Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography
Abstract Background Assessment of the interatrial septum (IAS) has become an attractive area of interest for a variety of important interventional procedures. Newer imaging modalities like multi-slice computed tomography (MSCT) and cardiac MRI (CMR) can provide higher resolution and wider field of v...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-11-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s43044-020-00109-6 |
| _version_ | 1818187742835638272 |
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| author | Abdalla Elagha Yaseen Othman Reham Darweesh Ghada Awadein Assem Hashad |
| author_facet | Abdalla Elagha Yaseen Othman Reham Darweesh Ghada Awadein Assem Hashad |
| author_sort | Abdalla Elagha |
| collection | DOAJ |
| description | Abstract Background Assessment of the interatrial septum (IAS) has become an attractive area of interest for a variety of important interventional procedures. Newer imaging modalities like multi-slice computed tomography (MSCT) and cardiac MRI (CMR) can provide higher resolution and wider field of view than echocardiography. Moreover, high-field (3-Tesla) CMR can even enhance spatial and temporal resolution. The characteristics of the interatrial septum were retrospectively studied in 371 consecutive subjects (201 men, 31–73 years old) in whom MSCT was performed primarily for non-invasive evaluation of the coronary arteries. All subjects underwent both MSCT and MRI scans within 0–30 day’s interval. A 3D volume covering the whole heart was acquired across the heart with and without contrast enhancement. Also, patients underwent cardiac MSCT examinations using 64-row MSCT scanners. Results The mean scan time of MSCT was 10.4 ± 2.8 s and 9.7 ± 2.9 min for CMR. The mean length of IAS by CMR and CT was 39.65 ± 4.6 mm and 39.28 ± 4.7 mm, respectively. The mean maximal thickness of IAS by CMR and CT was 3.1 ± 0.97 mm and 3.15 ± 0.95 mm, respectively. The mean thickness of fossa ovalis by CMR and CT was 1.04 ± 0.36 mm and 1.04 ± 0.44 mm, respectively. The mean length of fossa ovalis by CMR and CT was 12.8 ± 3.7 mm and 12.8 ± 3.5 mm, respectively. Finally, the mean angle of IAS by CMR and CT was identical (155 ± 9.2°). Measurements of various morphological features of IAS showed no statistically significant difference between CMR and CT, with an excellent correlation and close relationship regarding IAS length, maximal IAS thickness, fossa ovalis thickness, fossa ovalis length, and IAS angle (r = 0.98, 0.98, 0.95, 0.96, and 0.92, respectively). Conclusion Whole-heart 3D acquisition at 3-T MRI using a free-breathing technique provides a valuable non-invasive imaging tool for excellent assessment of the interatrial septum—as compared to MSCT—that may have significant clinical implication for diagnostic purposes and therapeutic interventional procedures, as it may facilitate planning, improve outcome, and shorten its duration. |
| first_indexed | 2024-12-11T23:15:52Z |
| format | Article |
| id | doaj.art-21847f83c61a45df9708b6c90eac97f4 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-12-11T23:15:52Z |
| publishDate | 2020-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-21847f83c61a45df9708b6c90eac97f42022-12-22T00:46:31ZengSpringerOpenThe Egyptian Heart Journal2090-911X2020-11-017211910.1186/s43044-020-00109-6Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomographyAbdalla Elagha0Yaseen Othman1Reham Darweesh2Ghada Awadein3Assem Hashad4Cardiovascular Department (Kasr-Alainy Hospital), Cairo UniversityBarts and the London School of Medicine and DentistryCardiovascular Department (Kasr-Alainy Hospital), Cairo UniversityCardiovascular Department (Kasr-Alainy Hospital), Cairo UniversityCardiovascular Department (Kasr-Alainy Hospital), Cairo UniversityAbstract Background Assessment of the interatrial septum (IAS) has become an attractive area of interest for a variety of important interventional procedures. Newer imaging modalities like multi-slice computed tomography (MSCT) and cardiac MRI (CMR) can provide higher resolution and wider field of view than echocardiography. Moreover, high-field (3-Tesla) CMR can even enhance spatial and temporal resolution. The characteristics of the interatrial septum were retrospectively studied in 371 consecutive subjects (201 men, 31–73 years old) in whom MSCT was performed primarily for non-invasive evaluation of the coronary arteries. All subjects underwent both MSCT and MRI scans within 0–30 day’s interval. A 3D volume covering the whole heart was acquired across the heart with and without contrast enhancement. Also, patients underwent cardiac MSCT examinations using 64-row MSCT scanners. Results The mean scan time of MSCT was 10.4 ± 2.8 s and 9.7 ± 2.9 min for CMR. The mean length of IAS by CMR and CT was 39.65 ± 4.6 mm and 39.28 ± 4.7 mm, respectively. The mean maximal thickness of IAS by CMR and CT was 3.1 ± 0.97 mm and 3.15 ± 0.95 mm, respectively. The mean thickness of fossa ovalis by CMR and CT was 1.04 ± 0.36 mm and 1.04 ± 0.44 mm, respectively. The mean length of fossa ovalis by CMR and CT was 12.8 ± 3.7 mm and 12.8 ± 3.5 mm, respectively. Finally, the mean angle of IAS by CMR and CT was identical (155 ± 9.2°). Measurements of various morphological features of IAS showed no statistically significant difference between CMR and CT, with an excellent correlation and close relationship regarding IAS length, maximal IAS thickness, fossa ovalis thickness, fossa ovalis length, and IAS angle (r = 0.98, 0.98, 0.95, 0.96, and 0.92, respectively). Conclusion Whole-heart 3D acquisition at 3-T MRI using a free-breathing technique provides a valuable non-invasive imaging tool for excellent assessment of the interatrial septum—as compared to MSCT—that may have significant clinical implication for diagnostic purposes and therapeutic interventional procedures, as it may facilitate planning, improve outcome, and shorten its duration.http://link.springer.com/article/10.1186/s43044-020-00109-6Interatrial septum (IAS)Cardiac MRI (CMR)High-field CMR3 teslaMulti-slice computed tomography (MSCT) |
| spellingShingle | Abdalla Elagha Yaseen Othman Reham Darweesh Ghada Awadein Assem Hashad Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography The Egyptian Heart Journal Interatrial septum (IAS) Cardiac MRI (CMR) High-field CMR 3 tesla Multi-slice computed tomography (MSCT) |
| title | Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography |
| title_full | Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography |
| title_fullStr | Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography |
| title_full_unstemmed | Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography |
| title_short | Characterization of the interatrial septum by high-field cardiac MRI: a comparison with multi-slice computed tomography |
| title_sort | characterization of the interatrial septum by high field cardiac mri a comparison with multi slice computed tomography |
| topic | Interatrial septum (IAS) Cardiac MRI (CMR) High-field CMR 3 tesla Multi-slice computed tomography (MSCT) |
| url | http://link.springer.com/article/10.1186/s43044-020-00109-6 |
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