Kiyoko Uno1, Yoshihiro Seo2, Tomoko Ishizu1, Takeshi Inaba3, Fumiko Sakamaki3, Noriko Iida3, Hideki Nakajima3, Yasuyuki Oyake1, Sadanori Ohtsuka1, Yumiko Tanaka4, Manabu Minami4, Shigeyuki Watanabe1, Kazutaka Aonuma1. 1. Cardiovascular Division, Institute of Clinical Medicine, Graduate School of Comprehensive Human Science, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. 2. Cardiovascular Division, Institute of Clinical Medicine, Graduate School of Comprehensive Human Science, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. yo-seo@md.tsukuba.ac.jp. 3. Department of Clinical Laboratory, Tsukuba University Hospital, Tsukuba, Ibaraki, Japan. 4. Department of Radiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Abstract
BACKGROUND: The left atrial volume (LAV) is an important indicator of the severity of certain diseases, and measuring LAV through the cardiac cycle may enable the evaluation of various left atrium (LA) functional parameters. The results of two-dimensional (2D) echocardiographic LAV measurement methods vary, and no technique is accepted as being optimal. OBJECTIVE: This study compared the accuracy of end-systolic and end-diastolic LAV measurements by 2D echocardiography with those obtained by magnetic resonance imaging (MRI). METHODS: Fifty consecutive patients who underwent both echocardiography and MRI due to clinical reasons with nonselective cardiac disease were studied. LAVs by 2D echocardiography were obtained with the prolate ellipsoid (PE), biplane area-length (AL), and modified Simpson's (MS) methods. RESULTS: End-systolic and end-diastolic LAVs calculated by each method correlated significantly with MRI results (P < 0.0001). The prolate ellipsoid method provided LAVs that most correlated with MRI results, and the biplane area-length and modified Simpson's methods provided LAVs with small mean differences (<5 ml) compared to MRI results. CONCLUSION: All three methods of 2D echocardiographic LAV measurement provide valuable LAV data, suggesting the possibility of evaluating various LA functional parameters.
BACKGROUND: The left atrial volume (LAV) is an important indicator of the severity of certain diseases, and measuring LAV through the cardiac cycle may enable the evaluation of various left atrium (LA) functional parameters. The results of two-dimensional (2D) echocardiographic LAV measurement methods vary, and no technique is accepted as being optimal. OBJECTIVE: This study compared the accuracy of end-systolic and end-diastolic LAV measurements by 2D echocardiography with those obtained by magnetic resonance imaging (MRI). METHODS: Fifty consecutive patients who underwent both echocardiography and MRI due to clinical reasons with nonselective cardiac disease were studied. LAVs by 2D echocardiography were obtained with the prolate ellipsoid (PE), biplane area-length (AL), and modified Simpson's (MS) methods. RESULTS: End-systolic and end-diastolic LAVs calculated by each method correlated significantly with MRI results (P < 0.0001). The prolate ellipsoid method provided LAVs that most correlated with MRI results, and the biplane area-length and modified Simpson's methods provided LAVs with small mean differences (<5 ml) compared to MRI results. CONCLUSION: All three methods of 2D echocardiographic LAV measurement provide valuable LAV data, suggesting the possibility of evaluating various LA functional parameters.
Entities:
Keywords:
2D echocardiography; Left atrial volume; Magnetic resonance imaging
Authors: Keiji Ujino; Marion E Barnes; Stephen S Cha; Andrew P Langins; Kent R Bailey; James B Seward; Teresa S M Tsang Journal: Am J Cardiol Date: 2006-09-07 Impact factor: 2.778