Echocardiography and Cardiac Magnetic Resonance-Based Feature Tracking in the Assessment of Myocardial Mechanics in Tetralogy of Fallot: An Intermodality Comparison.

We investigated intermodality agreements of strains from two-dimensional echocardiography (2 DE) and cardiac magnetic resonance ( CMR) feature tracking ( FT) in the assessment of right ( RV) and left ventricular ( LV) mechanics in tetralogy of Fallot ( TOF). Patients were prospectively studied with...

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Published in:Echocardiography Vol. 30; no. 2; pp. 203 - 211
Main Authors: Padiyath, Asif, Gribben, Paul, Abraham, Joseph R., Li, Ling, Rangamani, Sheela, Schuster, Andreas, Danford, David A., Pedrizzetti, Gianni, Kutty, Shelby
Format: diagnostic images research tables/charts tracings Journal Article
Published: Wiley-Blackwell Feb2013
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Echocardiography and Cardiac Magnetic Resonance-Based Feature Tracking in the Assessment of Myocardial Mechanics in Tetralogy of Fallot: An Intermodality Comparison.
      aug:
        au:
          Padiyath, Asif
          Gribben, Paul
          Abraham, Joseph R.
          Li, Ling
          Rangamani, Sheela
          Schuster, Andreas
          Danford, David A.
          Pedrizzetti, Gianni
          Kutty, Shelby
        affil: Joint Division of Pediatric Cardiology, Children's Hospital and Medical Center University of Nebraska/Creighton University
      sug:
        subj:
          Magnetic Resonance Angiography
          Echocardiography
          Tetralogy of Fallot Pathology
          Heart Ventricle Pathology
          Human
          Prospective Studies
          Descriptive Statistics
          Adult
          Interrater Reliability
          Paired T-Tests
          Data Analysis Software
          Middle Age
          Algorithms
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: We investigated intermodality agreements of strains from two-dimensional echocardiography (2 DE) and cardiac magnetic resonance ( CMR) feature tracking ( FT) in the assessment of right ( RV) and left ventricular ( LV) mechanics in tetralogy of Fallot ( TOF). Patients were prospectively studied with 2 DE and CMR performed contiguously. LV and RV strains were computed separately using 2 DE and CMR- FT. Segmental and global longitudinal strains ( GLS) for the LV and RV were measured from four-chamber views; LV radial (global radial strain [ GRS]) and circumferential strains ( GCS) measured from short-axis views. Intermodality and interobserver agreements were examined. In 40 patients (20 TOF, mean age 23 years and 20 adult controls), LV, GCS showed narrowest intermodality limits of agreement (mean percentage error 9.5%), followed by GLS (16.4%). RV GLS had mean intermodality difference of 25.7%. GLS and GCS had acceptable interobserver agreement for the LV and RV with both 2 DE and CMR- FT, whereas GRS had high interobserver and intermodality variability. In conclusion, myocardial strains for the RV and LV derived using currently available 2 DE and CMR- FT software are subject to considerable intermodality variability. For both modalities, LV GCS, LV GLS, and RV GLS are reproducible enough to warrant further investigation of incremental clinical merit.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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