Abstract
Background
Accurate quantification of left ventricular (LV) volumes [end-diastolic volume (EDV) and end-systolic volume (ESV)] and ejection fraction (EF) is of critical importance. The development of real-time three-dimensional echocardiography (RT3DE) has shown better correlation than two-dimensional (2D) echocardiography with magnetic resonance imaging (MRI) measurements. The aim of our study was to assess the accuracy of RT3DE and 64-slice computed tomography (CT) in the evaluation of LV volumes and function using MRI as the reference standard in a real-world population with various types of heart disease with different chamber geometry.
Methods
The study population consisted of 66 patients referred for cardiac MRI for various pathologies. All patients underwent cardiac MRI, and RT3DE and 64 slices CT were then performed on a subsequent day. The study population was then divided into 5 clinical groups depending on the underlying heart disease.
Results
RT3DE volumes correlated well with MRI values (R 2 values: 0.90 for EDV and 0.94 for ESV). RT3DE measurements of EF correlated well with MRI values (R 2 = 0.86). RT3DE measurements resulted in slightly underestimated values of both EDV and ESV, as reflected by biases of −9.18 and −4.50 mL, respectively. Comparison of RT3DE and MRI in various types of cardiomyopathies showed no statistical difference between different LV geometrical patterns.
Conclusion
These results confirm that RT3DE has good accuracy in everyday clinical practice and can be of clinical utility in all types of cardiomyopathy independently of LV geometric pattern, LV diameter or wall thickness, taking into account a slight underestimation of LV volumes and EF compared to MRI.
Similar content being viewed by others
References
Gopal AS, Schnellbaecher MJ, Shen Z, et al. Freehand three-dimensional echocardiography for determination of left ventricular volume and mass in patients with abnormal ventricles: comparison with magnetic resonance imaging. J Am Soc Echocardiogr. 1997;10:853–61.
King DL, Gopal AS, Sapin PM, et al. Three-dimensional echocardiography. Am J Card Imaging. 1993;7:209–20.
Jiang L, Vazquez de Prada JA, Handschumacher MD, et al. Quantitative three-dimensional reconstruction of aneurysmal left ventricles: in vitro and in vivo validation. Circulation. 1995;91:222–30.
Hozumi T, Yoshikawa J, Yoshida K, et al. Three-dimensional echocardiographic measurement of left ventricular volumes and ejection fraction using a multiplane transesophageal probe in patients. Am J Cardiol. 1996;78:1077–80.
Mele D, Maehle J, Pedini I, et al. Three-dimensional echocardiographic reconstruction: description and applications of a simplified technique for quantitative assessment of left ventricular size and function. Am J Cardiol. 1998;81:107G–10G.
Sugeng L, Weinert L, Lang RM. Left ventricular assessment using real time three dimensional echocardiography. Heart. 2003;89(Suppl 3):iii29–36.
Zeidan Z, Erbel R, Barkhausen J, et al. Analysis of global systolic and diastolic left ventricular performance using volume-time curves by real time three-dimensional echocardiography. J Am Soc Echocardiogr. 2003;16:29–37.
Collins M, Hsieh A, Ohazama CJ, et al. Assessment of regional wall motion abnormalities with real-time 3-dimensional echocardiography. J Am Soc Echocardiogr. 1999;12:7–14.
Jenkins C, Bricknell K, Hanekom L, et al. Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography. J Am Coll Cardiol. 2004;44:878–86.
Picard MH, Popp RL, Weymann AE. Assessment of left ventricular function by echocardiography: a technique in evolution. J Am Soc Echocardiogr. 2009;21(1):14–21.
Sugeng L, Mor-Avi V, Weinert L, et al. Quantitative assessment of left ventricular size and function: side-by-side comparison of real-time three-dimensional echocardiography and computed tomography with magnetic resonance reference. Circulation. 2006;114:654–61.
