PMID- 35628843 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 10 DP - 2022 May 11 TI - Non-Invasive Cardiac Output Determination Using Magnetic Resonance Imaging and Thermodilution in Pulmonary Hypertension. LID - 10.3390/jcm11102717 [doi] LID - 2717 AB - Magnetic resonance imaging (MRI) can be used to measure cardiac output (CO) non-invasively, which is a paramount parameter in pulmonary hypertension (PH) patients. We retrospectively compared stroke volume (SV) obtained with MRI (SV(MRI)) in six localisations against SV measured with thermodilution (TD) (SV(TD)) and against each other in 24 patients evaluated in our PH centre using Bland and Altman (BA) agreement analyses, linear correlation, and intraclass correlation (ICC). None of the six tested localisations for SV(MRI) reached the predetermined criteria for interchangeability with SV(TD), with two standard deviations (2SD) of bias between 24.1 mL/beat and 31.1 mL/beat. The SV(MRI) methods yielded better agreement when compared against each other than the comparison between SV(MRI) and SV(TD), with the best 2SD of bias being 13.8 mL/beat. The inter-observer and intra-observer ICCs for CO(MRI) were excellent (inter-observer ICC between 0.889 and 0.983 and intra-observer ICC between 0.991 and 0.999). We could not confirm the interchangeability of SV(MRI) with SV(TD) based on the predetermined interchangeability criteria. The lack of agreement between MRI and TD might be explained because TD is less precise than previously thought. We evaluated a new method to estimate CO through the pulmonary circulation (COp) in PH patients that may be more precise than the previously tested methods. FAU - Crowe, Lindsey A AU - Crowe LA AD - Division of Radiology, Diagnostic Department, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. FAU - Genecand, Leon AU - Genecand L AUID- ORCID: 0000-0001-6965-0480 AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Division of Pulmonary Medicine, Department of Medicine, Geneva University Hospitals, 1205 Geneva, Switzerland. FAU - Hachulla, Anne-Lise AU - Hachulla AL AD - Division of Radiology, Diagnostic Department, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. FAU - Noble, Stephane AU - Noble S AUID- ORCID: 0000-0002-8018-2857 AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Division of Cardiology, Department of Medicine, Geneva University Hospitals, 1205 Geneva, Switzerland. FAU - Beghetti, Maurice AU - Beghetti M AUID- ORCID: 0000-0002-1841-0927 AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Paediatric Cardiology Unit, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Centre Universitaire Romand de Cardiologie et Chirurgie Cardiaque Pediatrique, University of Geneva and Lausanne, 1205 Geneva, Switzerland. FAU - Vallee, Jean-Paul AU - Vallee JP AD - Division of Radiology, Diagnostic Department, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. FAU - Lador, Frederic AU - Lador F AD - Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland. AD - Pulmonary Hypertension Program, Geneva University Hospitals, 1205 Geneva, Switzerland. AD - Division of Pulmonary Medicine, Department of Medicine, Geneva University Hospitals, 1205 Geneva, Switzerland. LA - eng PT - Journal Article DEP - 20220511 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9143884 OTO - NOTNLM OT - cardiac output OT - magnetic resonance imaging OT - pulmonary hypertension OT - thermodilution COIS- L.A.C. has nothing to disclose. L.G. has nothing to disclose. A.-L.H. has nothing to disclose. S.N. has nothing to disclose. M.B. reports grants and personal fees from Actelion/Janssen, grants and personal fees from Bayer, personal fees from Acceleron, personal fees from Altavant, personal fees from Orpha, personal fees from Gossamer, and personal fees from GSK outside the submitted work. J.-P.V. has nothing to disclose. F.L. reports personal fees from Actelion/janssen, personal fees from OrphaSwiss, and personal fees from MSD outside the submitted work. EDAT- 2022/05/29 06:00 MHDA- 2022/05/29 06:01 PMCR- 2022/05/11 CRDT- 2022/05/28 01:24 PHST- 2022/04/19 00:00 [received] PHST- 2022/04/30 00:00 [revised] PHST- 2022/05/09 00:00 [accepted] PHST- 2022/05/28 01:24 [entrez] PHST- 2022/05/29 06:00 [pubmed] PHST- 2022/05/29 06:01 [medline] PHST- 2022/05/11 00:00 [pmc-release] AID - jcm11102717 [pii] AID - jcm-11-02717 [pii] AID - 10.3390/jcm11102717 [doi] PST - epublish SO - J Clin Med. 2022 May 11;11(10):2717. doi: 10.3390/jcm11102717.