Automatic quantification of aortic regurgitation using 3D full volume color doppler echocardiography: a validation study with cardiac magnetic resonance imaging

详细信息    查看全文

• 作者：Jaehuk Choi ; Geu-Ru Hong ; Minji Kim…
• 关键词：Aortic valve regurgitation ; Echocardiography ; 3 ; dimensional
• 刊名：The International Journal of Cardiovascular Imaging (formerly Cardiac Imaging)
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：31
• 期：7
• 页码：1379-1389
• 全文大小：1,362 KB
• 参考文献：1.Bonow RO, Carabello BA, Chatterjee K et al (2008) 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task force on practice guidelines (writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52(13):e1-42CrossRef PubMed
  2.Vahanian A, Alfieri O, Andreotti F et al (2012) Guidelines on the management of valvular heart disease (version 2012). Eur Heart J 33(19):2451-496CrossRef PubMed
  3.Lancellotti P, Tribouilloy C, Hagendorff A et al (2010) European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 1: aortic and pulmonary regurgitation (native valve disease). Eur J Echocardiogr 11(3):223-44CrossRef PubMed
  4.Zoghbi WA, Enriquez-Sarano M, Foster E et al (2003) Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr 16(7):777-02CrossRef PubMed
  5.Lancellotti P, Moura L, Pierard LA et al (2010) European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr 11(4):307-32CrossRef PubMed
  6.Pouleur AC, le de Waroux JBP, Goffinet C et al (2008) Accuracy of the flow convergence method for quantification of aortic regurgitation in patients with central versus eccentric jets. Am J Cardiol 102(4):475-80CrossRef PubMed
  7.Pirat B, Little SH, Igo SR et al (2009) Direct measurement of proximal isovelocity surface area by real-time three-dimensional color Doppler for quantitation of aortic regurgitant volume: an in vitro validation. J Am Soc Echocardiogr 22(3):306-13PubMed Central CrossRef PubMed
  8.Son JW, Chang HJ, Lee JK et al (2013) Automated quantification of mitral regurgitation by three dimensional real time full volume color Doppler transthoracic echocardiography: a validation with cardiac magnetic resonance imaging and comparison with two dimensional quantitative methods. J Cardiovasc Ultrasound 21(2):81-9PubMed Central CrossRef PubMed
  9.Lang RM, Badano LP, Tsang W et al (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. Eur Heart J Cardiovasc Imaging 13(1):1-6CrossRef PubMed
  10.Muraru D, Badano LP, Vannan M, Iliceto S (2012) Assessment of aortic valve complex by three-dimensional echocardiography: a framework for its effective application in clinical practice. Eur Heart J Cardiovasc Imaging 13(7):541-55CrossRef PubMed
  11.Lodato JA, Weinert L, Baumann R et al (2007) Use of 3-dimensional color Doppler echocardiography to measure stroke volume in human beings: comparison with thermodilution. J Am Soc Echocardiogr 20(2):103-12CrossRef PubMed
  12.Pemberton J, Li X, Karamlou T et al (2005) The use of live three-dimensional Doppler echocardiography in the measurement of cardiac output: an in vivo animal study. J Am Coll Cardiol 45(3):433-38CrossRef PubMed
  13.Schmidt FP, Gniewosz T, Jabs A et al (2014) Usefulness of 3D-PISA as compared to guideline endorsed parameters for mitral regurgitation quantification. Int J Cardiovasc Imaging 30(8):1501-508CrossRef PubMed
  14.Choi J, Heo R, Hong GR et al (2014) Differential effect of 3-dimensional color Doppler echocardiography for the quantification of mitral regurgitation according to the severity and characteristics. Circ Cardiovasc Imaging 7(3):535-44CrossRef PubMed
  15.Thavendiranathan P, Liu S, Datta S et al (2012) Automated quantification of mitral inflow and aortic outflow stroke volumes by three-dimensional real-time volume color-flow Doppler transthoracic echocardiography: comparison with pulsed-wave Doppler and cardiac magnetic resonance imaging. J Am Soc Echocardiogr 25(1):56-5CrossRef PubMed
  16.Lancellotti P, Tribouilloy C, Hagendorff A et al (2013) Recommendations for the echocardiographic assessment of native valvular regurgitation: an executive summary from the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 14(7):611-44CrossRef PubMed
  17.Lang RM, Bierig M, Devereux RB et al (2005) Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 18(12):1440-463CrossRef PubMed
  18.Zheng Y, Barbu A, Georgescu B, Scheuering M, Comaniciu D (2008) Four-chamber heart modeling and automatic segmentation for 3-D cardiac CT
• 作者单位：Jaehuk Choi (1)
  Geu-Ru Hong (2)
  Minji Kim (3)
  In Jeong Cho (2)
  Chi Young Shim (2)
  Hyuk-Jae Chang (2)
  Joel Mancina (4)
  Jong-Won Ha (2)
  Namsik Chung (2)
  
  1. Division of Cardiology, College of Medicine, Hangang Sacred Heart Hospital, Hallym University, Chuncheon, South Korea
  2. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, South Korea
  3. School of Medicine, University of Queensland, Herston, QLD, Australia
  4. Ultrasound Division, Siemens Medical Solutions USA Inc., Mountain View, CA, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  
• 出版者：Springer Netherlands
• ISSN：1573-0743

文摘

Recent advances in real-time three-dimensional (3D) echocardiography provide the automated measurement of mitral inflow and aortic stroke volume without the need to assume the geometry of the heart. The aim of this study is to explore the ability of 3D full volume color Doppler echocardiography (FVCDE) to quantify aortic regurgitation (AR). Thirty-two patients with more than a moderate degree of AR were enrolled. AR volume was measured by (1) two-dimensional-CDE, using the proximal isovelocity surface area (PISA) and (2) real-time 3D-FVCDE with (3) phase-contrast cardiac magnetic resonance imaging (PC-CMR) as the reference method. Automated AR quantification using 3D-FVCDE was feasible in 30 of the 32 patients. 2D-PISA underestimated the AR volume compared to 3D-FVCDE and PC-CMR (38.6 ± 9.9 mL by 2D-PISA; 49.5 ± 10.2 mL by 3D-FVCDE; 52.3 ± 12.6 mL by PC-CMR). The AR volume assessed by 3D-FVCDE showed better correlation and agreement with PC-CMR (r = 0.93, p < 0.001, 2SD: 9.5 mL) than did 2D-PISA (r = 0.76, p < 0.001, 2SD: 15.7 mL). When used to classify AR severity, 3D-FVCDE agreed better with PC-CMR (k = 0.94) than did 2D-PISA (k = 0.53). In patients with eccentric jets, only 30 % were correctly graded by 2D-PISA. Conversely, almost all patients with eccentric jets (86.7 %) were correctly graded by 3D-FVCDE. In patients with multiple jets, only 3 out of 10 were correctly graded by 2D-PISA, while 3D-FVCDE correctly graded 9 out of 10 of these patients. Automated quantification of AR using the 3D-FVCDE method is clinically feasible and more accurate than the current 2D-based method. AR quantification by 2D-PISA significantly misclassified AR grade in patients with eccentric or multiple jets. This study demonstrates that 3D-FVCDE is a valuable tool to accurately measure AR volume regardless of AR characteristics. Keywords Aortic valve regurgitation Echocardiography 3-dimensional