Journal of Nuclear Cardiology

, Volume 13, Issue 4, pp 480–487 | Cite as

Assessment of global and regional left ventricular function and volumes with 64-slice MSCT: A comparison with 2D echocardiography

  • Maureen M. Henneman
  • Joanne D. Schuijf
  • J. Wouter Jukema
  • Eduard R. Holman
  • Hildo J. Lamb
  • Albert de Roos
  • Ernst E. van der Wall
  • Jeroen J. Bax
Original Articles

Abstract

Background

In patients with coronary artery disease (CAD), LV function and volumes are important parameters for long-term prognosis. Multislice computed tomography (MSCT) allows noninvasive assessment of the coronary arteries, but the accuracy of 64-slice MSCT for the assessment of left ventricular (LV) volumes and function is unknown.

Methods and Results

A head-to-head comparison between 64-slice MSCT and 2-dimensional (2D) echocardiography was performed in 40 patients with known or suspected CAD. The LV end-diastolic volume (LVEDV) and LV end-systolic volume (LVESV) were determined and the LV ejection fraction (LVEF) was derived. Regional wall motion was assessed visually using a 17-segment model. A 3-point scoring system was used to assign to each segment a wall motion score: 1 = normokinesia, 2 = hypokinesia, 3 = akinesia or dyskinesia. Two-dimensional echocardiography served as the gold standard. MSCT agreed well with 2D echocardiography for assessment of LVEDV (r = 0.97; p < .0001) and LVESV (r = 0.98; p < .0001). An excellent correlation between MSCT and 2D echocardiography was shown for the evaluation of LVEF (r = 0.91; p < .0001). Agreement for the assessment of regional wall motion was excellent (96%, κ = 0.82).

Conclusions

An accurate assessment of global and regional LV function and volumes is feasible with 64-slice MSCT.

Key Words

Multislice computed tomography left ventricular function echocardiography 

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Copyright information

© American Society of Nuclear Cardiology 2006

Authors and Affiliations

  • Maureen M. Henneman
    • 1
  • Joanne D. Schuijf
    • 1
    • 2
  • J. Wouter Jukema
    • 1
    • 2
  • Eduard R. Holman
    • 1
  • Hildo J. Lamb
    • 3
  • Albert de Roos
    • 3
  • Ernst E. van der Wall
    • 1
    • 2
  • Jeroen J. Bax
    • 1
  1. 1.Department of CardiologyLeiden University Medical CenterThe Netherlands
  2. 2.Leiden University Medical Center, Leiden, The NetherlandsInteruniversity Cardiology Institute of the NetherlandsUtrechtThe Netherlands
  3. 3.Department of RadiologyInteruniversity Cardiology Institute of the NetherlandsUtrechtThe Netherlands

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