Validation of Accuracy of Three-Dimensional Left Atrial CartoSound™ and CT Image Integration: Influence of Respiratory Phase and Cardiac Cycle.

CartoSound Merge Using Left Atrial Posterior Wall Background CartoSound™ (CS) module is useful in integrating 3-dimensional (3D) left atrial (LA) image with CT image. Integration method, however, has not been established. We reported the accuracy of LA electroanatomical (EA) and CT image integration...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 24; no. 9; pp. 1002 - 1008
Autores principales: KIMURA, MASAOMI, SASAKI, SHINGO, OWADA, SHINGEN, HORIUCHI, DAISUKE, SASAKI, KENICHI, ITOH, TAIHEI, ISHIDA, YUJI, KINJO, TAKAHIKO, OKUMURA, KEN
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Validation of Accuracy of Three-Dimensional Left Atrial CartoSound™ and CT Image Integration: Influence of Respiratory Phase and Cardiac Cycle.
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          KIMURA, MASAOMI
          SASAKI, SHINGO
          OWADA, SHINGEN
          HORIUCHI, DAISUKE
          SASAKI, KENICHI
          ITOH, TAIHEI
          ISHIDA, YUJI
          KINJO, TAKAHIKO
          OKUMURA, KEN
        affil: Department of Cardiology, Hirosaki University Graduate School of Medicine, Hirosaki Japan
      sug:
        subj:
          Atrial Fibrillation Therapy
          Catheter Ablation Methods
          Diagnostic Imaging Utilization
          Human
          Japan
          Academic Medical Centers
          Ultrasonography Utilization
          Tomography Utilization
          Echocardiography Methods
          Image Enhancement
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          Female
          Middle Age
          Aged
          Descriptive Statistics Utilization
          Electrocardiography Utilization
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          Fisher's Exact Test Utilization
          T-Tests Utilization
          Analysis of Variance Utilization
          Kruskal-Wallis Test Utilization
          Data Analysis Software Utilization
          Middle Aged: 45-64 years
          Aged: 65+ years
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      ab: CartoSound Merge Using Left Atrial Posterior Wall Background CartoSound™ (CS) module is useful in integrating 3-dimensional (3D) left atrial (LA) image with CT image. Integration method, however, has not been established. We reported the accuracy of LA electroanatomical (EA) and CT image integration by registering LA roof (LAR) and posterior wall (LAPW). Methods The consecutive 56 atrial fibrillation patients undergoing pulmonary vein isolation were studied. In the initial 29 patients, before the transseptal puncture, 3D CS LAR and LAPW image was created by registering a mean of 10 contour lines between the right and left pulmonary veins. After transseptally inserting a mapping catheter into LA, 3D EA image of LAR and LAPW was obtained by sampling a mean of 40 points. LA CT image was taken at the full-inspiratory position and 0% of R-R interval. After visual alignment of CS or EA and LA CT image, the 2 images were integrated with surface registration program. In the latter 27 patients, both CT and CS images were taken while matching the respiratory phase at the end-tidal position and cardiac cycle at 50% of R-R interval. Results In the initial 29 patients, the mean distances between EA and CT images and between CS and CT images were 1.53 ± 0.27 and 1.59 ± 0.23 mm, respectively (P = NS). In the latter 27, the mean distance was decreased to 1.08 ± 0.14 mm (P < 0.0001). Conclusions CS system is useful in image integration with 3D CT. Matching both respiratory phase and cardiac cycle between CS and CT image acquisition improves the image integration accuracy.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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