Accuracy and reproducibility of assessing right ventricular function with 64-section multi-detector row CT: Comparison with magnetic resonance imaging

• Published in: International journal of cardiology Vol. 139; no. 3; pp. 254 - 262
• Main Authors: Guo, Ying-kun, Gao, Hong-ling, Zhang, Xiao-chun, Wang, Qi-ling, Yang, Zhi-gang, Ma, En-sen
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 18.03.2010; Elsevier
• Subjects: 64-MDCT; Adult; Aged; Biological and medical sciences; Cardiac MRI; Cardiology. Vascular system; Cardiovascular; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - diagnostic imaging; Cardiovascular system; Ejection fraction; Female; Humans; Investigative techniques of hemodynamics; Investigative techniques, diagnostic techniques (general aspects); Magnetic Resonance Imaging - methods; Magnetic Resonance Imaging - standards; Male; Medical sciences; Middle Aged; Prospective Studies; Reproducibility of Results; Retrospective Studies; Right ventricular end-diastolic and end-systolic volumes; Stroke volume; Tomography, X-Ray Computed - methods; Tomography, X-Ray Computed - standards; Ventricular Function, Right - physiology; Cardiac MRI; 64-MDCT; Right ventricular end-diastolic and end-systolic volumes; Stroke volume; Ejection fraction; Heart; Radiodiagnosis; Right ventricle; Cardiovascular disease; Systolic volume; End diastolic volume; Nuclear magnetic resonance imaging; Section; Accuracy; Multidetector scanner; Detector; Reproducibility; Medical imagery; End; Computerized axial tomography; Hemodynamics; Cardiology; Comparative study
• ISSN: 0167-5273; 1874-1754; 1874-1754
• DOI: 10.1016/j.ijcard.2008.10.031

Right ventricular (RV) function is very important for those patients with respiratory and cardiovascular disorders that can result in RV impairments. Because of complex geometry of the chamber, it is difficult to accurately measure the RV volumetric parameters with conventional imaging modalities. The purpose of this study was to evaluate whether the 64-MDCT can assess RV function with high accuracy and reproducibility when compared to the results with those of MRI. Forty-seven consecutive subjects underwent retrospectively ECG-gated 64-MDCT and MRI for assessing the ventricular function. Right ventricular end diastolic and end-systolic volume, stroke volume, and ejection fraction were measured with dedicated cardiac analysis software on 64-MDCT and compared with values measured on MRI which served as the reference standard. Agreement between two modalities was assessed with Bland and Altman analysis and linear regression analysis. Repeated measurements were performed to determine intraobserver and interobserver variability. No significant differences were revealed in calculated RV volumes and EF between the two modalities. Agreement and correlation were similar for RV–EDV (0.4±8.2 ml; r=0.95), RV–ESV (−0.6±4.8; r=0.95), RV–SV (1.1±6.7 ml; r=0.93), and RV–EF (0.9±4.4; r=0.88). The difference of SV of right and left ventricle with 64-MDCT was not statistically significant (p=0.40) and good correlation was obtained (r=0.96). The variability in 64-MDCT measurements was lower than those in MRI. ECG-gated 64-MDCT can assess the RV function with high accuracy and reproducibility without geometric assumptions about right ventricle.