Is Cardiac CT a Reproducible Alternative for Cardiac MR in Adult Patients with a Systemic Right Ventricle?

Overview

Journal Neth Heart J

Specialty Cardiology & Vascular Diseases

Date 2012 Aug 1

PMID 22847041

Citations 7

Authors

M M Winter

S Romeih

B J Bouma

M Groenink

N A Blom

A M Spijkerboer

B J M Mulder

Affiliations

Soon will be listed here.

Abstract

Objective: 20 % of patients with a systemic RV are pacemaker dependent, and unsuitable to undergo cardiac magnetic resonance (CMR). Multidetector row computed tomography (MDCT) could provide a reproducible alternative to CMR in these patients. The aim of this study was to compare variability of MDCT with CMR.

Methods: Thirty-five patients with systemic RV underwent either MDCT (n = 15) or CMR (n = 20). Systemic RV volumes and ejection fraction were obtained, and intra- and interobserver variability for both modalities were assessed and compared.

Results: We found the intra- and interobserver variability of volumes and function measurements of the systemic RV obtained with MDCT to be higher compared with those obtained with CMR. However, these differences in variability were not significant, the only exception being the interobserver variability of systemic RV stroke volume.

Conclusions: MDCT provides a reproducible alternative to CMR for volumes and function assessment in patients with a systemic RV.

Citing Articles

Knowledge-based 3D reconstruction of the right ventricle: comparison with cardiac magnetic resonance in adults with congenital heart disease.

Trzebiatowska-Krzynska A, Driessen M, Sieswerda G, Wallby L, Swahn E, Meijboom F Echo Res Pract. 2016; 2(4):109-16.

PMID: 26796613 PMC: 4677647. DOI: 10.1530/ERP-15-0029.

The right ventricle: always normal in normal subjects?.

van der Wall E Neth Heart J. 2014; 23(1):62-3.

PMID: 25492108 PMC: 4268211. DOI: 10.1007/s12471-014-0640-y.

Screening in asymptomatic coronary artery disease: helpful, redundant or harmful?.

van der Wall E Neth Heart J. 2014; 22(12):531-2.

PMID: 25326101 PMC: 4391182. DOI: 10.1007/s12471-014-0614-0.

A GPS map for pulmonary hypertension: a review of imaging modalities.

Li J, Lee A, Cheng Y Curr Hypertens Rep. 2013; 15(6):650-8.

PMID: 24136329 DOI: 10.1007/s11906-013-0392-x.

Crown years for non-invasive cardiovascular imaging (Part IV): 30 years of cardiac computed tomography.

van der Wall E Neth Heart J. 2013; 21(7-8):315-8.

PMID: 23640578 PMC: 3722385. DOI: 10.1007/s12471-013-0427-6.

References

Mayo J, Leipsic J . Radiation dose in cardiac CT. AJR Am J Roentgenol. 2009; 192(3):646-53. DOI: 10.2214/AJR.08.2066. View

Dodge-Khatami A, Tulevski I, Bennink G, Hitchcock J, de Mol B, van der Wall E . Comparable systemic ventricular function in healthy adults and patients with unoperated congenitally corrected transposition using MRI dobutamine stress testing. Ann Thorac Surg. 2002; 73(6):1759-64. DOI: 10.1016/s0003-4975(02)03553-1. View

Grothues F, Moon J, Bellenger N, Smith G, Klein H, Pennell D . Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonance. Am Heart J. 2004; 147(2):218-23. DOI: 10.1016/j.ahj.2003.10.005. View

Engelfriet P, Boersma E, Oechslin E, Tijssen J, Gatzoulis M, Thilen U . The spectrum of adult congenital heart disease in Europe: morbidity and mortality in a 5 year follow-up period. The Euro Heart Survey on adult congenital heart disease. Eur Heart J. 2005; 26(21):2325-33. DOI: 10.1093/eurheartj/ehi396. View

Deanfield J, Thaulow E, Warnes C, Webb G, Kolbel F, Hoffman A . Management of grown up congenital heart disease. Eur Heart J. 2003; 24(11):1035-84. DOI: 10.1016/s0195-668x(03)00131-3. View

Nazarian S, Roguin A, Zviman M, Lardo A, Dickfeld T, Calkins H . Clinical utility and safety of a protocol for noncardiac and cardiac magnetic resonance imaging of patients with permanent pacemakers and implantable-cardioverter defibrillators at 1.5 tesla. Circulation. 2006; 114(12):1277-84. PMC: 3410556. DOI: 10.1161/CIRCULATIONAHA.105.607655. View

