Dynamic and quantitative evaluation of degenerative mitral valve disease: a dedicated framework based on cardiac magnetic resonance imaging

Sturla, Francesco; Puppini, Giovanni; Pappalardo, Omar Antonio; Selmi, Matteo; Votta, Emiliano; Faggian, Giuseppe; Redaelli, Alberto

doi:10.21037/jtd.2017.03.84

Cited by 14 publications

(8 citation statements)

References 33 publications

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“…CMR is another imaging modality that can be used to better assess patients with mitral valve prolapse, and therefore with FED or Barlow’s disease. CMR can provide a 3D analysis of mitral valve morphology and dynamics, as in the study by Sturla et al [ 61 ], where the authors used a CMR-dedicated framework and showed, similarly to the echocardiographic findings, that the mitral annulus is larger and has a rounder shape in patients with Barlow’s disease compared to FED. Furthermore, they showed that patients with Barlow’s disease have higher prolapse height and volume.…”

Section: Cardiac Magnetic Resonance Imaging (Cmr)mentioning

confidence: 90%

Characterization of Degenerative Mitral Valve Disease: Differences between Fibroelastic Deficiency and Barlow’s Disease

Wijngaarden

Kruithof

Vinella

et al. 2021

JCDD

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Degenerative mitral valve disease causing mitral valve prolapse is the most common cause of primary mitral regurgitation, with two distinct phenotypes generally recognized with some major differences, i.e., fibroelastic deficiency (FED) and Barlow’s disease. The aim of this review was to describe the main histological, clinical and echocardiographic features of patients with FED and Barlow’s disease, highlighting the differences in diagnosis, risk stratification and patient management, but also the still significant gaps in understanding the exact pathophysiology of these two phenotypes.

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Section: Cardiac Magnetic Resonance Imaging (Cmr)mentioning

confidence: 90%

Characterization of Degenerative Mitral Valve Disease: Differences between Fibroelastic Deficiency and Barlow’s Disease

Wijngaarden

Kruithof

Vinella

et al. 2021

JCDD

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“…The severity of the MR can be evaluated using several CMR-based quantitative techniques that are detailed below. Furthermore, CMR can provide information about the mechanism of MR by identifying morphological abnormalities of the mitral valve apparatus 9,10 . The presence of billowing or flail segments can be identified by dedicated cine imaging focusing on the different scallops of the mitral valve leaflets 8 .…”

Section: Current Clinical Guidelinesmentioning

confidence: 99%

Assessment of mitral valve regurgitation by cardiovascular magnetic resonance imaging

et al. 2019

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| Mitral regurgitation (MR) is a common valvular heart disease and is the second most frequent indication for heart valve surgery in Western countries. Echocardiography is the recommended first-line test for the assessment of valvular heart disease, but cardiovascular magnetic resonance imaging (CMR) provides complementary information, especially for assessing MR severity and to plan the timing of intervention. As new CMR techniques for the assessment of MR have arisen, standardizing CMR protocols for research and clinical studies has become important in order to optimize diagnostic utility and support the wider use of CMR for the clinical assessment of MR. In this Consensus Statement, we provide a detailed description of the current evidence on the use of CMR for MR assessment, highlight its current clinical utility, and recommend a standardized CMR protocol and report for MR assessment.

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“…In these reference frames, annular points were fitted through 4 th order Fourier functions to obtain a continuous 3D annular profile. 5 The following measurements of TV annulus dimensions were automatically computed at the defined four cardiac phases, (Fig. 1d-e):…”

Section: Mdct Data Analysismentioning

confidence: 99%

4D MDCT in the assessment of the tricuspid valve and its spatial relationship with the right coronary artery: A customized tool based on computed tomography for the planning of percutaneous procedures

Pappalardo

Votta

Selmi

et al. 2020

Journal of Cardiovascular Computed Tomography

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Multidetector computed tomography (MDCT) is currently the imaging technique of choice for the assessment of tricuspid valve (TV) annulus geometry and relationship with the right coronary artery (RCA). However, standardized protocols with a full 3D analysis are still lacking to plan percutaneous procedures for functional tricuspid regurgitation (FTR). A novel customized 4-dimensional tool based on MDCT data was developed and provided accurate information on TV annulus morphology (3D-perimeter, 2D-Area, maximum and minimum diameters, eccentricity index), function and distance to the RCA, crucial for patient selection of percutaneous TV procedures.

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Dynamic and quantitative evaluation of degenerative mitral valve disease: a dedicated framework based on cardiac magnetic resonance imaging

Cited by 14 publications

References 33 publications

Characterization of Degenerative Mitral Valve Disease: Differences between Fibroelastic Deficiency and Barlow’s Disease

Characterization of Degenerative Mitral Valve Disease: Differences between Fibroelastic Deficiency and Barlow’s Disease

Assessment of mitral valve regurgitation by cardiovascular magnetic resonance imaging

4D MDCT in the assessment of the tricuspid valve and its spatial relationship with the right coronary artery: A customized tool based on computed tomography for the planning of percutaneous procedures

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