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The diagnostic impact of 2D- versus 3D- left ventricular volumetry by MRI in patients with suspected heart failure

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5. Conclusion

2D MRI measurements of left ventricular morphological and functional parameters show a good agreement to 3D results, thus may be adequate in a clinical routine. If 2D results reveal clear evidence for pathology in terms of LV dilatation, LVEF reduction, or LV hypertrophy, the positive predictive value may be sufficient in a routine clinical setting. However, the sensitivity to detect LV dilatation. LVEF reduction, and LV hypertrophy is limited. Thus, in equivocal results, possible errors inherent in the 2D method need to be considered in any clinical decision-making. In most of these cases, 3D measurements should be performed. Furthermore, the accuracy may be too low for all parameters in patients with regional wall motion abnormalities. Further investigation needs to be done to overcome the systematic errors observed for 2D measurements.

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Correspondence to Matthias G. Friedrich.

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Friedrich, M.G., Schulz-Menger, J., Strohm, O. et al. The diagnostic impact of 2D- versus 3D- left ventricular volumetry by MRI in patients with suspected heart failure. MAGMA 11, 16–19 (2000).

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