Qualitative echocardiographic assessment of aortic valve regurgitation with quantitative cardiac magnetic resonance: a comparative study.

作者: Shelby Kutty , Kevin K. Whitehead , Shobha Natarajan , Matthew A. Harris , Gil Wernovsky

DOI: 10.1007/S00246-009-9490-6

关键词:

摘要: This study examined the correlation of echocardiography (ECHO) and Cardiac Magnetic Resonance (CMR) in assessment aortic valve regurgitation (AR) children young adults with congenital heart disease. We hypothesized that qualitative ECHO correlates insufficiently quantitative CMR data compared subjective evaluations objective measurement regurgitant fractions (RF) by CMR. Patients who had both assessments AR within 60 days each other were included. The (mild, moderate, severe) left ventricular dimension at end diastole recorded. RF was quantified using phase-contrast velocity mapping. Repeat review grading performed a blinded single reader randomly chosen subgroup patients. In 43 patients studied, statistical significance observed CMR-RF between mild severe grades. There significant overlap Mild corresponded to an (%) 0-29, moderate 1-40, 5-58. Overlap more Results similar group whom interpreted assessment. conclusion, results derived from real-life multiple-reader laboratory showed inconsistencies AR, wide range objectively measured given grade. is less reliable identifying often overestimating severity. Quantitative potentially useful supplement for management decisions medical surgical therapies AR.

参考文章(26)
Eli Gelfand, Sean Hughes, Thomas Hauser, Susan Yeon, Lois Goepfert, Kraig Kissinger, Neil Rofsky, Warren Manning, Severity of Mitral and Aortic Regurgitation as Assessed by Cardiovascular Magnetic Resonance: Optimizing Correlation with Doppler Echocardiography Journal of Cardiovascular Magnetic Resonance. ,vol. 8, pp. 503- 507 ,(2006) , 10.1080/10976640600604856
Richard C. Semelka, Ernesto Tomei, Stefan Wagner, John Mayo, Gary Caputo, Margaret O'Sullivan, William W. Parmley, Kanu Chatterjee, Christopher Wolfe, Charles B. Higgins, Interstudy reproducibility of dimensional and functional measurements between cine magnetic resonance studies in the morphologically abnormal left ventricle. American Heart Journal. ,vol. 119, pp. 1367- 1373 ,(1990) , 10.1016/S0002-8703(05)80187-5
Shiro Yamachika, Cheryl L. Reid, Devang Savani, Christopher Meckel, James Paynter, Margaret Knoll, Beverly Jamison, Julius M. Gardin, Usefulness of color Doppler proximal isovelocity surface area method in quantitating valvular regurgitation Journal of The American Society of Echocardiography. ,vol. 10, pp. 159- 168 ,(1997) , 10.1016/S0894-7317(97)70089-0
PW Pflugfelder, JS Landzberg, MM Cassidy, MD Cheitlin, NB Schiller, W Auffermann, CB Higgins, Comparison of cine MR imaging with Doppler echocardiography for the evaluation of aortic regurgitation. American Journal of Roentgenology. ,vol. 152, pp. 729- 735 ,(1989) , 10.2214/AJR.152.4.729
Gerard Aurigemma, Nathaniel Reichek, Mark Schiebler, Leon Axel, Evaluation of aortic regurgitation by cardiac cine magnetic resonance imaging: planar analysis and comparison to Doppler echocardiography. The Cardiology. ,vol. 78, pp. 340- 347 ,(1991) , 10.1159/000174815
George P. Chatzimavroudis, John N. Oshinski, Robert H. Franch, Peter G. Walker, Ajit P. Yoganathan, Roderic I. Pettigrew, Evaluation of the precision of magnetic resonance phase velocity mapping for blood flow measurements. Journal of Cardiovascular Magnetic Resonance. ,vol. 3, pp. 11- 19 ,(2001) , 10.1081/JCMR-100000142
Lars Søndergaard, Knud Lindvig, Per Hildebrandt, Carsten Thomsen, Freddy Ståhlberg, Tomas Joen, Ole Henriksen, Quantification of aortic regurgitation by magnetic resonance velocity mapping American Heart Journal. ,vol. 125, pp. 1081- 1090 ,(1993) , 10.1016/0002-8703(93)90117-R
A. S. Pearlman, D. P. Scoblionko, A. K. Saal, Assessment of valvular heart disease by Doppler echocardiography Clinical Cardiology. ,vol. 6, pp. 573- 587 ,(1983) , 10.1002/CLC.4960061202
Gilbert J. Perry, Frederick Helmcke, Navin C. Nanda, Christopher Byard, Benigno Soto, Evaluation of aortic insufficiency by Doppler color flow mapping. Journal of the American College of Cardiology. ,vol. 9, pp. 952- 959 ,(1987) , 10.1016/S0735-1097(87)80254-1