Cargando…

Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software

BACKGROUND: HeartModel (HM) is a fully automated adaptive quantification software that can quickly quantify left heart volume and left ventricular function. This study used HM to quantify the left ventricular end-diastolic (LVEDV) and end-systolic volumes (LVESV) of patients with dilated cardiomyopa...

Descripción completa

Detalles Bibliográficos
Autores principales: Pan, Chen-Ke, Zhao, Bo-Wen, Zhang, Xuan-Xuan, Pan, Mei, Mao, Yan-Kai, Yang, Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9131239/
https://www.ncbi.nlm.nih.gov/pubmed/35665130
http://dx.doi.org/10.12998/wjcc.v10.i13.4050
_version_ 1784713143469998080
author Pan, Chen-Ke
Zhao, Bo-Wen
Zhang, Xuan-Xuan
Pan, Mei
Mao, Yan-Kai
Yang, Yuan
author_facet Pan, Chen-Ke
Zhao, Bo-Wen
Zhang, Xuan-Xuan
Pan, Mei
Mao, Yan-Kai
Yang, Yuan
author_sort Pan, Chen-Ke
collection PubMed
description BACKGROUND: HeartModel (HM) is a fully automated adaptive quantification software that can quickly quantify left heart volume and left ventricular function. This study used HM to quantify the left ventricular end-diastolic (LVEDV) and end-systolic volumes (LVESV) of patients with dilated cardiomyopathy (DCM), coronary artery heart disease with segmental wall motion abnormality, and hypertrophic cardiomyopathy (HCM) to determine whether there were differences in the feasibility, accuracy, and repeatability of measuring the LVEDV, LVESV, LV ejection fraction (LVEF) and left atrial end-systolic volume (LAESV) and to compare these measurements with those obtained with traditional two-dimensional (2D) and three-dimensional (3D) methods. AIM: To evaluate the application value of HM in quantifying left heart chamber volume and LVEF in clinical patients. METHODS: A total of 150 subjects who underwent 2D and 3D echocardiography were divided into 4 groups: (1) 42 patients with normal heart shape and function (control group, Group A); (2) 35 patients with DCM (Group B); (3) 41 patients with LV remodeling after acute myocardial infarction (Group C); and (4) 32 patients with HCM (Group D). The LVEDV, LVESV, LVEF and LAESV obtained by HM with (HM-RE) and without regional endocardial border editing (HM-NE) were compared with those measured by traditional 2D/3D echocardiographic methods to assess the correlation, consistency, and repeatability of all methods. RESULTS: (1) The parameters measured by HM were significantly different among the groups (P < 0.05 for all). Compared with Groups A, C, and D, Group B had higher LVEDV and LVESV (P < 0.05 for all) and lower LVEF (P < 0.05 for all); (2) HM-NE overestimated LVEDV, LVESV, and LAESV with wide biases and underestimated LVEF with a small bias; contour adjustment reduced the biases and limits of agreement (bias: LVEDV, 28.17 mL, LVESV, 14.92 mL, LAESV, 8.18 mL, LVEF, -0.04%). The correlations between HM-RE and advanced cardiac 3D quantification (3DQA) (r(s) = 0.91-0.95, P < 0.05 for all) were higher than those between HM-NE (r(s) = 0.85-0.93, P < 0.05 for all) and the traditional 2D methods. The correlations between HM-RE and 3DQA were good for Groups A, B, and C but remained weak for Group D (LVEDV and LVESV, r(s) = 0.48-0.54, P < 0.05 for all); and (3) The intraobserver and interobserver variability for the HM-RE measurements were low. CONCLUSION: HM can be used to quantify the LV volume and LVEF in patients with common heart diseases and sufficient image quality. HM with contour editing is highly reproducible and accurate and may be recommended for clinical practice.
format Online
Article
Text
id pubmed-9131239
