Submit Manuscripts
Author Information
Subscribe/Renew
Email Alerts
Feedback
RSS Feed

About the Journal
Editorial Board & Staff

Interventions Homepage Imaging Homepage Interventions Homepage Imaging Homepage

ACC.org
Cardiosmart
Cardiosource
CVN
Imaging Library
JACC Imaging
JACC Interventions


Intensive Glycemic Control and the Prevention of Cardiovascular Events: Expert Consensus Document

2009 Appropriateness Criteria for Coronary Revascularization
cardiology careers collections past issues search home
     

J Am Coll Cardiol, 2004; 44:878-886, doi:10.1016/j.jacc.2004.05.050
© 2004 by the American College of Cardiology Foundation
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jenkins, C.
Right arrow Articles by Marwick, T. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jenkins, C.
Right arrow Articles by Marwick, T. H.

ECHOCARDIOGRAPHY

Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography

Carly Jenkins, BS, Kristen Bricknell, BS, Lizelle Hanekom, MD and Thomas H. Marwick, MD, PhD, FACC*

University of Queensland, Brisbane, Australia

Manuscript received January 25, 2004; revised manuscript received April 19, 2004, accepted May 4, 2004.

* Reprint requests and correspondence: Dr. Thomas H. Marwick, University of Queensland Department of Medicine, Princess Alexandra Hospital, Ipswich Road, Brisbane, Q4102, Australia (Email: tmarwick{at}soms.uq.edu.au).

OBJECTIVES: We sought to determine whether assessment of left ventricular (LV) function with real-time (RT) three-dimensional echocardiography (3DE) could reduce the variation of sequential LV measurements and provide greater accuracy than two-dimensional echocardiography (2DE).

BACKGROUND: Real-time 3DE has become feasible as a standard clinical tool, but its accuracy for LV assessment has not been validated.

METHODS: Unselected patients (n = 50; 41 men; age, 64 ± 8 years) presenting for evaluation of LV function were studied with 2DE and RT-3DE. Test-retest variation was performed by a complete restudy by a separate sonographer within 1 h without alteration of hemodynamics or therapy. Magnetic resonance imaging (MRI) images were obtained during a breath-hold, and measurements were made off-line.

RESULTS: The test-retest variation showed similar measurements for volumes but wider scatter of LV mass measurements with M-mode and 2DE than 3DE. The average MRI end-diastolic volume was 172 ± 53 ml; LV volumes were underestimated by 2DE (mean difference, –54 ± 33; p < 0.01) but only slightly by RT-3DE (–4 ± 29; p = 0.31). Similarly, end-systolic volume by MRI (91 ± 53 ml) was underestimated by 2DE (mean difference, –28 ± 28; p < 0.01) and by RT-3DE (mean difference, –3 ± 18; p = 0.23). Ejection fraction by MRI was similar by 2DE (p = 0.76) and RT-3DE (p = 0.74). Left ventricular mass (183 ± 50 g) was overestimated by M-mode (mean difference, 68 ± 86 g; p < 0.01) and 2DE (16 ± 57; p = 0.04) but not RT-3DE (0 ± 38 g; p = 0.94). There was good inter- and intra-observer correlation between RT-3DE by two sonographers for volumes, ejection fraction, and mass.

CONCLUSIONS: Real-time 3DE is a feasible approach to reduce test-retest variation of LV volume, ejection fraction, and mass measurements in follow-up LV assessment in daily practice.

Abbreviations and Acronyms
  EF = ejection fraction
  LV = left ventricle/ventricular
  LVEDV = left ventricular end-diastolic volume
  LVESV = left ventricular end-systolic volume
  MM = M-mode
  MRI = magnetic resonance imaging
  RT = real-time
  2DE = two-dimensional echocardiography
  3DE = three-dimensional echocardiography




This article has been cited by other articles:


Home page
 Eur Heart JHome page
C. Jenkins, S. Moir, J. Chan, D. Rakhit, B. Haluska, and T. H. Marwick
Left ventricular volume measurement with echocardiography: a comparison of left ventricular opacification, three-dimensional echocardiography, or both with magnetic resonance imaging
Eur. Heart J., January 1, 2009; 30(1): 98 - 106.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
C. Marcucci, R. Lauer, and A. Mahajan
New Echocardiographic Techniques for Evaluating Left Ventricular Myocardial Function
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2008; 12(4): 228 - 247.
[Abstract] [PDF]

Home page
 Eur J EchocardiogrHome page
A. Bhan, S. Kapetanakis, B.S. Rana, E. Ho, K. Wilson, P. Pearson, S. Mushemi, J. Deguzman, J. Reiken, M.D. Harden, et al.
Real-time three-dimensional myocardial contrast echocardiography: is it clinically feasible?
Eur J Echocardiogr, November 1, 2008; 9(6): 761 - 765.
[Abstract] [Full Text] [PDF]

