TY - JOUR
T1 - Reliability of single breath hold three-dimensional cine kat-ARC for the assessment of biventricular dimensions and function
AU - Muscogiuri, Giuseppe
AU - Gatti, Marco
AU - Dell'Aversana, Serena
AU - Pica, Silvia
AU - Andreini, Daniele
AU - Guaricci, Andrea I
AU - Guglielmo, Marco
AU - Baggiano, Andrea
AU - Mushtaq, Saima
AU - Conte, Edoardo
AU - Gripari, Paola
AU - Annoni, Andrea
AU - Formenti, Alberto
AU - Mancini, Maria Elisabetta
AU - Rabbat, Mark G
AU - Pepi, Mauro
AU - Pontone, Gianluca
N1 - Copyright © 2020 Elsevier B.V. All rights reserved.
PY - 2020/3
Y1 - 2020/3
N2 - PURPOSE: To assess the accuracy and reproducibility of 3D-cine k-adaptative-t-autocalibrating reconstruction for cartesian sampling (3D cine kat-ARC) for quantification of biventricular volumes, ejection fraction and LV mass in clinical practice.METHOD: 74 patients underwent cardiac magnetic resonance for clinical indications. In the whole population 3D cine kat-ARC and 2D cine bSSFP images were acquired on short axis view. Subsequently, the population was divided in three subgroups (dilated, hypetrophic, other phenotypes). Two experienced observers performed analysis of volumes, biventricular function and left ventricular mass in the overall population and subgroups using an off-line workstation. Statistical analysis was performed using Student's t-test, linear regression and Bland-Altman plot, correlation coefficient η2 and the intraclass correlation coefficient (ICC). A cut-off value of p < 0.05 was considered statistically significant.RESULTS: Biventricular volumes, function and left ventricular mass evaluated with 3D cine kat-ARC sequences did not show any significant difference compared to 2D bSSFP sequences in the overall population (p > 0.05). Bland-Altman analysis showed limited bias and narrow limits of the agreement for all measurements in overall population. Subgroup analysis showed a statistically significant difference (p = 0.04) for left ventricular ejection fraction (LVEF) in patients with a dilated phenotype; showing a minimum overestimation tendency for 3D cine kat ARC (2D cine bSSFP LVEF = 46.44 ± 15.83% vs 3D cine kat-ARC LVEF = 48.36 ± 16.50 %).CONCLUSIONS: 3D cine kat-ARC 3D sequences allow an accurate evaluation of biventricular volumes and function in a single breath hold.
AB - PURPOSE: To assess the accuracy and reproducibility of 3D-cine k-adaptative-t-autocalibrating reconstruction for cartesian sampling (3D cine kat-ARC) for quantification of biventricular volumes, ejection fraction and LV mass in clinical practice.METHOD: 74 patients underwent cardiac magnetic resonance for clinical indications. In the whole population 3D cine kat-ARC and 2D cine bSSFP images were acquired on short axis view. Subsequently, the population was divided in three subgroups (dilated, hypetrophic, other phenotypes). Two experienced observers performed analysis of volumes, biventricular function and left ventricular mass in the overall population and subgroups using an off-line workstation. Statistical analysis was performed using Student's t-test, linear regression and Bland-Altman plot, correlation coefficient η2 and the intraclass correlation coefficient (ICC). A cut-off value of p < 0.05 was considered statistically significant.RESULTS: Biventricular volumes, function and left ventricular mass evaluated with 3D cine kat-ARC sequences did not show any significant difference compared to 2D bSSFP sequences in the overall population (p > 0.05). Bland-Altman analysis showed limited bias and narrow limits of the agreement for all measurements in overall population. Subgroup analysis showed a statistically significant difference (p = 0.04) for left ventricular ejection fraction (LVEF) in patients with a dilated phenotype; showing a minimum overestimation tendency for 3D cine kat ARC (2D cine bSSFP LVEF = 46.44 ± 15.83% vs 3D cine kat-ARC LVEF = 48.36 ± 16.50 %).CONCLUSIONS: 3D cine kat-ARC 3D sequences allow an accurate evaluation of biventricular volumes and function in a single breath hold.
KW - Adult
KW - Aged
KW - Breath Holding
KW - Female
KW - Heart Ventricles/diagnostic imaging
KW - Humans
KW - Image Interpretation, Computer-Assisted/methods
KW - Imaging, Three-Dimensional/methods
KW - Magnetic Resonance Imaging, Cine/methods
KW - Male
KW - Middle Aged
KW - Reproducibility of Results
KW - Ventricular Dysfunction/diagnostic imaging
U2 - 10.1016/j.ejrad.2020.108820
DO - 10.1016/j.ejrad.2020.108820
M3 - Article
C2 - 31951894
VL - 124
SP - 108820
JO - European Journal of Radiology
JF - European Journal of Radiology
SN - 0720-048X
ER -