PMID- 34795512 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220428 IS - 1178-7074 (Print) IS - 1178-7074 (Electronic) IS - 1178-7074 (Linking) VI - 14 DP - 2021 TI - Heart Model (A.I.) Three-Dimensional Echocardiographic Evaluation of Left Ventricular Function and Parameter Setting. PG - 7971-7981 LID - 10.2147/IJGM.S332855 [doi] AB - OBJECTIVE: This study aims to explore the feasibility of HeartModel (A.I.) (HM) three-dimensional echocardiography (3DE) to assess left ventricular function and discover suitable border parameter settings. METHODS: A total of 113 patients that underwent echocardiography in our hospital were eligible for inclusion. The HM 3DE (HM method) and conventional 3DE (3D method) were used to analyze echocardiography images. The HM was set to different border settings (end-diastolic [ED] and end-systolic [ES] settings) to assess different left ventricular systolic function parameters including left ventricular end diastolic volume (LVEDV), left ventricular end systolic volume (LVESV), and left ventricular ejection fraction (LVEF), and left ventricular diastolic function parameters including maximal left atrium volume (LAV(MAX)). All of these parameters were evaluated using the HM method and then compared with the 3D method. RESULTS: The differences in LVEDV, LVESV, and LVEF measured with different HM border settings were statistically significant (P<0.05) and were strongly correlated with the 3D method. For LVEF, the reading using the HM method with ED and ES = 70 and 30 showed the best agreement with the 3D method, and the difference in the readings was not statistically significant (P > 0.05). For LVEDV and LVESV, the reading using the HM method with ED and ES = 40 and 20 showed the best agreement with the 3D method, but the difference in the readings was statistically significant (P < 0.05). The measurements taken using the HM method were more reproducible than those taken using the 3D method (P<0.05). The measurement time when using the HM method was significantly less than the 3D method (P<0.05). In terms of LAV(MAX), the correlation between the HM and 3D methods was strong, but the requirements for agreement were not satisfied. CONCLUSION: Evaluation of the left ventricular function using HM 3DE is feasible, saves time, and is reproducible. To assess the left ventricular function, the border parameter setting of ED and ES = 70 and 30 provided the best fit for the Chinese population. CI - (c) 2021 Xing et al. FAU - Xing, Yuan-Yuan AU - Xing YY AD - Hebei Medical University, Shijiazhuang, Hebei, 050017, People's Republic of China. AD - Department of Ultrasound, Hebei General Hospital, Shijiazhuang, 050051, Hebei, People's Republic of China. FAU - Xue, Hong-Yuan AU - Xue HY AD - Department of Ultrasound, Hebei General Hospital, Shijiazhuang, 050051, Hebei, People's Republic of China. FAU - Ye, Yu-Quan AU - Ye YQ AD - Hebei Medical University, Shijiazhuang, Hebei, 050017, People's Republic of China. AD - Department of Ultrasound, Hebei General Hospital, Shijiazhuang, 050051, Hebei, People's Republic of China. LA - eng PT - Journal Article DEP - 20211109 PL - New Zealand TA - Int J Gen Med JT - International journal of general medicine JID - 101515487 PMC - PMC8593599 OTO - NOTNLM OT - endocardial border delineation OT - left ventricular function OT - left ventricular volume OT - three-dimensional echocardiography COIS- None of the authors have any financial disclosure or conflicts of interest. EDAT- 2021/11/20 06:00 MHDA- 2021/11/20 06:01 PMCR- 2021/11/09 CRDT- 2021/11/19 06:52 PHST- 2021/08/05 00:00 [received] PHST- 2021/10/21 00:00 [accepted] PHST- 2021/11/19 06:52 [entrez] PHST- 2021/11/20 06:00 [pubmed] PHST- 2021/11/20 06:01 [medline] PHST- 2021/11/09 00:00 [pmc-release] AID - 332855 [pii] AID - 10.2147/IJGM.S332855 [doi] PST - epublish SO - Int J Gen Med. 2021 Nov 9;14:7971-7981. doi: 10.2147/IJGM.S332855. eCollection 2021.