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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| Format: | Article |
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MDPI AG
2021-04-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/4/699 |
| _version_ | 1797537754506067968 |
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| author | Tom De Potter Caroline Weytjens Andreea Motoc Maria Luiza Luchian Esther Scheirlynck Bram Roosens Kaoru Tanaka Laura Houard Steven Droogmans Bernard Cosyns |
| author_facet | Tom De Potter Caroline Weytjens Andreea Motoc Maria Luiza Luchian Esther Scheirlynck Bram Roosens Kaoru Tanaka Laura Houard Steven Droogmans Bernard Cosyns |
| author_sort | Tom De Potter |
| collection | DOAJ |
| description | 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 (<i>p</i> < 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL (<i>p</i> < 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. |
| first_indexed | 2024-03-10T12:20:44Z |
| format | Article |
| id | doaj.art-e8d2a403db6e44cbaf3d115d52325a7e |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T12:20:44Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-e8d2a403db6e44cbaf3d115d52325a7e2023-11-21T15:32:04ZengMDPI AGDiagnostics2075-44182021-04-0111469910.3390/diagnostics11040699Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional EchocardiographyTom De Potter0Caroline Weytjens1Andreea Motoc2Maria Luiza Luchian3Esther Scheirlynck4Bram Roosens5Kaoru Tanaka6Laura Houard7Steven Droogmans8Bernard Cosyns9Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumRadiology Department, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumCentrum Voor Hart-en Vaatziekten (CHVZ), Department of Cardiology, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumThree-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 (<i>p</i> < 0.001), r = 0.653 and ESV: 48.1 ± 16.4 mL vs. 60.4 ± 21.2 mL (<i>p</i> < 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.https://www.mdpi.com/2075-4418/11/4/699right ventriclethree-dimensional echocardiographyfeasibilityreproducibilityvalidation |
| spellingShingle | Tom De Potter Caroline Weytjens Andreea Motoc Maria Luiza Luchian Esther Scheirlynck Bram Roosens Kaoru Tanaka Laura Houard Steven Droogmans Bernard Cosyns Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography Diagnostics right ventricle three-dimensional echocardiography feasibility reproducibility validation |
| title | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
| title_full | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
| title_fullStr | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
| title_full_unstemmed | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
| title_short | Feasibility, Reproducibility and Validation of Right Ventricular Volume and Function Assessment Using Three-Dimensional Echocardiography |
| title_sort | feasibility reproducibility and validation of right ventricular volume and function assessment using three dimensional echocardiography |
| topic | right ventricle three-dimensional echocardiography feasibility reproducibility validation |
| url | https://www.mdpi.com/2075-4418/11/4/699 |
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