1. Recommendations for standardized plane definition in canine cardiac MRI
- Author
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Henning Richter, Ines E. Lautenschläger, Adriano Wang-Leandro, Gianna Ribbers, Maja Waschk, Mariano Makara, Matthias Dennler, Tony M. Glaus, Marco Baron Toaldo, University of Zurich, and Dennler, Matthias
- Subjects
Male ,10253 Department of Small Animals ,040301 veterinary sciences ,Intraclass correlation ,3400 General Veterinary ,610 Medicine & health ,030218 nuclear medicine & medical imaging ,0403 veterinary science ,Cross-sectional imaging ,03 medical and health sciences ,0302 clinical medicine ,Dogs ,Cardiac magnetic resonance imaging ,Reference Values ,medicine ,Animals ,Ct simulation ,Dog Diseases ,Prospective Studies ,Reproducibility ,medicine.diagnostic_test ,General Veterinary ,business.industry ,Heart ,04 agricultural and veterinary sciences ,Magnetic Resonance Imaging ,Test (assessment) ,Flow chart ,Median time ,11404 Department of Clinical Diagnostics and Services ,Female ,business ,Nuclear medicine ,Cardiomyopathies ,Tomography, X-Ray Computed - Abstract
With the growing interest in cardiac magnetic resonance imaging (cMRI), veterinary radiologists will increasingly be asked to use this modality to answer complex cardiological questions. Plane alignment is crucial for reproducible assessment of the heart. Anesthesia time is a limiting factor in cMRI. Aims of this prospective experimental study were to introduce a flow chart for standardized cMRI-examination in dogs, to test it for reproducibility using a cardiac CT simulation and to estimate time requirements needed to complete the examination accurately. Six operators (3 radiologists, 1 cardiologist, 1 imaging-resident, 1 technician) simulated a cMRI examination on CT-scans of 6 healthy Beagle dogs twice within two to four weeks. Assessment included qualitative and quantitative scoring of plane quality and time requirements. The quality of planes was high for the left and moderate for the right side of the heart. The intraclass correlation coefficient (ICC) of linear measurements of structures on the left was good to excellent (ICC-range: 0.789-0.948) but dropped to moderate to poor levels for the right side (ICC-range: 0.429-0.738). The median time required to complete a full examination was 30 (range: 13-103) min in the first and 24 (range: 15-62) min in the second evaluation. It differed significantly between operators and was consistently shorter for the left than for the right side. In conclusion, a new standardized scheme for cMRI can be quickly adopted by radiologists with some expertise in cross sectional imaging. Qualitative and quantitative results were highly reproducible for the left but less for the right side.
- Published
- 2020
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