Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography
Three-dimensional echocardiography (3DE) is advised for right ventricular (RV) assessment. Data regarding the optimal acquisition settings and optimization are still scarce. We aimed to evaluate the feasibility, reproducibility and validation of 3DE for RV volume and function assessment, using cardi...
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| Published in | Diagnostics (Basel) Vol. 11; no. 4; p. 699 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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14.04.2021
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| Abstract | Three-dimensional echocardiography (3DE) is advised for right ventricular (RV) assessment. Data regarding the optimal acquisition settings and optimization are still scarce. We aimed to evaluate the feasibility, reproducibility and validation of 3DE for RV volume and function assessment, using cardiac magnetic resonance (CMR) as gold standard. Thirty healthy volunteers and 36 consecutive patients were prospectively included. CMR was performed in the latter. Standard apical four-chamber view (A4CV), focused A4CV and modified A4CV were used for 3DE RV acquisition. Feasibility (and the effect of changes in settings) was evaluated. Intra and interobserver analyses were performed by three observers (expert vs. novice). RV parameters by echocardiography were compared to CMR. Feasibility of acquisition was 16.7% for A4CV, 80.0% for focused A4CV and 16.7% for modified A4CV. Changes in settings had no significant influence on feasibility and further analysis. Intraobserver variability was good in both expert and novice, interobserver variability was good between experienced observers. Compared to CMR, 3DE volumes were significantly lower with fair to moderate correlation (EDV: 91.1 ± 24.4 mL vs. 144.3 ± 43.0 mL (
< 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL (
< 0.001), r = 0.530, by multi-beat 3DE and CMR respectively). These findings suggest that standardization is needed in order to implement this technique in clinical practice, thus further studies are required. |
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| AbstractList | Three-dimensional echocardiography (3DE) is advised for right ventricular (RV) assessment. Data regarding the optimal acquisition settings and optimization are still scarce. We aimed to evaluate the feasibility, reproducibility and validation of 3DE for RV volume and function assessment, using cardiac magnetic resonance (CMR) as gold standard. Thirty healthy volunteers and 36 consecutive patients were prospectively included. CMR was performed in the latter. Standard apical four-chamber view (A4CV), focused A4CV and modified A4CV were used for 3DE RV acquisition. Feasibility (and the effect of changes in settings) was evaluated. Intra and interobserver analyses were performed by three observers (expert vs. novice). RV parameters by echocardiography were compared to CMR. Feasibility of acquisition was 16.7% for A4CV, 80.0% for focused A4CV and 16.7% for modified A4CV. Changes in settings had no significant influence on feasibility and further analysis. Intraobserver variability was good in both expert and novice, interobserver variability was good between experienced observers. Compared to CMR, 3DE volumes were significantly lower with fair to moderate correlation (EDV: 91.1 ± 24.4 mL vs. 144.3 ± 43.0 mL (p < 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL (p < 0.001), r = 0.530, by multi-beat 3DE and CMR respectively). These findings suggest that standardization is needed in order to implement this technique in clinical practice, thus further studies are required. Three-dimensional echocardiography (3DE) is advised for right ventricular (RV) assessment. Data regarding the optimal acquisition settings and optimization are still scarce. We aimed to evaluate the feasibility, reproducibility and validation of 3DE for RV volume and function assessment, using cardiac magnetic resonance (CMR) as gold standard. Thirty healthy volunteers and 36 consecutive patients were prospectively included. CMR was performed in the latter. Standard apical four-chamber view (A4CV), focused A4CV and modified A4CV were used for 3DE RV acquisition. Feasibility (and the effect of changes in settings) was evaluated. Intra and interobserver analyses were performed by three observers (expert vs. novice). RV parameters by echocardiography were compared to CMR. Feasibility of acquisition was 16.7% for A4CV, 80.0% for focused A4CV and 16.7% for modified A4CV. Changes in settings had no significant influence on feasibility and further analysis. Intraobserver variability was good in both expert and novice, interobserver variability was good between experienced observers. Compared to CMR, 3DE volumes were significantly lower with fair to moderate correlation (EDV: 91.1 ± 24.4 mL vs. 144.3 ± 43.0 mL ( < 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL ( < 0.001), r = 0.530, by multi-beat 3DE and CMR respectively). These findings suggest that standardization is needed in order to implement this technique in clinical practice, thus further studies are required. Three-dimensional echocardiography (3DE) is advised for right ventricular (RV) assessment. Data regarding the optimal acquisition settings and optimization are still scarce. We aimed to