Quantitative assessment of right ventricular function and pulmonary regurgitation in surgically repaired tetralogy of Fallot using 256-slice CT: comparison with 3-Tesla MRI

被引:38
作者
Yamasaki, Yuzo [1 ]
Nagao, Michinobu [2 ]
Yamamura, Kenichiro [3 ]
Yonezawa, Masato [1 ]
Matsuo, Yoshio [1 ]
Kawanami, Satoshi [2 ]
Kamitani, Takeshi [1 ]
Higuchi, Ko [1 ]
Sakamoto, Ichiro [4 ]
Shiokawa, Yuichi [5 ]
Yabuuchi, Hidetake [6 ]
Honda, Hiroshi [1 ]
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Clin Radiol, Higashi Ku, Fukuoka 8128582, Japan
[2] Kyushu Univ, Grad Sch Med Sci, Dept Mol Imaging & Diag, Higashi Ku, Fukuoka 8128582, Japan
[3] Kyushu Univ, Grad Sch Med Sci, Dept Pediat, Higashi Ku, Fukuoka 8128582, Japan
[4] Kyushu Univ, Grad Sch Med Sci, Dept Cardiovasc Med, Higashi Ku, Fukuoka 8128582, Japan
[5] Kyushu Univ, Grad Sch Med Sci, Dept Cardiovasc Surg, Higashi Ku, Fukuoka 8128582, Japan
[6] Kyushu Univ, Grad Sch Med Sci, Dept Hlth Sci, Higashi Ku, Fukuoka 8128582, Japan
基金
日本学术振兴会;
关键词
Tetralogy of Fallot; Right ventricular function; Pulmonary regurgitation; Multislice computed tomography; Magnetic resonance imaging; CARDIAC COMPUTED-TOMOGRAPHY; CONGENITAL HEART-DISEASE; MAGNETIC-RESONANCE; VALVE-REPLACEMENT; IMAGE QUALITY; 3.0; TESLA; REPRODUCIBILITY; ANGIOGRAPHY; INJECTION; ACCURACY;
D O I
10.1007/s00330-014-3344-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
To compare 256-slice cardiac computed tomography (CCT) with cardiac magnetic resonance (CMR) imaging to assess right ventricular (RV) function and pulmonary regurgitant fraction (PRF) in patients with repaired tetralogy of Fallot (TOF). Thirty-three consecutive patients with repaired TOF underwent retrospective ECG-gated CCT and 3-Tesla CMR. RV and left ventricular (LV) end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV) and ejection fraction (EF) were measured using CCT and CMR. PRF-CCT (%) was defined as (RVSV -aEuro parts per thousand LVSV)/RVSV. PRF-CMR (%) was measured by the phase-contrast method. Repeated measurements were performed to determine intra- and interobserver variability. CCT measurements, including PRF, correlated highly with the CMR reference (r = 0.71-0.96). CCT overestimated RVEDV (mean difference, 17.1 +/- 2.9 ml), RVESV (12.9 +/- 2.1 ml) and RVSV (4.2 +/- 2.0 ml), and underestimated RVEF (-2.6 +/- 1.0 %) and PRF (-9.1 +/- 2.0 %) compared with CMR. The limits of agreement between CCT and CMR were in a good range for all measurements. The variability in CCT measurements was lower than those in CMR. The estimated effective radiation dose was 7.6 +/- 2.6 mSv. 256-slice CCT can assess RV function and PRF with relatively low dose radiation exposure in patients with repaired TOF, but overestimates RV volume and underestimates PRF. aEuro cent 256-slice CT assessment of RV function is highly reproducible in repaired TOF. aEuro cent Pulmonary regurgitation can be evaluated by biventricular systolic volume difference. aEuro cent CT overestimates RV volume and underestimates pulmonary regurgitation, compared with MRI.
引用
收藏
页码:3289 / 3299
页数:11
相关论文
共 28 条
[1]   Comparison of right ventricular volume measurements between axial and short axis orientation using steady-state free precession magnetic resonance imaging [J].
