Reproducibility of left and right ventricular mass measurements with cardiac CT

Background - Cardiac CT provides volumetric data that enables characterization of the myocardium. Objective - We evaluated intraobserver, interobserver, and interstudy reproducibility of left ventricular (LV) and right ventricular (RV) mass quantification with cardiac CT. - Methods - Thirty-eight pa...

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Main Authors: Schwarz, Florian (Author) , Takx, Richard (Author) , Schoepf, U. Joseph (Author) , Lee, Yeong Shyan (Author) , Ruzsics, Balazs (Author) , Gassner, Eva Maria (Author) , Chiaramida, Salvatore (Author) , Henzler, Thomas (Author)
Format: Article (Journal)
Language:English
Published: [September-October 2011]
In: Journal of cardiovascular computed tomography
Year: 2011, Volume: 5, Issue: 5, Pages: 317-324
ISSN:1876-861X
DOI:10.1016/j.jcct.2011.08.004
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jcct.2011.08.004
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1934592511003182
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Author Notes:Florian Schwarz, MD, Richard Takx, BS, U. Joseph Schoepf, MD, Yeong Shyan Lee, MB, BCh, FRCR, Balazs Ruzsics, MD PhD, Eva Maria Gassner, MD, Salvatore Chiaramida, MD, Thomas Henzler, MD
Description
Summary:Background - Cardiac CT provides volumetric data that enables characterization of the myocardium. Objective - We evaluated intraobserver, interobserver, and interstudy reproducibility of left ventricular (LV) and right ventricular (RV) mass quantification with cardiac CT. - Methods - Thirty-eight patients who underwent cardiac CT twice within 365 days were included in this analysis. Functional reconstructions in 10% steps throughout the R-R interval and axial 1.5-mm sections were used. Semiautomatic contour detection was used to trace epicardial and endocardial borders in all cardiac phases for calculation of LV and RV ejection fraction, end-diastolic volume, end-systolic volume, cardiac output, stroke volume, and ventricular mass. For each study 2 observers measured LV and RV mass twice. - Results - LV mass parameters derived from semiautomatic contour detection algorithm had excellent intraobserver (r = 1.00), interobserver (r = 0.99), and interstudy (r = 0.99) reproducibility (P < 0.0001). Average end-diastolic LV mass was 146.2 ± 42.9 g at the first CT study and 146.8 ± 44.4 g at the second study. For measuring RV mass, reproducibility was good on all levels (r = 0.78, r = 0.78, and r = 0.68, respectively, with an average end-diastolic mass of 25.7 ± 5.8 g at the first study and 24.4 ± 4.8 g at the second study. - Conclusion - Quantification of LV mass at cardiac CT with the threshold-based, region-growing semiautomatic segmentation analysis software evaluated here is highly observer independent and reproducible. This largely holds true for the estimation of RV mass as well; however, further improvements are needed to optimize reproducibility for RV mass quantification.
Item Description:Gesehen am 28.10.2022
Physical Description:Online Resource
ISSN:1876-861X
DOI:10.1016/j.jcct.2011.08.004