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- Source :
- European Heart Journal – Cardiovascular Imaging. 17:ii193-ii201
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- Background Measurement of left ventricular outflow tract (LVOT) diameter and area for estimation of aortic valve area (AVA) using transthoracic echocardiography (TTE) and the continuity equation assumes circular LVOT. The use of direct planimetric measurement of LVOT area by gated-CT can theoretically improve accuracy of AVA calculation. Purpose We aim to assess reproducibility of LVOT echo measurement and its correlation and agreement with Gated CT measurements. In the subgroup with aortic stenosis (AS) we secondarily assessed the potential change in AS severity using LVOT area by CT instead of TTE in the continuity equation. Methods We retrospectively studied 93 patients, 43 of whom with severe AS. LVOT Area was measured with 2D TTE by 2 expert echocardiographers and gated-CT by 2 expert radiologists; inter-reader agreement and inter-method (Echo vs gated CT) agreement and correlation were measured. Finally we used the measurement of CT scan in the continuity equation instead of TTE measurement to assess potential reclassification of AS severity. Results Mean age was 78±11. Table shows inter-reader and inter-method agreement and correlation. The correlation between 2 echocardiophers for LVOT measurements was good (rho = 0,77) although not perfect. Out of 43 severe AS, defined as AVA
- Subjects :
- Aortic valve
Reproducibility
business.industry
General Medicine
030204 cardiovascular system & hematology
medicine.disease
Spearman's rank correlation coefficient
030218 nuclear medicine & medical imaging
03 medical and health sciences
Stenosis
0302 clinical medicine
Aortic valve area
medicine.anatomical_structure
Aortic valve stenosis
Medicine
Ventricular outflow tract
Radiology, Nuclear Medicine and imaging
Tomography
Cardiology and Cardiovascular Medicine
business
Nuclear medicine
Subjects
Details
- ISSN :
- 20472412 and 20472404
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- European Heart Journal – Cardiovascular Imaging
- Accession number :
- edsair.doi...........86f53e9d4d8c5a8c6a01f8b2d2bfa601