Relative Importance of Errors in Left Ventricular Quantitation by Two-Dimensional Echocardiography: Insights From Three-Dimensional Echocardiography and Cardiac Magnetic Resonance Imaging

Chukwu, Ebere O.; Barasch, Eddy; Mihalatos, Dennis; Katz, Alan S.; Lachmann, Justine; Han, Jing; Reichek, Nathaniel; Gopal, Aasha S.

doi:10.1016/j.echo.2008.07.009

Cited by 103 publications

(87 citation statements)

References 24 publications

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“…In daily practice, the assessment of LV volumes and ejection fraction (LVEF) is performed by 2D echocardiographic imaging using the Simpson biplane method. 6 However, the accuracy and reproducibility of this method are limited by foreshortening 7 and its geometric assumptions, and it may not be suitable in patients with LV deformation (aneurysmal or spherical LV). Real-time 3-dimensional echocardiography (RT3DE) imaging, which provides a direct assessment of LV volumes without relying on a geometric model, has overcome these issues.…”

mentioning

confidence: 99%

Single-Beat Versus Multibeat Real-Time 3D Echocardiography for Assessing Left Ventricular Volumes and Ejection Fraction

Macron

Lim

Bensaïd

et al. 2010

Circ: Cardiovascular Imaging

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Background-Real-time 3-dimensional echocardiography (RT3DE) is superior to 2D echocardiography in assessing left ventricular (LV) volumes and ejection fraction (EF), but its feasibility is limited by multibeat acquisition, which requires an optimal breath-hold and a regular heart rhythm. We sought to evaluate the accuracy and feasibility of single-and 2-beat RT3DE for LV volume and EF assessment. Methods and Results-Sixty-six consecutive patients referred for cardiac magnetic resonance (CMR) underwent RT3DEand CMR on the same day. Of the 50 patients (age, 59Ϯ18 years; 68% men; 42% coronary artery disease; LVEFϭ49Ϯ14%; limits, 14% to 76%) with an adequate RT3DE image quality, accuracy for LV volumes and EF measurements of single-and 2-beat modalities were compared with the conventional 4-beat acquisition and CMR.Correlations with CMR for LV end-diastolic volume (161Ϯ59 mL, rϭ0.93 to 0.94) and end-systolic volume (86Ϯ56 mL, rϭ0.93 to 0.96) were excellent regardless of the number of cardiac cycles used. However, because of the low temporal resolution (7Ϯ2 volumes per second), single-beat underestimated LVEF (bias, Ϫ5Ϯ8%) with greater bias than 2-beat (bias, 1Ϯ6%, PϽ0.001) and 4-beat (bias, 3Ϯ7%, PϽ0.001) modalities. Interestingly, 2-beat provided accuracy similar to 4-beat for end-diastolic volume (bias, Ϫ17Ϯ21 mL versus Ϫ15Ϯ23 mL), end-systolic volume (bias, Ϫ9Ϯ16 mL versus Ϫ12Ϯ17 mL), and LVEF (bias, 1Ϯ6% versus 3Ϯ7%) measurements, but fewer stitching artifacts were observed with 2-than 4-beat modalities (3% versus 30%). Conclusions-Compared with conventional multibeat acquisitions, 2-beat modality provides similar accuracy in LV volume and EF measurements and should be preferred due to fewer stitching artifacts. In contrast, the temporal resolution of single-beat modality appears insufficient to provide an accurate estimation of LVEF. (Circ Cardiovasc Imaging. 2010;3:450-455.)

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mentioning

confidence: 99%

Single-Beat Versus Multibeat Real-Time 3D Echocardiography for Assessing Left Ventricular Volumes and Ejection Fraction

Macron

Lim

Bensaïd

et al. 2010

Circ: Cardiovascular Imaging

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“…Most studies showed that 3D TTE slightly underestimates both end-diastolic and endsystolic volumes. 6,7 Evaluating the regional function using 3D TTE has important benefits because, unlike 2D TTE, it can illustrate all ventricular walls in a single echocardiographic loop. For these reasons, 3D TTE is well adaptable to discover the location and extension of segmental wall motion abnormalities.…”

Section: D and 3d Echocardiographymentioning

confidence: 99%

New Imaging-Based Tools for the Assessment of Ventricular Function in Ischemic Heart Diseases

Bordi¹,

Kovács²,

Bajka³

et al. 2017

Journal of Interdisciplinary Medicine

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Ischemic heart disease morbidity and mortality are closely related to global and regional left ventricular function. The evaluation of left ventricular global function is a relevant part in the evolution of ischemic heart disease because it plays a significant role in prognosis prediction and patient management after revascularization. Regional function is also a critical part of the evolution, offering a possible and reliable mode for the assessment of myocardial disease. Currently several techniques for the evaluation of left ventricular parameters and function are in use. In this review we will discuss and compare currently available methods for the evaluation of global and regional left ventricular function such as 2D and 3D echocardiography, 3D speckle-tracking echocardiography, multi-slice computed tomography, and cardiac magnetic resonance imaging.Keywords: ischemic heart disease, echocardiography, 3D speckle-tracking echocardiography, multi-slice computed tomography, cardiac magnetic resonance imaging REVIEW DOI: 10.1515/jim-2017-0020 CARDIOLOGY // IMAGING Ischemic heart disease is the leading cause of death around the world. The morbidity and mortality rates are closely associated to regional and global left ventricular function in these patients. 1,2 The evaluation of global left ventricular (LV) function with noninvasive imaging tools has an important role in the therapeutic management and prognosis of patients with ischemic cardiac diseases. Several parameters have been proposed as illustrative for global left ventricular function such as volumes, ejection fraction, dimensions, end-diastolic pressure, contractility, and deformation parameters. Global systolic function is most often evaluated by measuring the difference in the end-diastolic and end-systolic volumes, determined in one, two and three dimensions, divided by the adequate end-diastolic volume. 3 Echocardiography is the most frequently used noninvasive technique for the analysis of LV parameters and function because of its accessibility, portability, and widely validated scale.

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“…28 The accuracy and reproducibility of 2D echocardiographic techniques for assessing LV volume and function have not been studied systematically in infants and children, especially those with CHD. Despite these limitations, data on the range of normal values for ventricular dimensions, volumes, mass, and ejection fraction derived from echocardiography in the pediatric age group are available and are helpful in evaluating the clinical significance of findings.…”

Section: Ventricular Size and Global Systolic Performancementioning

confidence: 99%

Multimodality Noninvasive Imaging for Assessment of Congenital Heart Disease

Prakash

Powell

Geva

2010

Circ: Cardiovascular Imaging

135

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Relative Importance of Errors in Left Ventricular Quantitation by Two-Dimensional Echocardiography: Insights From Three-Dimensional Echocardiography and Cardiac Magnetic Resonance Imaging

Cited by 103 publications

References 24 publications

Single-Beat Versus Multibeat Real-Time 3D Echocardiography for Assessing Left Ventricular Volumes and Ejection Fraction

Single-Beat Versus Multibeat Real-Time 3D Echocardiography for Assessing Left Ventricular Volumes and Ejection Fraction

New Imaging-Based Tools for the Assessment of Ventricular Function in Ischemic Heart Diseases

Multimodality Noninvasive Imaging for Assessment of Congenital Heart Disease

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