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-91312392022-06-04 Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software Pan, Chen-Ke Zhao, Bo-Wen Zhang, Xuan-Xuan Pan, Mei Mao, Yan-Kai Yang, Yuan World J Clin Cases Retrospective Study BACKGROUND: HeartModel (HM) is a fully automated adaptive quantification software that can quickly quantify left heart volume and left ventricular function. This study used HM to quantify the left ventricular end-diastolic (LVEDV) and end-systolic volumes (LVESV) of patients with dilated cardiomyopathy (DCM), coronary artery heart disease with segmental wall motion abnormality, and hypertrophic cardiomyopathy (HCM) to determine whether there were differences in the feasibility, accuracy, and repeatability of measuring the LVEDV, LVESV, LV ejection fraction (LVEF) and left atrial end-systolic volume (LAESV) and to compare these measurements with those obtained with traditional two-dimensional (2D) and three-dimensional (3D) methods. AIM: To evaluate the application value of HM in quantifying left heart chamber volume and LVEF in clinical patients. METHODS: A total of 150 subjects who underwent 2D and 3D echocardiography were divided into 4 groups: (1) 42 patients with normal heart shape and function (control group, Group A); (2) 35 patients with DCM (Group B); (3) 41 patients with LV remodeling after acute myocardial infarction (Group C); and (4) 32 patients with HCM (Group D). The LVEDV, LVESV, LVEF and LAESV obtained by HM with (HM-RE) and without regional endocardial border editing (HM-NE) were compared with those measured by traditional 2D/3D echocardiographic methods to assess the correlation, consistency, and repeatability of all methods. RESULTS: (1) The parameters measured by HM were significantly different among the groups (P < 0.05 for all). Compared with Groups A, C, and D, Group B had higher LVEDV and LVESV (P < 0.05 for all) and lower LVEF (P < 0.05 for all); (2) HM-NE overestimated LVEDV, LVESV, and LAESV with wide biases and underestimated LVEF with a small bias; contour adjustment reduced the biases and limits of agreement (bias: LVEDV, 28.17 mL, LVESV, 14.92 mL, LAESV, 8.18 mL, LVEF, -0.04%). The correlations between HM-RE and advanced cardiac 3D quantification (3DQA) (r(s) = 0.91-0.95, P < 0.05 for all) were higher than those between HM-NE (r(s) = 0.85-0.93, P < 0.05 for all) and the traditional 2D methods. The correlations between HM-RE and 3DQA were good for Groups A, B, and C but remained weak for Group D (LVEDV and LVESV, r(s) = 0.48-0.54, P < 0.05 for all); and (3) The intraobserver and interobserver variability for the HM-RE measurements were low. CONCLUSION: HM can be used to quantify the LV volume and LVEF in patients with common heart diseases and sufficient image quality. HM with contour editing is highly reproducible and accurate and may be recommended for clinical practice. Baishideng Publishing Group Inc 2022-05-06 2022-05-06 /pmc/articles/PMC9131239/ /pubmed/35665130 http://dx.doi.org/10.12998/wjcc.v10.i13.4050 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Retrospective Study
Pan, Chen-Ke
Zhao, Bo-Wen
Zhang, Xuan-Xuan
Pan, Mei
Mao, Yan-Kai
Yang, Yuan
Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title_full Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title_fullStr Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title_full_unstemmed Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title_short Three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
title_sort three-dimensional echocardiographic assessment of left ventricular volume in different heart diseases using a fully automated quantification software
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9131239/
https://www.ncbi.nlm.nih.gov/pubmed/35665130
http://dx.doi.org/10.12998/wjcc.v10.i13.4050
work_keys_str_mv AT panchenke threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware
AT zhaobowen threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware
AT zhangxuanxuan threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware
AT panmei threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware
AT maoyankai threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware
AT yangyuan threedimensionalechocardiographicassessmentofleftventricularvolumeindifferentheartdiseasesusingafullyautomatedquantificationsoftware