Balancing Speed and Accuracy in Cardiac Magnetic Resonance Function Post-Processing: Comparing 2 Levels of Automation in 3 Vendors to Manual Assessment

• Published in: Diagnostics (Basel) Vol. 11; no. 10; p. 1758
• Main Authors: Snel, Gert J.H., Poort, Sharon, Velthuis, Birgitta K., van Deursen, Vincent M., Nguyen, Christopher T., Sosnovik, David, Dierckx, Rudi A.J.O., Slart, Riemer H.J.A., Borra, Ronald J.H., Prakken, Niek H.J.
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 24.09.2021; MDPI
• Subjects: Accuracy; Artificial intelligence; Automation; cardiac function; cardiac magnetic resonance; Datasets; Reproducibility; Software packages; standardization; Statistical analysis; tracing protocol; Germany
• ISSN: 2075-4418; 2075-4418
• DOI: 10.3390/diagnostics11101758

Automating cardiac function assessment on cardiac magnetic resonance short-axis cines is faster and more reproducible than manual contour-tracing; however, accurately tracing basal contours remains challenging. Three automated post-processing software packages (Level 1) were compared to manual assessment. Subsequently, automated basal tracings were manually adjusted using a standardized protocol combined with software package-specific relative-to-manual standard error correction (Level 2). All post-processing was performed in 65 healthy subjects. Manual contour-tracing was performed separately from Level 1 and 2 automated analysis. Automated measurements were considered accurate when the difference was equal or less than the maximum manual inter-observer disagreement percentage. Level 1 (2.1 ± 1.0 min) and Level 2 automated (5.2 ± 1.3 min) were faster and more reproducible than manual (21.1 ± 2.9 min) post-processing, the maximum inter-observer disagreement was 6%. Compared to manual, Level 1 automation had wide limits of agreement. The most reliable software package obtained more accurate measurements in Level 2 compared to Level 1 automation: left ventricular end-diastolic volume, 98% and 53%; ejection fraction, 98% and 60%; mass, 70% and 3%; right ventricular end-diastolic volume, 98% and 28%; ejection fraction, 80% and 40%, respectively. Level 1 automated cardiac function post-processing is fast and highly reproducible with varying accuracy. Level 2 automation balances speed and accuracy.