Alfakih, K ;
Plein, S ;
Bloomer, T ;
Jones, T ;
Ridgway, J ;
Sivananthan, M .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2003, 18 (01) :25-32
[2]  
Ammash Naser M, 2007, Congenit Heart Dis, V2, P386, DOI 10.1111/j.1747-0803.2007.00131.x
[3]   ESC Guidelines for the management of grown-up congenital heart disease (new version 2010) [J].
Baumgartner, Helmut ;
Bonhoeffer, Philipp ;
De Groot, Natasja M. S. ;
de Haan, Fokko ;
Deanfield, John Erik ;
Galie, Nazzareno ;
Gatzoulis, Michael A. ;
Gohlke-Baerwolf, Christa ;
Kaemmerer, Harald ;
Kilner, Philip ;
Meijboom, Folkert ;
Mulder, Barbara J. M. ;
Oechslin, Erwin ;
Oliver, Jose M. ;
Serraf, Alain ;
Szatmari, Andras ;
Thaulow, Erik ;
Vouhe, Pascal R. ;
Walma, Edmond .
EUROPEAN HEART JOURNAL, 2010, 31 (23) :2915-2957
[4]   Prospectively gated transverse coronary CT angiography versus retrospectively gated helical technique: Improved image quality and reduced radiation dose [J].
Earls, James P. ;
Berman, Elise L. ;
Urban, Bruce A. ;
Curry, Charlene A. ;
Lane, Judith L. ;
Jennings, Robert S. ;
McCulloch, Colin C. ;
Hsieh, Jiang ;
Londt, John H. .
RADIOLOGY, 2008, 246 (03) :742-753
[5]   Repaired tetralogy of Fallot: the roles of cardiovascular magnetic resonance in evaluating pathophysiology and for pulmonary valve replacement decision support [J].
Geva, Tal .
JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, 2011, 13
[6]   Accuracy and reproducibility of assessing right ventricular function with 64-section multi-detector row CT: Comparison with magnetic resonance imaging [J].
Guo, Ying-Kun ;
Gao, Hong-ling ;
Zhang, Xiao-chun ;
Wang, Qi-ling ;
Yang, Zhi-gang ;
Ma, En-sen .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2010, 139 (03) :254-262
[7]   Comprehensive cardiac magnetic resonance imaging at 3.0 tesla - Feasibility and implications for clinical applications [J].
Gutberlet, M ;
Noeske, R ;
Schwinge, K ;
Freyhardt, P ;
Felix, R ;
Niendorf, T .
INVESTIGATIVE RADIOLOGY, 2006, 41 (02) :154-167
[8]   Radiation dose estimates from cardiac multislice computed tomography in daily practice -: Impact of different scanning protocols on effective dose estimates [J].
Hausleiter, J ;
Meyer, T ;
Hadamitzky, M ;
Huber, E ;
Zankl, M ;
Martinoff, S ;
Kastrati, A ;
Schömig, A .
CIRCULATION, 2006, 113 (10) :1305-1310
[9]   Comparisons of Image Quality and Radiation Dose Between Iterative Reconstruction and Filtered Back Projection Reconstruction Algorithms in 256-MDCT Coronary Angiography [J].
Hou, Yang ;
Liu, Xin ;
Xv, Shu ;
Guo, Wenli ;
Guo, Qiyong .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2012, 199 (03) :588-594
[10]   Assessment of left ventricular function and mass in dual-source computed tomography coronary angiography Influence of beta-blockers on left ventricular function: Comparison to magnetic resonance imaging [J].
Jensen, Christoph J. ;
Jochims, Markus ;
Hunold, Peter ;
Forsting, Michael ;
Barkhausen, Joerg ;
Sabin, Georg V. ;
Bruder, Oliver ;
Schlosser, Thomas .
EUROPEAN JOURNAL OF RADIOLOGY, 2010, 74 (03) :484-491