Accuracy of quantitative echocardiographic measures of right ventricular function as compared to cardiovascular magnetic resonance

Hamilton-Craig, Christian; Stedman, Kathy; Maxwell, Ryan; Anderson, Bonita; Stanton, Tony; Chan, Jonathan; Yamada, Akira; Scalia, G.; Burstow, Darryl J.

doi:10.1016/j.ijcha.2016.05.007

Cited by 28 publications

(29 citation statements)

References 24 publications

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“…RVMPI values of >0.4 and <0.25 were predictive of RVEF<35%, and ≥50%, respectively (44). In addition to RVMPI, myocardial tissue velocities (Sa, Ea, Aa, Ea/Aa, E/Ea), TAPSE (Tricuspid annular plane systolic excursion), and 3DE-RV findings were proportional to using CMR reference ranges (8,23,45,46).…”

Section: Comparison Of Rvmpi With Cardiac Mri (Cmr) Findingsmentioning

confidence: 95%

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The Accuracy of Myocardial Performance Index in the Diagnosis of Right Ventricular Dysfunction After Surgical Correction of Tetralogy of Fallot: A Narrative Review

et al. 2019

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Context: Tetralogy of Fallot (TOF) is one of the most important congenital heart diseases that its prognosis can be improved by surgery. However, Right Ventricular (RV) function may be disrupted because of pulmonary regurgitation and other preoperative and intraoperative factors. Access to a simple and reproducible diagnostic index of RV function is important. Echocardiographic index of Right Ventricular Myocardial Performance (RVMPI) has been used as a simple and noninvasive method for the assessment of RV function. Evidence Acquisition: This article review was conducted utilizing PubMed, Web of Science, Scopus and Google Scholar databases with the keywords of "Right Ventricle (RV)", "Myocardial Performance Index (MPI)", and "Tetralogy of Fallot (TOF) repair or correction". Results: RVMPI as a non-geometric echocardiographic index was compared with other echocardiographic indices, QRS duration in ECG, Cardiac Magnetic Resonance (CMR) findings, and exercise capacity in the pediatric and adult studies. Conclusions: This narrative review suggested that RVMPI, especially the tissue Doppler-derived has been used as a useful index of RV function in the follow-up of the repaired TOF patients. However, more research, including systematic reviews are necessary to determine the potential implication of RVMPI in the assessment of RV dysfunction.

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Section: Comparison Of Rvmpi With Cardiac Mri (Cmr) Findingsmentioning

confidence: 95%

“…Cardiac Magnetic Resonance (CMR) imaging is widely used in the assessment of cardiac function. It is the gold standard method in the assessment of RV function in rTOF patients (8,9). However, it is expensive and time-consuming compared to the echocardiographic methods.…”

Section: Contextmentioning

confidence: 99%

The Accuracy of Myocardial Performance Index in the Diagnosis of Right Ventricular Dysfunction After Surgical Correction of Tetralogy of Fallot: A Narrative Review

et al. 2019

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“…Current echocardiographic guidelines recommend combining various echocardiographic parameters to assess RV function [21]. Clinically used parameters include the fractional area change (FAC), which is a surrogate of ejection fraction and correlates with RV ejection fraction estimated by cardiac magnetic resonance better than other parameters [19,22,23].…”

Section: Introductionmentioning

confidence: 99%

Nomograms of Fetal Right Ventricular Fractional Area Change by 2D Echocardiography