Nesser HJ, Sugeng L, Corsi C, et al. Volumetric analysis of regional left ventricular function with real-time three-dimensional echocardiography: validation by magnetic resonance and clinical utility testing. Heart. 2007;93:572–8.
Grude M, Juergens KU, Wichter T, et al. Evaluation of global left ventricular function with electrocardiogram-gated multidetector computed tomography: comparison with magnetic resonance imaging. Investig Radiol. 2003;38:653–61.
Juergens KU, Grude M, Maintz D, et al. Multi-detector row CT of left ventricular function with dedicated analysis software versus MR imaging: initial experience. Radiology. 2004;230:403–10.
Mahnken AH, Katoh M, Bruners P, et al. Acute myocardial infarction: assessment of left ventricular function with 16-detector row spiral CT versus MR imaging: study in pigs. Radiology. 2005;236:112–7.
Mahnken AH, Koos R, Katoh M, et al. Sixteen-slice spiral CT versus MR imaging for the assessment of left ventricular function in acute myocardial infarction. Eur Radiol. 2005;15:714–20.
Salm LP, Schuijff JD, de Roose A, et al. Global and regional left ventricular function assessment with 16-detector row CT: comparison with echocardiography and cardiovascular magnetic resonance. Eur J Echocardiogr. 2005;7:308–14.
Ray SG, Metcalfe MJ, Oldroyd KG, et al. Do radionuclide and echocardiographic techniques give a universal cutoff value for left ventricular ejection fraction that can be used to select patients for treatment with ACE inhibitors after myocardial infarction? Br Heart J. 1995;73:466–9.
Bellenger NG, Burgess MI, Ray SG, et al. Comparison of left ventricular ejection fraction and volumes in heart failure by echocardiography, radionuclide ventriculography and cardiovascular magnetic resonance. Are they interchangeable? Eur Heart J. 2000;21(16):1387–96.
Jenkins C, Moir S, Chan J, et al. Left ventricular volume measurement with echocardiography: a comparison of left ventricular opacification, three-dimensional echocardiography, or both with magnetic resonance imaging. Eur Heart J. 2009;30(1):98–106.
Greupner J, Zimmermann E, Grohmann A, et al. Head-to-head comparison of left ventricular function assessment with 64-row computed tomography, biplane left cineventriculography, and both 2- and 3-dimensional transthoracic echocardiography: comparison with magnetic resonance imaging as the reference standard. J Am Coll Cardiol. 2012;59(21):1897–907.
Kuhl HP, Schreckenberg M, Rulands D, et al. High-resolution transthoracic real-time three-dimensional echocardiography: quantitation of cardiac volumes and function using semi-automated border detection and comparison with cardiac magnetic resonance imaging. J Am Coll Cardiol. 2004;43:2083–90.
Mor-Avi V, Sugeng L, Weinert L, et al. Fast measurement of left ventricular mass with real-time three-dimensional echocardiography: comparison with magnetic resonance imaging. Circulation. 2004;110:1814–8.
Caiani EG, Corsi C, Zamorano J, et al. Improved semi-automated quantification of left ventricular volumes and ejection fraction using high-resolution real-time three-dimensional echocardiography: comparison with MRI. J Am Soc Echocardiogr. 2005;18:779–88.
Chuang ML, Hibberd MG, Salton CJ, et al. Importance of imaging method over imaging modality in noninvasive determination of left ventricular volumes and ejection fraction: assessment by two- and three-dimensional echocardiography and magnetic resonance imaging. J Am Coll Cardiol. 2000;35:477–84.
Acknowledgments
The study did not receive any funding or research contracts.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Human rights statements and informed consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revisions. Informed consent was obtained from all patients for being included in the study.
Rights and permissions
About this article
Cite this article
Squeri, A., Censi, S., Reverberi, C. et al. Three-dimensional echocardiography in various types of heart disease: a comparison study of magnetic resonance imaging and 64-slice computed tomography in a real-world population . J Echocardiogr 15, 18–26 (2017). https://doi.org/10.1007/s12574-016-0315-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12574-016-0315-3