Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Evaluation of Left Atrial Volumes Using Multidetector Computed Tomography: Comparison with Echocardiography

  • Gweon, Hye-Mi (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Kim, Sang-Jin (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Kim, Tae-Hoon (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Lee, Sang-Min (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Hong, Yoo-Jin (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Rim, Se-Joong (Department of Cardiology, Yonsei University Health System, Yonsei University College of Medicine, Gangnam Severance Hospital)
  • Received : 2009.08.20
  • Accepted : 2009.12.07
  • Published : 2010.06.01
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Abstract

Objective: To prospectively assess the relationship between the two different measurement methods for the evaluation of left atrial (LA) volume using cardiac multidetector computed tomography (MDCT) and to compare the results between cardiac MDCT and echocardiography. Materials and Methods: Thirty-five patients (20 men, 15 women; mean age, 60 years) underwent cardiac MDCT angiography for coronary artery disease. The LA volumes were measured using two different methods: the two dimensional (2D) length-based (LB) method measured along the three-orthogonal planes of the LA and the 3D volumetric threshold-based (VTB) method measured according to the threshold 3D segmentation of the LA. The results obtained by cardiac MDCT were compared with those obtained by echocardiography. Results: The LA end-systolic and end-diastolic volumes (LAESV and LAEDV) measured by the 2D-LB method correlated well with those measured by the 3DVTB method using cardiac MDCT (r = 0.763, r = 0.786, p = 0.001). However, there was a significant difference in the LAESVs between the two measurement methods using cardiac MDCT (p < 0.05). The LAESV measured by cardiac MDCT correlated well with measurements by echocardiography (r = 0.864, p = 0.001), however with a significant difference (p < 0.01) in their volumes. The cardiac MDCT overestimated the LAESV by 22% compared to measurements by echocardiography. Conclusion: A significant correlation was found between the two different measurement methods for evaluating LA volumes by cardiac MDCT. Further, cardiac MDCT correlates well with echocardiography in evaluating the LA volume. However, there are significant differences in the LAESV between the two measurement methods using cardiac MDCT and between cardiac MDCT and echocardiography.