evaluate the feasibility, reproducibility and validation of 3DE for RV volume and function assessment, using cardiac magnetic resonance (CMR) as gold standard. Thirty healthy volunteers and 36 consecutive patients were prospectively included. CMR was performed in the latter. Standard apical four-chamber view (A4CV), focused A4CV and modified A4CV were used for 3DE RV acquisition. Feasibility (and the effect of changes in settings) was evaluated. Intra and interobserver analyses were performed by three observers (expert vs. novice). RV parameters by echocardiography were compared to CMR. Feasibility of acquisition was 16.7% for A4CV, 80.0% for focused A4CV and 16.7% for modified A4CV. Changes in settings had no significant influence on feasibility and further analysis. Intraobserver variability was good in both expert and novice, interobserver variability was good between experienced observers. Compared to CMR, 3DE volumes were significantly lower with fair to moderate correlation (EDV: 91.1 ± 24.4 mL vs. 144.3 ± 43.0 mL ( p < 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL ( p < 0.001), r = 0.530, by multi-beat 3DE and CMR respectively). These findings suggest that standardization is needed in order to implement this technique in clinical practice, thus further studies are required. |
| Author | Motoc, Andreea Droogmans, Steven Weytjens, Caroline Roosens, Bram Luchian, Maria Luiza Houard, Laura De Potter, Tom Scheirlynck, Esther Tanaka, Kaoru Cosyns, Bernard |
| AuthorAffiliation | 1 Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium 2 Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; caroline.weytjens@uzbrussel.be (C.W.); andreea.motoc@gmail.com (A.M.); marialuiza.luchian@uzbrussel.be (M.L.L.); esther.scheirlynck@vub.be (E.S.); bram.roosens@uzbrussel.be (B.R.); laura.houard@uzbrussel.be (L.H.); steven.droogmans@uzbrussel.be (S.D.); bernard.cosyns@uzbrussel.be (B.C.) 3 Radiology Department, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; kaoru.tanaka@uzbrussel.be |
| AuthorAffiliation_xml | – name: 1 Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium – name: 2 Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; caroline.weytjens@uzbrussel.be (C.W.); andreea.motoc@gmail.com (A.M.); marialuiza.luchian@uzbrussel.be (M.L.L.); esther.scheirlynck@vub.be (E.S.); bram.roosens@uzbrussel.be (B.R.); laura.houard@uzbrussel.be (L.H.); steven.droogmans@uzbrussel.be (S.D.); bernard.cosyns@uzbrussel.be (B.C.) – name: 3 Radiology Department, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium; kaoru.tanaka@uzbrussel.be |
| Author_xml | – sequence: 1 givenname: Tom surname: De Potter fullname: De Potter, Tom organization: Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium – sequence: 2 givenname: Caroline surname: Weytjens fullname: Weytjens, Caroline organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 3 givenname: Andreea orcidid: 0000-0002-9168-2398 surname: Motoc fullname: Motoc, Andreea organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 4 givenname: Maria Luiza orcidid: 0000-0001-7439-8515 surname: Luchian fullname: Luchian, Maria Luiza organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 5 givenname: Esther orcidid: 0000-0002-3816-2166 surname: Scheirlynck fullname: Scheirlynck, Esther organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 6 givenname: Bram orcidid: 0000-0002-0871-8303 surname: Roosens fullname: Roosens, Bram organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 7 givenname: Kaoru orcidid: 0000-0001-5533-3185 surname: Tanaka fullname: Tanaka, Kaoru organization: Radiology Department, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 8 givenname: Laura surname: Houard fullname: Houard, Laura organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 9 givenname: Steven orcidid: 0000-0003-3985-3249 surname: Droogmans fullname: Droogmans, Steven organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium – sequence: 10 givenname: Bernard surname: Cosyns fullname: Cosyns, Bernard organization: Centrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium |
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| Cites_doi | 10.1093/ehjci/jeaa206 10.1186/1476-7120-10-1 10.1016/j.jcmg.2008.02.009 10.21037/cdt.2017.06.05 10.1161/CIRCIMAGING.113.000706 10.1016/j.jcmg.2018.11.028 10.1016/j.echo.2009.12.001 10.1016/j.amjcard.2012.06.013 10.1093/ejechocard/jer107 10.1161/CIRCIMAGING.116.005384 10.1016/j.jcmg.2017.06.013 10.1002/jmri.10329 10.1016/j.jcm.2016.02.012 10.1136/heartjnl-2019-315178 10.1016/j.echo.2015.06.013 10.1530/ERP-14-0077 10.1016/j.athoracsur.2015.11.035 10.1161/CIRCIMAGING.117.006099 10.1093/ehjci/jev309 10.1016/j.echo.2014.10.012 10.1016/j.echo.2010.05.010 10.1161/CIRCEP.116.004067 10.1161/CIRCIMAGING.114.003176 10.1016/j.jacc.2020.08.066 10.1093/eurheartj/ehr490 10.1016/j.echo.2014.10.003 10.1093/eurheartj/ehy809 10.1002/jmri.21407 |
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| SubjectTerms | Cardiac arrhythmia Cardiovascular disease Data analysis Datasets Ejection fraction feasibility Heart failure Hypertension Pulmonary arteries Reproducibility right ventricle Software Statistical analysis three-dimensional echocardiography validation |
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| Title | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
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