Assessment of left ventricular function: Comparison of cardiac multidetector-row computed tomography with two-dimension standard echocardiography for assessment of left ventricular function

Darpan Bansal, Robin M. Singh, Mrinalini Sarkar, Ravi Sureddi, Kelly C. Mcbreen, Timothy Griffis, Anjan Sinha, Jawahar L. Mehta

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: To compare global Left Ventricular (LV) systolic function assessment by 16-detector row Computed Tomography (MDCT) with Two-Dimensional Standard Echocardiography (2DSE) in a routine cardiology practice setting and to ascertain the degree of correlation between LV volumes and measurements obtained by 2DSE with those measured by MDCT. Methods: In 52 patients with suspected coronary artery disease, a contrast enhanced MDCT study was performed using retrospective gating without dose modulation for better endocardial delineation. Eight phases of the cardiac cycle were analyzed to identify the end-diastolic and end-systolic phases. 2DSE was performed on the same day. Left ventricular systolic and diastolic volumes and ejection fraction were calculated in 4-chamber, 2-chamber and biplane (average of the two) views. Endocardial tracing was used to measure ventricular volumes by area length method for CT and Simpson's method for echocardiography. Results: On MDCT, mean LV ejection fraction (LVEF) in 4-chamber, 2-chamber and biplane views were 58.4 ± 12, 59.3 ± 12 and 59.7 ± 12% respectively. On 2DSE, mean LVEF in 4-chamber, 2-chamber and biplane views were 58 ± 14, 57 ± 16 and 58 ± 13% respectively. LVEF correlated best using the biplane views (r = 0.59 and P <0.01) compared to 2-chamber (r = 0.57 and P <0.01) and 4-chamber views (r = 0.32 and P = 0.02). Biplane measurement by these two techniques correlated well for LV volumes in both diastole (r = 0.69 and P <0.01) and systole (r = 0.73 and P <0.01), although MDCT consistently gave higher values. Conclusions: MDCT can be a useful tool to measure LVEF while patients are undergoing CT coronary angiography.

Original languageEnglish (US)
Pages (from-to)317-325
Number of pages9
JournalInternational Journal of Cardiovascular Imaging
Volume24
Issue number3
DOIs
StatePublished - 2008
Externally publishedYes

Fingerprint

Multidetector Computed Tomography
Left Ventricular Function
Echocardiography
Diastole
Systole
Cardiology
Coronary Angiography
Stroke Volume
Coronary Artery Disease
Tomography

Keywords

  • Computed tomography
  • Echocardiography
  • Left ventricular ejection fraction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine
  • Radiological and Ultrasound Technology

Cite this

Assessment of left ventricular function : Comparison of cardiac multidetector-row computed tomography with two-dimension standard echocardiography for assessment of left ventricular function. / Bansal, Darpan; Singh, Robin M.; Sarkar, Mrinalini; Sureddi, Ravi; Mcbreen, Kelly C.; Griffis, Timothy; Sinha, Anjan; Mehta, Jawahar L.

In: International Journal of Cardiovascular Imaging, Vol. 24, No. 3, 2008, p. 317-325.

Research output: Contribution to journalArticle

Bansal, Darpan ; Singh, Robin M. ; Sarkar, Mrinalini ; Sureddi, Ravi ; Mcbreen, Kelly C. ; Griffis, Timothy ; Sinha, Anjan ; Mehta, Jawahar L. / Assessment of left ventricular function : Comparison of cardiac multidetector-row computed tomography with two-dimension standard echocardiography for assessment of left ventricular function. In: International Journal of Cardiovascular Imaging. 2008 ; Vol. 24, No. 3. pp. 317-325.
@article{f2a42010a08b4aa39a7f144b84c9c3fe,
title = "Assessment of left ventricular function: Comparison of cardiac multidetector-row computed tomography with two-dimension standard echocardiography for assessment of left ventricular function",
abstract = "Objective: To compare global Left Ventricular (LV) systolic function assessment by 16-detector row Computed Tomography (MDCT) with Two-Dimensional Standard Echocardiography (2DSE) in a routine cardiology practice setting and to ascertain the degree of correlation between LV volumes and measurements obtained by 2DSE with those measured by MDCT. Methods: In 52 patients with suspected coronary artery disease, a contrast enhanced MDCT study was performed using retrospective gating without dose modulation for better endocardial delineation. Eight phases of the cardiac cycle were analyzed to identify the end-diastolic and end-systolic phases. 2DSE was performed on the same day. Left ventricular systolic and diastolic volumes and ejection fraction were calculated in 4-chamber, 2-chamber and biplane (average of the two) views. Endocardial tracing was used to measure ventricular volumes by area length method for CT and Simpson's method for echocardiography. Results: On MDCT, mean LV ejection fraction (LVEF) in 4-chamber, 2-chamber and biplane views were 58.4 ± 12, 59.3 ± 12 and 59.7 ± 12{\%} respectively. On 2DSE, mean LVEF in 4-chamber, 2-chamber and biplane views were 58 ± 14, 57 ± 16 and 58 ± 13{\%} respectively. LVEF correlated best using the biplane views (r = 0.59 and P <0.01) compared to 2-chamber (r = 0.57 and P <0.01) and 4-chamber views (r = 0.32 and P = 0.02). Biplane measurement by these two techniques correlated well for LV volumes in both diastole (r = 0.69 and P <0.01) and systole (r = 0.73 and P <0.01), although MDCT consistently gave higher values. Conclusions: MDCT can be a useful tool to measure LVEF while patients are undergoing CT coronary angiography.",
keywords = "Computed tomography, Echocardiography, Left ventricular ejection fraction",
author = "Darpan Bansal and Singh, {Robin M.} and Mrinalini Sarkar and Ravi Sureddi and Mcbreen, {Kelly C.} and Timothy Griffis and Anjan Sinha and Mehta, {Jawahar L.}",
year = "2008",
doi = "10.1007/s10554-007-9252-6",
language = "English (US)",
volume = "24",
pages = "317--325",
journal = "International Journal of Cardiac Imaging",
issn = "0167-9899",
publisher = "Springer Netherlands",
number = "3",

