquisition techniques can be used depending upon the structure of interest and if volumetric analysis is required. Measurements of left ventricular (LV) volumes are the most common use of 3DE clinically but are highly dependent upon image quality. Three-dimensional LV function analysis has been made easier with the development of automated software, which has been found to be highly reproducible. However, further research is needed to develop normal reference range values of LV function for both 3D TTE and TEE.

show abstract

Echocardiography

Brown,

Jone,

Patel

et al. 2023

Pediatric Cardiology

View full text Add to dashboard Cite

Feasibility of New Transthoracic Three-Dimensional Echocardiographic Automated Software for Left Heart Chamber Quantification in Children

Cited by 7 publications

References 41 publications

Left Heart Chamber Volumetric Assessment by Automated Three-Dimensional Echocardiography in Heart Transplant Recipients

Left Heart Chamber Volumetric Assessment by Automated Three-Dimensional Echocardiography in Heart Transplant Recipients

Three‐dimensional echocardiographic acquisition and validity of left ventricular volumes and ejection fraction

Echocardiography

Contact Info

Product

Resources

About