Keywords

References

  1. Beinart R, Boyko V, Schwammenthal E, Kuperstein R, Sagie A, Hod H, et al. Long-term prognostic significance of left atrial volume in acute myocardial infarction. J Am Coll Cardiol 2004;44:327-334 https://doi.org/10.1016/j.jacc.2004.03.062
  2. Kizer JR, Bella JN, Palmieri V, Liu JE, Best LG, Lee ET, et al. Left atrial diameter as an independent predictor of first clinical cardiovascular events in middle-aged and elderly adults: the Strong Heart Study (SHS). Am Heart J 2006;151:412-418 https://doi.org/10.1016/j.ahj.2005.04.031
  3. Rossi A, Cicoira M, Zanolla L, Sandrini R, Golia G, Zardini P, et al. Determinants and prognostic value of left atrial volume in patients with dilated cardiomyopathy. J Am Coll Cardiol 2002;40:1425 https://doi.org/10.1016/S0735-1097(02)02305-7
  4. Tsang TS, Barnes ME, Bailey KR, Leibson CL, Montgomery SC, Takemoto Y, et al. Left atrial volume: important risk marker of incident atrial fibrillation in 1655 older men and women. Mayo Clin Proc 2001;76:467-475 https://doi.org/10.4065/76.5.467
  5. Feinberg MS, Waggoner AD, Kater KM, Cox JL, Lindsay BD, Perez JE. Restoration of atrial function after the maze procedure for patients with atrial fibrillation. Assessment by Doppler echocardiography. Circulation 1994;90:II285-II292
  6. Yashima N, Nasu M, Kawazoe K, Hiramori K. Serial evaluation of atrial function by Doppler echocardiography after the maze procedure for chronic atrial fibrillation. Eur Heart J 1997;18:496-502 https://doi.org/10.1093/oxfordjournals.eurheartj.a015271
  7. Jessurun ER, van Hemel NM, Kelder JC, Defauw JA, Brutel de la Riviere A, Ernst JM, et al. The effect of maze operations on atrial volume. Ann Thorac Surg 2003;75:51-56 https://doi.org/10.1016/S0003-4975(02)04117-6
  8. Bartunek J, Vantrimpont PJ, De Bruyne B. Left atrial-volume determination by echocardiography. Validation by biplane angiography in the setting of mitral balloon valvuloplasty. Int J Card Imaging 1994;10:263-268 https://doi.org/10.1007/BF01137717
  9. Rodevan O, Bjornerheim R, Ljosland M, Maehle J, Smith HJ, Ihlen H. Left atrial volumes assessed by three- and twodimensional echocardiography compared to MRI estimates. Int J Card Imaging 1999;15:397-410 https://doi.org/10.1023/A:1006276513186
  10. Kircher B, Abbott JA, Pau S, Gould RG, Himelman RB, Higgins CB, et al. Left atrial volume determination by biplane twodimensional echocardiography: validation by cine computed tomography. Am Heart J 1991;121:864-871 https://doi.org/10.1016/0002-8703(91)90200-2
  11. Christiaens L, Lequeux B, Ardilouze P, Ragot S, Mergy J, Herpin D, et al. A new method for measurement of left atrial volumes using 64-slice spiral computed tomography: comparison with two-dimensional echocardiographic techniques. Int J Cardiol 2009;131:217-224 https://doi.org/10.1016/j.ijcard.2007.10.020
  12. Achenbach S, Ulzheimer S, Baum U, Kachelriess M, Ropers D, Giesler T, et al. Noninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation 2000;102:2823-2828 https://doi.org/10.1161/01.CIR.102.23.2823
  13. Raff GL, Gallagher MJ, O'Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 2005;46:552- 557 https://doi.org/10.1016/j.jacc.2005.05.056
  14. Mollet NR, Cademartiri F, van Mieghem CA, Runza G, McFadden EP, Baks T, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005;112:2318-2323 https://doi.org/10.1161/CIRCULATIONAHA.105.533471
  15. Kim TH, Hur J, Kim SJ, Kim HS, Choi BW, Choe KO, et al. Two-phase reconstruction for the assessment of left ventricular volume and function using retrospective ECG-gated MDCT: comparison with echocardiography. AJR Am J Roentgenol 2005;185:319-325 https://doi.org/10.2214/ajr.185.2.01850319
  16. Ho SY, Sanchez-Quintana D, Cabrera JA, Anderson RH. Anatomy of the left atrium: implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol 1999;10:1525-1533 https://doi.org/10.1111/j.1540-8167.1999.tb00211.x
  17. Jayam VK, Dong J, Vasamreddy CR, Lickfett L, Kato R, Dickfeld T, et al. Atrial volume reduction following catheter ablation of atrial fibrillation and relation to reduction in pulmonary vein size: an evaluation using magnetic resonance angiography. J Interv Card Electrophysiol 2005;13:107-114 https://doi.org/10.1007/s10840-005-0215-3
  18. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Recommendations for chamber quantification. Eur J Echocardiogr 2006;7:79-108 https://doi.org/10.1016/j.euje.2005.12.014
  19. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307-310
  20. Ujino K, Barnes ME, Cha SS, Langins AP, Bailey KR, Seward JB, et al. Two-dimensional echocardiographic methods for assessment of left atrial volume. Am J Cardiol 2006;98:1185- 1188 https://doi.org/10.1016/j.amjcard.2006.05.040
  21. Juergens KU, Seifarth H, Maintz D, Grude M, Ozgun M, Wichter T, et al. MDCT determination of volume and function of the left ventricle: are short-axis image reformations necessary? AJR Am J Roentgenol 2006;186:S371-S378 https://doi.org/10.2214/AJR.04.1764
  22. Stolzmann P, Scheffel H, Leschka S, Schertler T, Frauenfelder T, Kaufmann PA, et al. Reference values for quantitative left ventricular and left atrial measurements in cardiac computed tomography. Eur Radiol 2008;18:1625-1634 https://doi.org/10.1007/s00330-008-0939-4
  23. Montaudon M, Laffon E, Berger P, Corneloup O, Latrabe V, Laurent F. Measurement of cardiac ventricular volumes using multidetector row computed tomography: comparison of twoand three-dimensional methods. Eur Radiol 2006;16:2341-2349 https://doi.org/10.1007/s00330-006-0222-5
  24. Silke B, Verma SP, Frais MA, Reynolds G, Taylor SH. Comparative effects of metoprolol and celiprolol on cardiac hemodynamics and left ventricular volume at rest and during exercise-induced angina. Clin Pharmacol Ther 1986;39:5-14 https://doi.org/10.1038/clpt.1986.2
  25. Steingart RM, Matthews R, Gambino A, Kantrowitz N. Katz S. Effects of intravenous metoprolol on global and regional left ventricular function after coronary arterial reperfusion in acute myocardial infarction. Am J Cardiol 1989;63:767-771 https://doi.org/10.1016/0002-9149(89)90039-8
  26. Ritchie CJ, Godwin JD, Crawford CR, Stanford W, Anno H, Kim Y. Minimum scan speeds for suppression of motion artifacts in CT. Radiology 1992;185:37-42 https://doi.org/10.1148/radiology.185.1.1523332
  27. Busch S, Johnson TR, Wintersperger BJ, Minaifar N, Bhargava A, Rist C, et al. Quantitative assessment of left ventricular function with dual-source CT in comparison to cardiac magnetic resonance imaging: initial finding. Eur Radiol 2008;18:570-575 https://doi.org/10.1007/s00330-007-0767-y
  28. Kim TH, Ryu YH, Hur J, Kim SJ, Kim HS, Choi BW, et al. Evaluation of right ventricular volume and mass using retrospective ECG-gated cardiac multidetector computed tomography: comparison with first-pass radionuclide angiography. Eur Radiol 2005;15:1987-1993 https://doi.org/10.1007/s00330-005-2716-y

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