PMID- 29084187 OWN - NLM STAT- MEDLINE DCOM- 20180112 LR - 20180112 IS - 1426-9686 (Print) IS - 1426-9686 (Linking) VI - 43 IP - 256 DP - 2017 Oct 23 TI - [Evaluation of the clinical suitability of automated left ventricle's fraction and volume measurements in 3-dimensional echocardiography compared to values obtained in magnetic resonance imaging (pilot study)]. PG - 154-157 AB - Recently a lot of authors have been trying to determine the usefulness of 3-dimensional echocardiography (TTE 3D) in evaluation of ejection fraction and left ventricular volume, but few attempt to compare it to the current gold standard of cardiac magnetic resonance (CMR). 3D imaging technics allows to avoid errors caused by geometry of the heart chambers and foreshortened views. American Echocardiographic Guidelines recommend the use of 3-dimensional echocardiography in daily clinical practice. AIM: The aim of the study was to establish clinical usefulness of automated 3D TTE software to calculate left ventricle ejection fraction (LVEF), left ventricle end diastolic volume (LVEDV) and left ventricle end systolic volume (LVESV), and to compare those measurements calculated in CMR and in 3D TTE. MATERIALS AND METHODS: The aim of the study was to establish clinical usefulness of automated 3D TTE software to calculate left ventricle ejection fraction (LVEF), left ventricle end diastolic volume (LVEDV) and left ventricle end systolic volume (LVESV), and to compare those measurements calculated in CMR and in 3D TTE. RESULTS: The mean LVEF in 3D TTE was 65% +/- 12%; LVEDV 123 ml +/- 67 ml, LVESV 42 ml +/- 29 ml. The CMR LVEF in the study group was 61% +/- 9%, LVEDV 134 ml +/- 51ml, LVESV 54 ml +/- 33 ml. Wilcoxon rank test showed no difference between medians of the measurements, the correlation coefficient between LVEF in 3D TTE and CMR was R = 0.84 (p = 0.036). LVEF calculated in 3D TTE shows good correlation with LVEF computed in CMR. However good visualization of the endocardium, especially in the apex, is essential. The volume of left ventricle is underestimated in 3D TTE. In previous studies underestimation of LVEDV and LVESV was explained by exclusion of endocardial trabeculae from the left ventricle cavity in automated measurement. CONCLUSIONS: The automated 3D TTE software allows simple, fast and precise evaluation of parameters of the left ventricle - especially LVEF. Automated 3D TTE software gives hope for the inclusion of 3D TTE in routine clinical practice due to its repeatability and easy use of the Heart Model software. FAU - Zygadlo, Agnieszka AU - Zygadlo A AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Kaznica-Wiatr, Magdalena AU - Kaznica-Wiatr M AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Blaut-Jurkowska, Justyna AU - Blaut-Jurkowska J AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Knap, Klaudia AU - Knap K AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Lenart-Migdalska, Aleksandra AU - Lenart-Migdalska A AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Smas-Suska, Monika AU - Smas-Suska M AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Skubera, Maciej AU - Skubera M AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Urbanczyk-Zawadzka, Malgorzata AU - Urbanczyk-Zawadzka M AD - John Paul II Hospital in Cracow, Poland: Department of Radiology and Diagnostic Imaging. FAU - Podolec, Piotr AU - Podolec P AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. FAU - Olszowska, Maria AU - Olszowska M AD - John Paul II Hospital in Cracow, Poland: Department of Cardiac and Vascular Diseases with Intensive Cardiology Care Unit. LA - pol PT - Comparative Study PT - Journal Article TT - Ocena przydatnosci klinicznej automatycznego pomiaru frakcji i objetosci lewej komory w echokardiografii przezklatkowej 3D w porownaniu do wartosci uzyskanych w rezonansie magnetycznym (badanie pilotazowe). PL - Poland TA - Pol Merkur Lekarski JT - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego JID - 9705469 SB - IM MH - Adult MH - Aged MH - Automation MH - Echocardiography, Three-Dimensional/*methods MH - Female MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Pilot Projects MH - Software MH - *Stroke Volume MH - Ventricular Dysfunction, Left/*diagnostic imaging OTO - NOTNLM OT - 3-dimensional echocardiography OT - cardiac magnetic resonance EDAT- 2017/10/31 06:00 MHDA- 2018/01/13 06:00 CRDT- 2017/10/31 06:00 PHST- 2017/10/31 06:00 [entrez] PHST- 2017/10/31 06:00 [pubmed] PHST- 2018/01/13 06:00 [medline] AID - PML256-154 [pii] PST - ppublish SO - Pol Merkur Lekarski. 2017 Oct 23;43(256):154-157.