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Measurement of cardiac ventricular volumes using multidetector row computed tomography: comparison of two- and three-dimensional methods

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Abstract

This study compared a three-dimensional volumetric threshold-based method to a two-dimensional Simpson’s rule based short-axis multiplanar method for measuring right (RV) and left ventricular (LV) volumes, stroke volumes, and ejection fraction using electrocardiography-gated multidetector computed tomography (MDCT) data sets. End-diastolic volume (EDV) and end-systolic volume (ESV) of RV and LV were measured independently and blindly by two observers from contrast-enhanced MDCT images using commercial software in 18 patients. For RV and LV the three-dimensionally calculated EDV and ESV values were smaller than those provided by two-dimensional short axis (10%, 5%, 15% and 26% differences respectively). Agreement between the two methods was found for LV (EDV/ESV: r=0.974/0.910, ICC=0.905/0.890) but not for RV (r=0.882/0.930, ICC=0.663/0.544). Measurement errors were significant only for EDV of LV using the two-dimensional method. Similar reproducibility was found for LV measurements, but the three-dimensional method provided greater reproducibility for RV measurements than the two-dimensional. The threshold value supported three-dimensional method provides reproducible cardiac ventricular volume measurements, comparable to those obtained using the short-axis Simpson based method.

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Authors and Affiliations

  1. Unité d’Imagerie Thoracique et Cardiovasculaire, Hôpital Haut-Lévêque, avenue de Magellan, 33600, Pessac, France

    M. Montaudon, O. Corneloup, V. Latrabe & F. Laurent

  2. Laboratoire d’Anatomie Médico-Chirurgicale Appliquée, Université Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076, Bordeaux, France

    M. Montaudon

  3. Service de Médecine Nucléaire, Hôpital Haut-Lévêque, avenue de Magellan, 33600, Pessac, France

    E. Laffon

  4. Laboratoire de Physiologie Cellulaire Respiratoire C.R.I. INSERM 9806, Université Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076, Bordeaux, France

    P. Berger

  5. Département de Radiologie, Université Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076, Bordeaux, France

    F. Laurent

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  1. M. Montaudon
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  2. E. Laffon
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  3. P. Berger
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  4. O. Corneloup
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  5. V. Latrabe
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  6. F. Laurent
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Correspondence to M. Montaudon.

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Montaudon, M., Laffon, E., Berger, P. et al. Measurement of cardiac ventricular volumes using multidetector row computed tomography: comparison of two- and three-dimensional methods. Eur Radiol 16, 2341–2349 (2006). https://doi.org/10.1007/s00330-006-0222-5

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  • DOI: https://doi.org/10.1007/s00330-006-0222-5

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