et al. 2019

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Objectives: Fetal right ventricular (RV) function assessment is challenging due to the RV geometry and limitations of in utero assessment. Postnatally, 2D echocardiographic RV fractional area change (FAC) is used to assess RV global systolic function by calculating the percentage of change in RV area from systole to diastole. Reports on FAC are scarce in prenatal life, and nomograms throughout pregnancy are not available. Our aims were (1) to study prenatal RV FAC feasibility and reproducibility and (2) to construct nomograms for RV FAC and end-diastolic (ED) and end-systolic (ES) RV areas from 18 to 41 weeks of gestation. Methods: Prospective cohort study including 602 low-risk singleton pregnancies undergoing a fetal echocardiography from 18 to 41 weeks of gestation. RV ED and ES areas were measured following standard recommendations for ventricular dimensions and establishing strict landmarks to identify the different phases of the cardiac cycle. RV FAC was calculated as: ([ED area -ES area]/ED area) × 100. RV FAC intra-and inter-observer reproducibility was evaluated in 45 fetuses by calculating the intraclass correlation coefficient (ICC). Parametric regressions were tested to model each parameter against gestational age (GA) and estimated fetal weight (EFW). Results: RV areas and FAC were successfully obtained in ∼99% of fetuses with acceptable reproducibility throughout gestation (RV ED area inter-observer ICC [95% CI] 0.96 [0.93-0.98], RV ES area 0.97 [0.94-0.98], and FAC 0.69 [0.44-0.83]). Nomograms were constructed for RV ED and ES areas and FAC. RV areas showed a quadratic and logarithmic increase with GA and EFW, respectively. In contrast, RV FAC showed a slight quadratic decrease throughout gestation (mean RV FAC ranged from 36% at 18 weeks of gestation [10-90th centiles: 25-47%, respectively] to 29% at 41 weeks [10-90th centiles: 18-40%, Guirado et al. respectively]). The best models for RV areas and FAC were a second-degree polynomial. Conclusions: RV FAC is a feasible and reproducible parameter to assess RV global systolic function in fetal life. We provide reference ranges adjusted by GA and EFW that can be used as normal references for the assessment of RV function in prenatal conditions.

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“…Published studies have shown good to excellent correlation between LVEF and RVEF measured in 3D-ECHO and CMR with a documented tendency towards minimal (although statistically significant) underestimation of 3D-ECHO results [23,24]. Most of those studies concerned adults [25][26][27][28][29]. The literature comparing results of 3D-ECHO and CMR in children is much scarcer both in number and resources [27].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, systematic, regular, and accurate assessment of ventricular function in children with arrhythmia, even (or maybe especially) idiopathic, is crucial. 3D-ECHO appears to be the perfect tool for this purpose and a valuable alternative to CMR in this population [26][27][28][33][34][35][36].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of three-dimensional echocardiography for the assessment of ventricular function in children: Comparison with cardiac magnetic resonance, with a focus on patients with arrhythmia

Kamińska

Małek²,

Barczuk-Falęcka

et al. 2021

Cardiol J.

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Background: Focusing on patients with arrhythmia, the aims of this study was to assess ventricular function in children using three-dimensional echocardiography (3D-ECHO) and to compare the results to those obtained with cardiac magnetic resonance (CMR). Methods: The study group consisted of 43 children in whom 3D-ECHO and CMR were performed. Twenty-five patients had a ventricular arrhythmia, 7 left ventricular cardiomyopathies, 9 proved to be healthy. In all children, 3D-ECHO (offline analysis) was used to assess ventricular ejection fraction (EF). The results were compared to CMR using the Bland-Altman analysis and linear regression. The Student paired T-test was used to compare of means between both modalities. Results: The relation between the results derived from both methods is linear (for left ventricle: estimated slope = 1.031, p < 0.0001, R-squared = 0.998; for right ventricle: estimated slope = 0.993, p < 0.0001, R-squared = 0.998). In spite of minimal mean differences between results for both ventricles and narrow 95% confidence intervals, the paired t-test proved those differences not to be significant (p > 0.05) for the right ventricle but statistically significant (p < 0.05) for the left ventricle, for which the left ventricular EF calculated in 3D-ECHO was systematically underestimated with a mean difference of-1.8% ± 2.6% (p < 0.0001). Conclusions: Three-dimensional echocardiography assessment of both left and right ventricular EF in children showed high significant correlation and agreement with CMR. 3D-ECHO could be a valuable tool in follow-up of children with arrhythmic disorders requiring regular assessment of ventricular function.

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Accuracy of quantitative echocardiographic measures of right ventricular function as compared to cardiovascular magnetic resonance

Cited by 28 publications

References 24 publications

The Accuracy of Myocardial Performance Index in the Diagnosis of Right Ventricular Dysfunction After Surgical Correction of Tetralogy of Fallot: A Narrative Review

The Accuracy of Myocardial Performance Index in the Diagnosis of Right Ventricular Dysfunction After Surgical Correction of Tetralogy of Fallot: A Narrative Review

Nomograms of Fetal Right Ventricular Fractional Area Change by 2D Echocardiography

Usefulness of three-dimensional echocardiography for the assessment of ventricular function in children: Comparison with cardiac magnetic resonance, with a focus on patients with arrhythmia

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