Reproducibility of left and right ventricular mass measurements with cardiac CT

被引:13
作者
Schwarz, Florian [1 ,2 ]
Takx, Richard [1 ,3 ]
Schoepf, U. Joseph [1 ]
Lee, Yeong Shyan [1 ,4 ]
Ruzsics, Balazs [1 ]
Gassner, Eva Maria [1 ,5 ]
Chiaramida, Salvatore [1 ]
Henzler, Thomas [1 ,6 ]
机构
[1] Med Univ S Carolina, Heart & Vasc Ctr, Charleston, SC 29401 USA
[2] Univ Munich, Inst Clin Radiol, Munich, Germany
[3] Maastricht Univ, Med Ctr, Dept Radiol, Maastricht, Netherlands
[4] Tan Tock Seng Hosp, Dept Diagnost Radiol, Singapore, Singapore
[5] Univ Innsbruck Hosp, Dept Radiol, Innsbruck, Austria
[6] Heidelberg Univ, Inst Clin Radiol & Nucl Med, Univ Med Ctr Mannheim, Med Fac Mannheim, D-69115 Heidelberg, Germany
关键词
Cardiac CT; Ventricular mass; Ventricular volumetric parameters; Semiautomatic software;
D O I
10.1016/j.jcct.2011.08.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Cardiac CT provides volumetric data that enables characterization of the myocardium. OBJECTIVE: We evaluated intraobserver, interobserver, and interstudy reproducibility of left ventricular (LV) and right ventricular (RV) mass quantification with cardiac CT. METHODS: Thirty-eight patients who underwent cardiac CT twice within 365 days were included in this analysis. Functional reconstructions in 10% steps throughout the R-R interval and axial 1.5-mm sections were used. Semiautomatic contour detection was used to trace epicardial and endocardial borders in all cardiac phases for calculation of LV and RV ejection fraction, end-diastolic volume, end-systolic volume, cardiac output, stroke volume, and ventricular mass. For each study 2 observers measured LV and RV mass twice. RESULTS: LV mass parameters derived from semiautomatic contour detection algorithm had excellent intraobserver (r = 1.00), interobserver (r = 0.99), and interstudy (r = 0.99) reproducibility (P < 0.0001). Average end-diastolic LV mass was 146.2 +/- 42.9 g at the first CT study and 146.8 +/- 44.4 g at the second study. For measuring RV mass, reproducibility was good on all levels (r = 0.78, r = 0.78, and r = 0.68, respectively, with an average end-diastolic mass of 25.7 +/- 5.8 g at the first study and 24.4 +/- 4.8 g at the second study. CONCLUSION: Quantification of LV mass at cardiac CT with the threshold-based, region-growing semiautomatic segmentation analysis software evaluated here is highly observer independent and reproducible. This largely holds true for the estimation of RV mass as well; however, further improvements are needed to optimize reproducibility for RV mass quantification. (C) 2011 Society of Cardiovascular Computed Tomography. All rights reserved.
引用
收藏
页码:317 / 324
页数:8
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