Bedside right ventricle quantification using three-dimensional echocardiography in children with congenital heart disease: A comparative study with cardiac magnetic resonance imaging

IF 2.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Archives of Cardiovascular Diseases Pub Date : 2024-11-01 DOI:10.1016/j.acvd.2024.08.004

Khaled Hadeed , Clément Karsenty , Ramona Ghenghea , Yves Dulac , Eric Bruguiere , Aitor Guitarte , Pierrick Pyra , Philippe Acar

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Abstract

Background

Accurate quantification of right ventricular (RV) volumes and function is crucial for the management of congenital heart diseases.

Aims

We aimed to assess the feasibility and accuracy of bedside analysis using new RV quantification software from three-dimensional transthoracic echocardiography in children with or without congenital heart disease, and to compare measurements with cardiac magnetic resonance imaging.

Methods

We included paediatric patients with congenital heart disease (106 patients) responsible for RV volume overload and a control group (30 patients). All patients underwent three-dimensional transthoracic echocardiography using a Vivid E95 ultrasound system. RV end-diastolic and end-systolic volumes and RV ejection fraction were obtained using RV quantification software. Measurements were compared between RV quantification and cardiac magnetic resonance imaging in 27 patients.

Results

Bedside RV quantification analysis was feasible in 133 patients (97.8%). Manual contour adjustment was necessary in 126 patients (93%). The mean time of analysis was 62 ± 42 s. RV end-diastolic and end-systolic volumes were larger in the congenital heart disease group than the control group: median 85.0 (interquartile range 29.5) mL/m² vs 55.0 (interquartile range 20.5) mL/m² for RV end-diastolic volume and 42.5 (interquartile range 15.3) mL/m² vs 29.0 (interquartile range 11.8) mL/m² for RV end-systolic volume, respectively. Good agreement for RV end-diastolic and end-systolic volumes and RV ejection fraction was found between RV quantification and magnetic resonance imaging measurements. RV quantification software underestimated RV end-diastolic volume/body surface area by 3 mL/m² and RV ejection fraction by 2.1%, and overestimated RV end-systolic volume/body surface area by 0.2 mL/m².

Conclusions

We found good feasibility and accuracy of bedside RV quantification analysis from three-dimensional transthoracic echocardiography in children with or without congenital heart disease. RV quantification could be a reliable and non-invasive method for RV assessment in daily practice, facilitating appropriate management and follow-up care.

Abstract Image

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使用三维超声心动图对先天性心脏病患儿进行床旁右心室定量：与心脏磁共振成像的比较研究。

背景：目的：我们旨在评估在患有或不患有先天性心脏病的儿童中使用三维经胸超声心动图的新型 RV 定量软件进行床旁分析的可行性和准确性，并将测量结果与心脏磁共振成像进行比较：我们的研究对象包括患有先天性心脏病并导致 RV 容积超负荷的儿科患者（106 名）和对照组（30 名）。所有患者均使用 Vivid E95 超声系统进行了三维经胸超声心动图检查。使用 RV 定量软件获得了 RV 舒张末期和收缩末期容积以及 RV 射血分数。对 27 名患者的 RV 定量和心脏磁共振成像的测量结果进行了比较：结果：133 名患者（97.8%）的床旁 RV 定量分析是可行的。126名患者（93%）需要手动调整轮廓。平均分析时间为 62±42s。先天性心脏病组的 RV 舒张末期和收缩末期容积大于对照组：RV 舒张末期容积的中位数分别为 85.0（四分位间范围 29.5）mL/m2 对 55.0（四分位间范围 20.5）mL/m2，RV 收缩末期容积的中位数分别为 42.5（四分位间范围 15.3）mL/m2 对 29.0（四分位间范围 11.8）mL/m2。RV 定量和磁共振成像测量结果在 RV 舒张末期和收缩末期容积以及 RV 射血分数方面具有良好的一致性。RV 定量软件将 RV 舒张末期容积/体表面积低估了 3 毫升/平方米，将 RV 射血分数低估了 2.1%，将 RV 收缩末期容积/体表面积高估了 0.2 毫升/平方米：我们发现，通过三维经胸超声心动图对患有或不患有先天性心脏病的儿童进行床旁 RV 定量分析具有良好的可行性和准确性。在日常工作中，RV 定量分析可作为一种可靠、无创的 RV 评估方法，有助于进行适当的管理和后续护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Cardiovascular Diseases 医学-心血管系统

CiteScore

4.40

自引率

6.70%

发文量

审稿时长

34 days

期刊介绍： The Journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles and editorials. Topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.