Accuracy of quantitative echocardiographic measures of right ventricular function as compared to cardiovascular magnetic resonance

Christian R. Hamilton-Craig, Kathy Stedman, Ryan Maxwell, Bonita Anderson, Tony Stanton, Jonathan Chan, Akira Yamada, Gregory M. Scalia, Darryl J. Burstow

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Abstract

Background: Many echocardiographic parameters have been proposed to evaluate right ventricular (RV) systolic function. We comprehensively assessed a wide range of quantitative echocardiographic parameters in a single cohort compared with same-day cardiovascular magnetic resonance (CMR). Methods and results: 92 subjects were examined prospectively: Group 1 consisted of 46 healthy controls (21 males, 33.4 ± 11.4 years), Group 2 consisted of 46 patients (20 males, 38.5 ± 18.9 years) undergoing RV functional assessment by CMR (1.5 T). Echocardiography was performed on the same day as CMR; fractional area change (RVFAC), myocardial performance index via spectral Doppler (RVMPI), RVMPI via Doppler tissue imaging (RVMPI-DTI), peak systolic myocardial velocity by DTI (RVSm), tricuspid annular plane systolic excursion (TAPSE), speckle tracking strain, and three dimensional right ventricular ejection fraction (3DE-RV). Linear regression, Bland-Altman and receiver-operator-characteristic (ROC) analyses were performed. At ROC analysis, the most predictive echocardiographic methods were; RVFAC (AUC = 0.892), RVMPI (AUC 0.785), TAPSE (AUC 0.849) and 3DE-RV (AUC 0.909). 3DE-RV appeared the most accurate compared to CMR, although underestimated true RV volumes. Conclusion: As compared to CMR; 3DE-RV, RVFAC, TAPSE and RVMPI were the most reliable predictors of RV function. These parameters can be recommended for clinical use.

Original languageEnglish
Pages (from-to)38-44
Number of pages7
JournalIJC Heart and Vasculature
Volume12
DOIs
Publication statusPublished - 01-09-2016

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Hamilton-Craig, C. R., Stedman, K., Maxwell, R., Anderson, B., Stanton, T., Chan, J., Yamada, A., Scalia, G. M., & Burstow, D. J. (2016). Accuracy of quantitative echocardiographic measures of right ventricular function as compared to cardiovascular magnetic resonance. IJC Heart and Vasculature, 12, 38-44. https://doi.org/10.1016/j.ijcha.2016.05.007