Home page
 Circ Cardiovasc ImagingHome page
T. H. Marwick and M. Schwaiger
The Future of Cardiovascular Imaging in the Diagnosis and Management of Heart Failure, Part 2: Clinical Applications
Circ Cardiovasc Imaging, September 1, 2008; 1(2): 162 - 170.
[Full Text] [PDF]

Home page
 HeartHome page
A-C Pouleur, J-B le Polain de Waroux, A Pasquet, B L Gerber, O Gerard, P Allain, and J-L J Vanoverschelde
Assessment of left ventricular mass and volumes by three-dimensional echocardiography in patients with or without wall motion abnormalities: comparison against cine magnetic resonance imaging
Heart, August 1, 2008; 94(8): 1050 - 1057.
[Abstract] [Full Text] [PDF]

Home page
 Circ Cardiovasc ImagingHome page
T. H. Marwick and M. Schwaiger
The Future of Cardiovascular Imaging in the Diagnosis and Management of Heart Failure, Part 1: Tasks and Tools
Circ Cardiovasc Imaging, July 1, 2008; 1(1): 58 - 69.
[Full Text] [PDF]

Home page
 J Am Coll Cardiol ImgHome page
V. Mor-Avi, C. Jenkins, H. P. Kuhl, H.-J. Nesser, T. Marwick, A. Franke, C. Ebner, B. H. Freed, R. Steringer-Mascherbauer, H. Pollard, et al.
Real-Time 3-Dimensional Echocardiographic Quantification of Left Ventricular Volumes: Multicenter Study for Validation With Magnetic Resonance Imaging and Investigation of Sources of Error
J. Am. Coll. Cardiol. Img., July 1, 2008; 1(4): 413 - 423.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
J. L. Gutierrez-Chico, J. L. Zamorano, E. Prieto-Moriche, R. A. Hernandez-Antolin, M. Bravo-Amaro, L. Perez de Isla, M. Sanmartin-Fernandez, J. A. Baz-Alonso, and A. Iniguez-Romo
Real-time three-dimensional echocardiography in aortic stenosis: a novel, simple, and reliable method to improve accuracy in area calculation
Eur. Heart J., May 2, 2008; 29(10): 1296 - 1306.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EchocardiogrHome page
S. P. Hoole, J. Boyd, V. Ninios, J. Parameshwar, and R. A. Rusk
Measurement of cardiac output by real-time 3D echocardiography in patients undergoing assessment for cardiac transplantation
Eur J Echocardiogr, May 1, 2008; 9(3): 334 - 337.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EchocardiogrHome page
C. Jenkins, M. Monaghan, G. Shirali, R. Guraraja, and T. H. Marwick
An intensive interactive course for 3D echocardiography: is 'crop till you drop' an effective learning strategy?
Eur J Echocardiogr, May 1, 2008; 9(3): 373 - 380.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
B. D. Soriano, M. Hoch, A. Ithuralde, T. Geva, A. J. Powell, B. D. Kussman, D. A. Graham, W. Tworetzky, and G. R. Marx
Matrix-Array 3-Dimensional Echocardiographic Assessment of Volumes, Mass, and Ejection Fraction in Young Pediatric Patients With a Functional Single Ventricle: A Comparison Study With Cardiac Magnetic Resonance
Circulation, April 8, 2008; 117(14): 1842 - 1848.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
J L Hare, C Jenkins, S Nakatani, A Ogawa, C-M Yu, and T H Marwick
Feasibility and clinical decision-making with 3D echocardiography in routine practice
Heart, April 1, 2008; 94(4): 440 - 445.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EchocardiogrHome page
S.-C. Yap, R.-J. M. van Geuns, A. Nemes, F. J. Meijboom, J. S. McGhie, M. L. Geleijnse, M. L. Simoons, and J. W. Roos-Hesselink
Rapid and accurate measurement of LV mass by biplane real-time 3D echocardiography in patients with concentric LV hypertrophy: comparison to CMR
Eur J Echocardiogr, March 1, 2008; 9(2): 255 - 260.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
M. I Burgess, C. Jenkins, J. Chan, and T. H Marwick
Measurement of left ventricular dyssynchrony in patients with ischaemic cardiomyopathy: a comparison of real-time three-dimensional and tissue Doppler echocardiography
Heart, October 1, 2007; 93(10): 1191 - 1196.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. N. Kirkpatrick, M. A. Vannan, J. Narula, and R. M. Lang
Echocardiography in Heart Failure: Applications, Utility, and New Horizons
J. Am. Coll. Cardiol., July 31, 2007; 50(5): 381 - 396.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
C. Jenkins, J. Chan, K. Bricknell, M. Strudwick, and T. H. Marwick
Reproducibility of Right Ventricular Volumes and Ejection Fraction Using Real-time Three-Dimensional Echocardiography: Comparison With Cardiac MRI
Chest, June 1, 2007; 131(6): 1844 - 1851.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
H. Jaochim Nesser, L. Sugeng, C. Corsi, L. Weinert, J. Niel, C. Ebner, R. Steringer-Mascherbauer, F. Schmidt, G. Schummers, R. M Lang, et al.
Volumetric analysis of regional left ventricular function with real-time three-dimensional echocardiography: validation by magnetic resonance and clinical utility testing
Heart, May 1, 2007; 93(5): 572 - 578.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
S. De Castro, S. Caselli, M. Maron, A. Pelliccia, E. Cavarretta, P. Maddukuri, D. Cartoni, E. Di Angelantonio, J. T Kuvin, A. R Patel, et al.
Left ventricular remodelling index (LVRI) in various pathophysiological conditions: a real-time three-dimensional echocardiographic study
Heart, February 1, 2007; 93(2): 205 - 209.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. Cannesson, M. Tanabe, M. S. Suffoletto, D. M. McNamara, S. Madan, J. M. Lacomis, and J. Gorcsan III
A Novel Two-Dimensional Echocardiographic Image Analysis System Using Artificial Intelligence-Learned Pattern Recognition for Rapid Automated Ejection Fraction
J. Am. Coll. Cardiol., January 16, 2007; 49(2): 217 - 226.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. D. Thomas and Z. B. Popovic
Assessment of Left Ventricular Function by Cardiac Ultrasound
J. Am. Coll. Cardiol., November 21, 2006; 48(10): 2012 - 2025.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. M. Lang, V. Mor-Avi, L. Sugeng, P. S. Nieman, and D. J. Sahn
Three-Dimensional Echocardiography: The Benefits of the Additional Dimension
J. Am. Coll. Cardiol., November 21, 2006; 48(10): 2053 - 2069.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
R. C. Houck, J. E. Cooke, and E. A. Gill
Live 3D Echocardiography: A Replacement for Traditional 2D Echocardiography?
Am. J. Roentgenol., October 1, 2006; 187(4): 1092 - 1106.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
L. Sugeng, V. Mor-Avi, L. Weinert, J. Niel, C. Ebner, R. Steringer-Mascherbauer, F. Schmidt, C. Galuschky, G. Schummers, R. M. Lang, et al.
Quantitative Assessment of Left Ventricular Size and Function: Side-by-Side Comparison of Real-Time Three-Dimensional Echocardiography and Computed Tomography With Magnetic Resonance Reference
Circulation, August 15, 2006; 114(7): 654 - 661.
[Abstract] [Full Text] [PDF]

