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Assessment of ventricular structure and function with multidetector CT and MRI

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Abstract

Accurate, noninvasive assessment of ventricular function is fundamental to providing excellent care to patients with cardiovascular diseases. Three-dimensional imaging using cardiac magnetic resonance (CMR) permits the measurement of ventricular structure and function with such precision and accuracy that it now serves as the standard of reference for this purpose. Multidetector CT (MDCT) permits similar three-dimensional reconstruction and measurement of ventricular function. Available data indicate there is good agreement between MDCT and CMR measurements of ventricular function. Patients with cardiomyopathy and distorted ventricles stand to benefit the most from these techniques, particularly with the possibility of combined noninvasive angiography and systolic function assessment with MDCT.

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References and Recommended Reading

  1. Cerqueira MD, Weissman NJ, Dilsizian V, et al.: Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation 2002, 105:539–542.

    Article  PubMed  Google Scholar 

  2. Savino G, Zwerner P, Herzog C, et al.: CT of cardiac function. J Thorac Imaging 2007, 22:86–100.

    Article  PubMed  Google Scholar 

  3. Ritchie CJ, Godwin DJ, Crawford CR, et al.: Minimum scan speeds for suppression of motion artifacts in CT. Radiology 1992, 185:37–42.

    PubMed  CAS  Google Scholar 

  4. Pennel DJ, Sechtem UP, Higgins CB, et al.: Clinical indications for cardiovascular magnetic resonance (CMR): consensus panel report. Eur Heart J 2004, 25:1940–1965.

    Article  Google Scholar 

  5. Kuo PH, Kanal E, Abu-Alfa AK, Cowper SE: Gadolinium-based MR contrast agents and nephrogenic systemic fibrosis. Radiology 2007, 242:647–649.

    Article  PubMed  Google Scholar 

  6. Lawson MA, Blackwell GG, Davis ND, et al.: Accuracy of biplane long-axis left ventricular volume determined by cine magnetic resonance imaging in patients with regional and global dysfunction Am J Cardiol 1996, 77:1098–1104.

    Article  PubMed  CAS  Google Scholar 

  7. Myerson SG, Bellenger NG, Pennell DJ: Assessment of left ventricular mass by cardiovascular magnetic resonance. Hypertension 2002, 39:750–755.

    Article  PubMed  CAS  Google Scholar 

  8. Lima JA, Desai MY: Cardiovascular magnetic resonance imaging: current and emerging applications. J Am Coll Cardiol 2004, 44:1164–1171.

    Article  PubMed  Google Scholar 

  9. Mahnken AH, Spuentrup E Niethammer M, et al.: Quantitative and qualitative assessment of left ventricular volume with ECG-gated multislice spiral CT: value of different image reconstruction algorithms in comparison to MRI. Acta Radiol 2003, 44:604–611.

    Article  PubMed  CAS  Google Scholar 

  10. Mahnken AH, Spuntrup E, Wildberger JE, et al.: Quantification of cardiac function with multislice spiral CT using retrospective EKG-gating: comparison with MRI. Rofo 2003, 175:83–88.

    PubMed  CAS  Google Scholar 

  11. Halliburton SS, Petersilka M, Schvartzman PR, et al.: Evaluation of left ventricular dysfunction using multiphasic reconstructions of coronary multi-slice computed tomography data in patients with chronic ischemic heart disease: validation against cine magnetic resonance imaging. Int J Cardiovasc Imaging 2003, 19:73–83.

    Article  PubMed  Google Scholar 

  12. Belge B, Coche E, Pasquet A, et al.: Accurate estimation of global and regional cardiac function by retrospectively gated multidetector row computed tomography: comparison with cine magnetic resonance imaging. Eur Radiol 2006, 16:1424–1433.

    Article  PubMed  Google Scholar 

  13. Schlosser T, Mohrs OK, Magedanz A, et al.: Assessment of left ventricular function and mass in patients undergoing computed tomography (CT) coronary angiography using 64-detector-row CT: comparison to magnetic resonance imaging. Acta Radiol 2007, 48:30–35.

    Article  PubMed  CAS  Google Scholar 

  14. Grude M, Juergens KU, Wichter T, et al.: Evaluation of global left ventricular myocardial function with electrocardiogram-gated multidetector computed tomography: comparison with magnetic resonance imaging. Invest Radiol 2003, 38:653–661.

    Article  PubMed  Google Scholar 

  15. Schlosser T, Pagonidis K, Herborn CU, et al.: Assessment of left ventricular parameters using 16-MDCT and new software for endocardial and epicardial border delineation. AJR Am J Roentgenol 2005, 184:765–773.

    PubMed  Google Scholar 

  16. 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, 230:403–410.

    Article  PubMed  Google Scholar 

  17. Friedman MJ, Tempkin LP Goldman S, et al.: Effects of propranolol on resting and postextrasystolic potentiated left ventricular function in patients with coronary artery disease. Am Heart J 1983, 105:81–89.

    Article  PubMed  CAS  Google Scholar 

  18. Dehmer GJ, Falkoff M, Lewis SE, et al.: Effect of oral propranolol on rest and exercise left ventricular ejection fraction, volumes, and segmental wall motion in patients with angina pectoris. Assessment with equilibrium gated blood pool imaging. Br Heart J 1981, 45:656–666.

    Article  PubMed  CAS  Google Scholar 

  19. Bonow RO, Bennett S, Casey DE Jr: ACC/AHA Clinical Performance Measures for Adults with Chronic Heart Failure: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Heart Failure Clinical Performance Measures): endorsed by the Heart Failure Society of America. Circulation 2005, 112:1853–1887.

    Article  PubMed  Google Scholar 

  20. Andreini D, Pontone G, Pepi M, et al.: Diagnostic accuracy of multidetector computed tomography coronary angiography in patients with dilated cardiomyopathy. J Am Coll Cardiol 2007, 49:2044–2050.

    Article  PubMed  Google Scholar 

  21. Fischbach R, Juergens KU, Ozgun M, et al.: Assessment of regional left ventricular function with multidetector-row computed tomography versus magnetic resonance imaging. Eur Radiol 2007 17:1009–1017.

    Article  PubMed  Google Scholar 

  22. 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, 21:1387–1396.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. The Johns Hopkins Hospital, Blalock 524, 600 North Wolfe Street, Baltimore, MD, 21287, USA

    Joao A.C. Lima

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  1. Christopher T. Sibley
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  2. Joao A.C. Lima
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Correspondence to Joao A.C. Lima.

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Sibley, C.T., Lima, J.A. Assessment of ventricular structure and function with multidetector CT and MRI. Curr Cardiol Rep 10, 67–71 (2008). https://doi.org/10.1007/s11886-008-0013-5

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