}

TY - JOUR

T1 - Assessment of left ventricular function

T2 - Comparison of cardiac multidetector-row computed tomography with two-dimension standard echocardiography for assessment of left ventricular function

AU - Bansal, Darpan

AU - Singh, Robin M.

AU - Sarkar, Mrinalini

AU - Sureddi, Ravi

AU - Mcbreen, Kelly C.

AU - Griffis, Timothy

AU - Sinha, Anjan

AU - Mehta, Jawahar L.

PY - 2008

Y1 - 2008

N2 - Objective: To compare global Left Ventricular (LV) systolic function assessment by 16-detector row Computed Tomography (MDCT) with Two-Dimensional Standard Echocardiography (2DSE) in a routine cardiology practice setting and to ascertain the degree of correlation between LV volumes and measurements obtained by 2DSE with those measured by MDCT. Methods: In 52 patients with suspected coronary artery disease, a contrast enhanced MDCT study was performed using retrospective gating without dose modulation for better endocardial delineation. Eight phases of the cardiac cycle were analyzed to identify the end-diastolic and end-systolic phases. 2DSE was performed on the same day. Left ventricular systolic and diastolic volumes and ejection fraction were calculated in 4-chamber, 2-chamber and biplane (average of the two) views. Endocardial tracing was used to measure ventricular volumes by area length method for CT and Simpson's method for echocardiography. Results: On MDCT, mean LV ejection fraction (LVEF) in 4-chamber, 2-chamber and biplane views were 58.4 ± 12, 59.3 ± 12 and 59.7 ± 12% respectively. On 2DSE, mean LVEF in 4-chamber, 2-chamber and biplane views were 58 ± 14, 57 ± 16 and 58 ± 13% respectively. LVEF correlated best using the biplane views (r = 0.59 and P <0.01) compared to 2-chamber (r = 0.57 and P <0.01) and 4-chamber views (r = 0.32 and P = 0.02). Biplane measurement by these two techniques correlated well for LV volumes in both diastole (r = 0.69 and P <0.01) and systole (r = 0.73 and P <0.01), although MDCT consistently gave higher values. Conclusions: MDCT can be a useful tool to measure LVEF while patients are undergoing CT coronary angiography.

AB - Objective: To compare global Left Ventricular (LV) systolic function assessment by 16-detector row Computed Tomography (MDCT) with Two-Dimensional Standard Echocardiography (2DSE) in a routine cardiology practice setting and to ascertain the degree of correlation between LV volumes and measurements obtained by 2DSE with those measured by MDCT. Methods: In 52 patients with suspected coronary artery disease, a contrast enhanced MDCT study was performed using retrospective gating without dose modulation for better endocardial delineation. Eight phases of the cardiac cycle were analyzed to identify the end-diastolic and end-systolic phases. 2DSE was performed on the same day. Left ventricular systolic and diastolic volumes and ejection fraction were calculated in 4-chamber, 2-chamber and biplane (average of the two) views. Endocardial tracing was used to measure ventricular volumes by area length method for CT and Simpson's method for echocardiography. Results: On MDCT, mean LV ejection fraction (LVEF) in 4-chamber, 2-chamber and biplane views were 58.4 ± 12, 59.3 ± 12 and 59.7 ± 12% respectively. On 2DSE, mean LVEF in 4-chamber, 2-chamber and biplane views were 58 ± 14, 57 ± 16 and 58 ± 13% respectively. LVEF correlated best using the biplane views (r = 0.59 and P <0.01) compared to 2-chamber (r = 0.57 and P <0.01) and 4-chamber views (r = 0.32 and P = 0.02). Biplane measurement by these two techniques correlated well for LV volumes in both diastole (r = 0.69 and P <0.01) and systole (r = 0.73 and P <0.01), although MDCT consistently gave higher values. Conclusions: MDCT can be a useful tool to measure LVEF while patients are undergoing CT coronary angiography.

KW - Computed tomography

KW - Echocardiography

KW - Left ventricular ejection fraction

UR - http://www.scopus.com/inward/record.url?scp=45149083745&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=45149083745&partnerID=8YFLogxK

U2 - 10.1007/s10554-007-9252-6

DO - 10.1007/s10554-007-9252-6

M3 - Article

C2 - 17701445

AN - SCOPUS:45149083745

VL - 24

SP - 317

EP - 325

JO - International Journal of Cardiac Imaging

JF - International Journal of Cardiac Imaging

SN - 0167-9899

IS - 3

ER -