The feasibility in estimating pulmonary vascular resistance by cardiovascular magnetic resonance in pulmonary hypertension: A systematic review and meta-analysis

Chen, Hang; Xiang, Bo; Zeng, Jing; Luo, Hechuan; Yang, Quan

doi:10.1016/j.ejrad.2019.03.014

Cited by 5 publications

(3 citation statements)

References 36 publications

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“…1(M, N)) (average and peak velocities) [90][91][92][93][94]. In a metaanalysis, a multitude of different methods (some a combination of PA and RV variables) were compiled and showed a high correlation with PVR from RHC (pooled r = 0.81 (95% CI 0.74, 0.87)) [95]. Combining RV measures with PA flow metrics ( Fig.…”

Section: Estimation Of Pulmonary Vascular Resistance and Stiffness Wimentioning

confidence: 99%

Cardiac Magnetic Resonance Imaging in Pulmonary Arterial Hypertension: Ready for Clinical Practice and Guidelines?

Kjellström

Lindholm

Ostenfeld

2020

Curr Heart Fail Rep

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Purpose of Review Pulmonary arterial hypertension (PAH) is a progressive disease with high mortality. A greater understanding of the physiology and function of the cardiovascular system in PAH will help improve survival. This review covers the latest advances within cardiovascular magnetic resonance imaging (CMR) regarding diagnosis, evaluation of treatment, and prognostication of patients with PAH. Recent Findings New CMR measures that have been proven relevant in PAH include measures of ventricular and atrial volumes and function, tissue characterization, pulmonary artery velocities, and arterio-ventricular coupling. Summary CMR markers carry prognostic information relevant for clinical care such as treatment response and thereby can affect survival. Future research should investigate if CMR, as a non-invasive method, can improve existing measures or even provide new and better measures in the diagnosis, evaluation of treatment, and determination of prognosis of PAH.

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Section: Estimation Of Pulmonary Vascular Resistance and Stiffness Wimentioning

confidence: 99%

Cardiac Magnetic Resonance Imaging in Pulmonary Arterial Hypertension: Ready for Clinical Practice and Guidelines?

Kjellström

Lindholm

Ostenfeld

2020

Curr Heart Fail Rep

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“…The equation predicts 94% of the variability in PVR (136). A meta-analysis covering 15 studies that analyzed the estimation of PVR by MRI showed no statistically significant differences in PVR estimated by MRI and that derived by catheterization (137). Of note, this meta-analysis included multiple MRI approaches with no standard protocol.…”

Section: Vascular Imagingmentioning

confidence: 87%

Update on noninvasive imaging of right ventricle dysfunction in pulmonary hypertension

Truong

Meinel

Haddad

et al. 2020

Cardiovasc Diagn Ther

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Pulmonary hypertension (PH) is a progressive disease affecting patients across the life span.The pathophysiology primarily involves the pulmonary vasculature and right ventricle (RV), but eventually affects the left ventricular (LV) function as well. Safe, accurate imaging modalities are critical for diagnosis, serial monitoring, and tailored therapy. While cardiac catheterization remains the conventional modality for establishing diagnosis and serial monitoring, noninvasive imaging has gained considerable momentum in providing accurate assessment of the entire RV-pulmonary axis. In this state-of-the-art review, we will discuss the most recent developments in echocardiography, magnetic resonance imaging, and computed tomography in PH evaluation from pediatric to adult population.

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“…We validated AI-derived cardiac MRI measurements against invasive hemodynamics performed on the same day. Cardiac MRI has diagnostic accuracy for pulmonary hypertension when compared to reference standard hemodynamics (17)(18)(19). The correlation between RV ejection fraction and pulmonary vascular resistance has been reported to range between −0.32 and −0.55, and the correlation with mean pulmonary artery pressure ranges between −0.28 and −0.66 (20)(21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Validation of Artificial Intelligence Cardiac MRI Measurements: Relationship to Heart Catheterization and Mortality Prediction

Alabed¹,

Alandejani²,

Dwivedi³

et al. 2022

Radiology

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The feasibility in estimating pulmonary vascular resistance by cardiovascular magnetic resonance in pulmonary hypertension: A systematic review and meta-analysis

Cited by 5 publications

References 36 publications

Cardiac Magnetic Resonance Imaging in Pulmonary Arterial Hypertension: Ready for Clinical Practice and Guidelines?

Cardiac Magnetic Resonance Imaging in Pulmonary Arterial Hypertension: Ready for Clinical Practice and Guidelines?

Update on noninvasive imaging of right ventricle dysfunction in pulmonary hypertension

Validation of Artificial Intelligence Cardiac MRI Measurements: Relationship to Heart Catheterization and Mortality Prediction

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