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Evaluation of right ventricular volume and mass using retrospective ECG-gated cardiac multidetector computed tomography: comparison with first-pass radionuclide angiography

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Abstract

The purposes of this study were to evaluate the right ventricular (RV) volume and mass using cardiac multidetector computed tomography (MDCT) and to compare the cardiac MDCT results with those from first-pass radionuclide angiography (FPRA). Twenty patients were evaluated for the RV end-diastolic volume (RVEDV), the RV end-systolic volume (RVESV), the RV ejection fraction (RVEF), and RV mass using cardiac MDCT with a two-phase reconstruction method based on ECG. The end-diastolic phase was reconstructed at the starting point of the QRS complex on ECG, and the end-systolic phase was reconstructed at the halfway point of the ascending T-wave on ECG. The RV mass was measured for the end-systole. The RVEF was also obtained by FPRA. The mean RVEF (47±7%) measured by cardiac MDCT was well correlated with that (44±6%) measured by FPRA (r=0.854). A significant difference in the mean RVEF was found between cardiac MDCT and FPRA (p=0.001), with an overestimation of 2.9±5.3% by cardiac MDCT versus FPRA. The interobserver variability was 4.4% for the RVEDV, 6.8% for the RVESV, and 7.9% for the RV mass, respectively. Cardiac MDCT is relatively simple and allows the RV volume and mass to be assessed, and the RVEF obtained by cardiac MDCT correlates well with that measured by FPRA.

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Acknowledgement

This work was supported by Yonsei University Research Fund of 2004.

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Authors and Affiliations

  1. Department of Radiology, Yonsei University College of Medicine, Seoul, 135-720, South Korea

    Tae Hoon Kim, Young Hoon Ryu, Jin Hur, Sang Jin Kim, Hyun Soo Kim & Byoung Wook Choi

  2. Department of Pulmonology, Yonsei University College of Medicine, Seoul, 135-720, South Korea

    Young Kim & Hyung Jung Kim

  3. Department of Radiology, Yongdong Severance Hospital, 146-92 Dogok-Dong, Kangnam-Ku, Seoul, 135-720, South Korea

    Tae Hoon Kim

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  1. Tae Hoon Kim
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Correspondence to Tae Hoon Kim.

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Kim, T.H., Ryu, Y.H., Hur, J. et al. Evaluation of right ventricular volume and mass using retrospective ECG-gated cardiac multidetector computed tomography: comparison with first-pass radionuclide angiography. Eur Radiol 15, 1987–1993 (2005). https://doi.org/10.1007/s00330-005-2716-y

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  • DOI: https://doi.org/10.1007/s00330-005-2716-y

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