CT compared to MRI for functional evaluation of the right ventricle: a systematic review and meta-analysis.
Objective: Right ventricular function (RVF) is a strong predictor of adverse cardiac events; however, the reference standard for RVF assessment, MRI, is limited in some patients for whom accurate evaluation of RVF is essential, like those with COPD or non-MR compatible metal implants. We conducted t...
| Publicado en: | European Radiology Vol. 29; no. 12; pp. 6816 - 6829 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139479344&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139479344 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Dec2019 vid: 29 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139479344 139479344 NLM31134368 139479344 10.1007/s00330-019-06228-2 NLM31134368 139479344 ppf: 6816 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: CT compared to MRI for functional evaluation of the right ventricle: a systematic review and meta-analysis. aug: au: Fu, Hang Wang, Xuedong Diao, Kaiyue Huang, Shan Liu, Hui Gao, Yue Zhao, Qin Yang, Zhi-gang Guo, Ying-kun affil: Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, 610041, Chengdu, Sichuan, China sug: subj: Magnetic Resonance Imaging Methods Tomography, X-Ray Computed Methods Heart Ventricle Ventricular Dysfunction, Right Female Ventricular Function, Right Male Middle Age Stroke Volume Human Meta Analysis Validation Studies Comparative Studies Evaluation Research Multicenter Studies Funding Source Middle Aged: 45-64 years Female Male ab: Objective: Right ventricular function (RVF) is a strong predictor of adverse cardiac events; however, the reference standard for RVF assessment, MRI, is limited in some patients for whom accurate evaluation of RVF is essential, like those with COPD or non-MR compatible metal implants. We conducted this meta-analysis to evaluate whether CT was as accurate as MRI for the assessment of RVF.Method: We conducted a meta-analysis of studies retrieved from PubMed, Embase, and Cochrane Central searches to evaluate the differences and correlations between the following RVF parameters as measured by CT and MRI: end diastole volume (EDV), end systole volume (ESV), right ventricular ejection fraction (RVEF), and stroke volume (SV).Results: Sixteen studies that used disk summation (637 subjects) and three studies that used three-dimensional reconstruction were included. For the 16 studies, the pooled standard mean differences (95% confidence interval) were 1.04 (- 2.59, 4.67) for EDV, 1.22 (1.50, 3.95) for ESV, - 0.65 (- 2.60, 1.29) for RVEF, and - 0.37 (- 3.64, 2.90) for SV. The overall correlation coefficient (r) values were 0.98 for EDV, 0.95 for ESV, 0.98 for RVEF, and 0.97 for SV. The mean difference between the two methods was not statistically significant (overall effect Z test, p > 0.1).Conclusion: CT can assess RVF with accuracy comparable to that of MRI. Thus, CT is a valid alternative to MRI.Key Points: • CT could help clinicians to assess RVF as accurately as MRI can, with satisfactory repeatability. pubtype: Academic Journal doctype: meta analysis research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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