Tulevski I, Romkes H, Dodge-Khatami A, van der Wall E, Groenink M, van Veldhuisen D . Quantitative assessment of the pressure and volume overloaded right ventricle: imaging is a real challenge. Int J Cardiovasc Imaging. 2002; 18(1):41-51. DOI: 10.1023/a:1014315329767. View

Warnes C . Transposition of the great arteries. Circulation. 2006; 114(24):2699-709. DOI: 10.1161/CIRCULATIONAHA.105.592352. View

Tulevski I, Lee P, Groenink M, van der Wall E, Stoker J, Pieper P . Dobutamine-induced increase of right ventricular contractility without increased stroke volume in adolescent patients with transposition of the great arteries: evaluation with magnetic resonance imaging. Int J Card Imaging. 2001; 16(6):471-8. DOI: 10.1023/a:1010692807154. View

10.

Tepel M, van der Giet M, Schwarzfeld C, Laufer U, Liermann D, Zidek W . Prevention of radiographic-contrast-agent-induced reductions in renal function by acetylcysteine. N Engl J Med. 2000; 343(3):180-4. DOI: 10.1056/NEJM200007203430304. View

11.

Marelli A, Mackie A, Ionescu-Ittu R, Rahme E, Pilote L . Congenital heart disease in the general population: changing prevalence and age distribution. Circulation. 2007; 115(2):163-72. DOI: 10.1161/CIRCULATIONAHA.106.627224. View

12.

Nieman K, Rensing B, van Geuns R, Vos J, Pattynama P, Krestin G . Non-invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart. 2002; 88(5):470-4. PMC: 1767415. DOI: 10.1136/heart.88.5.470. View

13.

Lembcke A, Dohmen P, Dewey M, Klessen C, Elgeti T, Hermann K . Multislice computed tomography for preoperative evaluation of right ventricular volumes and function: comparison with magnetic resonance imaging. Ann Thorac Surg. 2005; 79(4):1344-51. DOI: 10.1016/j.athoracsur.2004.09.030. View

14.

Diller G, Okonko D, Uebing A, Ho S, Gatzoulis M . Cardiac resynchronization therapy for adult congenital heart disease patients with a systemic right ventricle: analysis of feasibility and review of early experience. Europace. 2006; 8(4):267-72. DOI: 10.1093/europace/euj048. View

15.

Roguin A, Zviman M, Meininger G, Rodrigues E, Dickfeld T, Bluemke D . Modern pacemaker and implantable cardioverter/defibrillator systems can be magnetic resonance imaging safe: in vitro and in vivo assessment of safety and function at 1.5 T. Circulation. 2004; 110(5):475-82. PMC: 3410537. DOI: 10.1161/01.CIR.0000137121.28722.33. View

16.

Manske C, Sprafka J, Strony J, Wang Y . Contrast nephropathy in azotemic diabetic patients undergoing coronary angiography. Am J Med. 1990; 89(5):615-20. DOI: 10.1016/0002-9343(90)90180-l. View

17.

Lundstrom U, Bull C, Wyse R, Somerville J . The natural and "unnatural" history of congenitally corrected transposition. Am J Cardiol. 1990; 65(18):1222-9. DOI: 10.1016/0002-9149(90)90978-a. View

18.

Papavassiliu T, Kuhl H, Schroder M, Suselbeck T, Bondarenko O, Bohm C . Effect of endocardial trabeculae on left ventricular measurements and measurement reproducibility at cardiovascular MR imaging. Radiology. 2005; 236(1):57-64. DOI: 10.1148/radiol.2353040601. View

19.

Guo Y, Gao H, Zhang X, Wang Q, Yang Z, Ma E . Accuracy and reproducibility of assessing right ventricular function with 64-section multi-detector row CT: comparison with magnetic resonance imaging. Int J Cardiol. 2008; 139(3):254-62. DOI: 10.1016/j.ijcard.2008.10.031. View

20.

Hausleiter J, Meyer T, Hadamitzky M, Huber E, Zankl M, Martinoff S . Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates. Circulation. 2006; 113(10):1305-10. DOI: 10.1161/CIRCULATIONAHA.105.602490. View