Left atrial volume quantification using cardiac MRI in atrial fibrillation: comparison of the Simpson's method with biplane area-length, ellipse, and three-dimensional methods.
نویسندگان
چکیده
PURPOSE Left atrial volume is an important predictor of future arrhythmias, and it can be assessed by several different methods. Simpson's method is well accepted as a reference standard, although no standardization exists for cardiac magnetic resonance (CMR). We aimed to compare the estimations of left atrial volumes obtained by the Simpson's method with three other methods. MATERIALS AND METHODS Eighty-one consecutive patients referred for CMR imaging between February 2007 and May 2010 were included in the study (47 males; mean age, 59.4±11.5 years; body mass index, 26.3±3.7 kg/m(2)). Left atrial volume measurements were performed using the Simpson's, biplane area-length, ellipse, and three-dimensional methods. Results were correlated using a Bland-Altman plot and linear regression models and compared by two-tailed paired-sample t tests. Reader variability was also calculated. RESULTS Left atrial volume measurements using the biplane area-length technique showed the best correlation with Simpson's method (r=0.92; P < 0.001). Quantification values using the ellipse and three-dimensional methods were significantly different than values obtained using the Simpson's method (P < 0.05, for both). All methods showed excellent observer reliability (intra-class correlation coefficient >0.99). CONCLUSION The biplane area-length method can be used for left atrial volume measurement when the Simpson's method cannot be performed. If these two methods are not feasible, then all methods are highly reproducible and can be used, but should not be used interchangeably for follow-up studies.
منابع مشابه
Quantification of left atrial volume using cardiac magnetic resonance imaging: comparison of left atrial volume index measurements using the Simpson's and bi-plane area-length methods
Background Increased left atrial volume index (LAVI) has been shown to be an independent predictor of hard cardiovascular events. It can be determined by calculating left atrial (LA) volume through the use of either Simpson’s method or area-length method and indexing it to body surface area (BSA). Although there is no standardized method of calculating LA volume using Cardiac Magnetic Resonance...
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ورودعنوان ژورنال:
- Diagnostic and interventional radiology
دوره 19 3 شماره
صفحات -
تاریخ انتشار 2013