Home page
 J. Appl. Physiol.Home page
E. G. Caiani, L. Sugeng, L. Weinert, A. Capderou, R. M. Lang, and P. Vaida
Objective evaluation of changes in left ventricular and atrial volumes during parabolic flight using real-time three-dimensional echocardiography
J Appl Physiol, August 1, 2006; 101(2): 460 - 468.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. Fukuda, G. Saracino, Y. Matsumura, M. Daimon, H. Tran, N. L. Greenberg, T. Hozumi, J. Yoshikawa, J. D. Thomas, and T. Shiota
Three-Dimensional Geometry of the Tricuspid Annulus in Healthy Subjects and in Patients With Functional Tricuspid Regurgitation: A Real-Time, 3-Dimensional Echocardiographic Study
Circulation, July 4, 2006; 114(1_suppl): I-492 - I-498.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
E. H. Y. Ie and R. Zietse
Evaluation of cardiac function in the dialysis patient--a primer for the non-expert
Nephrol. Dial. Transplant., June 1, 2006; 21(6): 1474 - 1481.
[Full Text] [PDF]

Home page
 HeartHome page
E G Caiani, C Corsi, L Sugeng, P MacEneaney, L Weinert, V Mor-Avi, and R M Lang
Improved quantification of left ventricular mass based on endocardial and epicardial surface detection with real time three dimensional echocardiography
Heart, February 1, 2006; 92(2): 213 - 219.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
M. J Monaghan
Role of real time 3D echocardiography in evaluating the left ventricle
Heart, January 1, 2006; 92(1): 131 - 136.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. De Simone, I. Wolf, S. Mottl-Link, B. W. Bottiger, H. Rauch, H.-P. Meinzer, and S. Hagl
Intraoperative assessment of right ventricular volume and function
Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 988 - 993.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EchocardiogrHome page
T. H. Marwick
Can we Justify the Cost of Echocardiography? Lessons from Outcomes Research
Eur J Echocardiogr, June 1, 2005; 6(3): 155 - 163.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
A. E. Weyman
The year in echocardiography
J. Am. Coll. Cardiol., February 1, 2005; 45(3): 448 - 455.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
A. N. DeMaria, O. Ben-Yehuda, D. Berman, G. K. Feld, B. H. Greenberg, J. D. Knoke, K. U. Knowlton, W. Y.W. Lew, J. Narula, D. Sahn, et al.
Highlights of the year in JACC 2004
J. Am. Coll. Cardiol., January 4, 2005; 45(1): 137 - 153.
[Full Text] [PDF]


 
  cardiology careers collections past issues search home