Estimation of global and regional cardiac function using 64-slice computed tomography: a comparison study with echocardiography, gated-SPECT and cardiovascular magnetic resonance.


BACKGROUND:Sixty-four-slice multidetector spiral computed tomography (CT) has improved temporal resolution and reduced acquisition time. We aimed to evaluate the functional analysis using 64-slice CT comparing with echocardiography, electrocardiographically gated single-photon emission tomography (SPECT) and cardiovascular magnetic resonance (CMR). METHODS:Six-three patients (77.4+/-18.6 bpm) underwent 64-slice CT and CMR (echocardiography in 55; SPECT in 33) within 2 weeks were retrospectively reviewed. The left ventricular volumetric data from different methods were compared with CMR. Regional wall motion was compared between CT and CMR in a 17-segment and 4-point system (1=normal to 4=akinesis/dyskinesis). RESULTS:Ejection fraction (EF), end-diastolic volume (EDV) and end-systolic volume (ESV) by CT agreed well with CMR (bias+/-SD, -0.22%+/-4.18, r=0.97;-0.59 mL+/-15.21, r=0.98; 1.09 mL+/-10.61, r=0.99) over a wide range of left ventricular (LV) function (EF 18-76% by CMR). Our results also showed good correlation of EF measured by CT and echocardiography (r=0.87) or SPECT (r=0.91, all P<0.0001); however, standard deviation of EF difference between CT and CMR was significantly less than echocardiography or SPECT (P<0.005). For regional wall motion, an exact agreement of 97% (kappa=0.91) was found between CT and CMR. CONCLUSION:Sixty-four-slice CT agreed well with CMR in LV function assessment, and had a superior accuracy than echocardiography and SPECT on EF estimation. Sixty-four-slice CT is considered a clinically acceptable and robust method to evaluate LV function.


Int J Cardiol


Wu YW,Tadamura E,Yamamuro M,Kanao S,Okayama S,Ozasa N,Toma M,Kimura T,Komeda M,Togashi K




Has Abstract


2008-08-01 00:00:00














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    abstract::Interrupted aortic arch (IAA) is a scarce and generally lethal congenital malformation. Patients with complete IAA scarcely reach adult age without previous surgical intervention. In this case, we presented a 40-year-old isolated IAA case with hypertension and angina pectoris. IAA just distal to left subclavian artery...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Gokce M,Kiriş A,Karakoç G,Kosucu P,Pulathan Z

    更新日期:2010-02-04 00:00:00

  • Long-term follow-up of mitral valve regurgitation--importance of mitral valve pathology and left ventricular function on survival.

    abstract:BACKGROUND:Timing of surgery for mitral regurgitation (MR) is one of the more difficult decisions for the practicing cardiologist. METHODS AND RESULTS:In order to determine useful clinical cut-offs, we investigated the influence of baseline echocardiographic predictors for survival in a long-time follow-up cohort. Dat...

    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Lindmark K,Söderberg S,Teien D,Näslund U

    更新日期:2009-10-02 00:00:00

  • Clinical predictors of cardiac events in patients with isolated syncope and negative electrophysiologic study.

    abstract:BACKGROUND:Patients with syncope or near syncope of unknown etiology represent a great challenge to cardiologists. An initial symptomatic episode triggers a series of diagnostic analysis which remain unsatisfactory when negative. More invasive tools such as electrophysiologic testing yield only partial answers to risk ...

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    pub_type: 杂志文章


    authors: Da Costa A,Gulian JL,Romeyer-Bouchard C,Messier M,Zarqane N,Samuel B,Khiel A,Isaaz K

    更新日期:2006-04-28 00:00:00

  • Conditional knockout of TFPI-1 in VSMCs of mice accelerates atherosclerosis by enhancing AMOT/YAP pathway.

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    pub_type: 杂志文章


    authors: Xiao J,Jin K,Wang J,Ma J,Zhang J,Jiang N,Wang H,Luo X,Fei J,Wang Z,Yang X,Ma D

    更新日期:2017-02-01 00:00:00

  • Intracoronary abciximab reduces death and major adverse cardiovascular events in acute coronary syndromes: a meta-analysis of clinical trials.

    abstract:BACKGROUND:Successful reperfusion of epicardial coronary arteries does not necessarily result in actual myocardial perfusion. Local intracoronary (IC) delivery of GP IIb/IIIa inhibitors (GPI) has been proposed to achieve further clinical efficacy when compared to standard intravenous (IV) administration. However clinic...

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    pub_type: 杂志文章,meta分析


    authors: De Rosa S,Caiazzo G,Torella D,Indolfi C

    更新日期:2013-09-30 00:00:00

  • Baseline von Willebrand factor plasma levels and no-reflow phenomenon after primary percutaneous coronary intervention for ST segment elevation myocardial infarction.

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    更新日期:2010-11-19 00:00:00

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    journal_title:International journal of cardiology

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    authors: Voskoboinik A,Kalman E,Plunkett G,Knott J,Moskovitch J,Sanders P,Kistler PM,Kalman JM

    更新日期:2019-06-01 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 杂志文章,多中心研究


    authors: Tscharre M,Jäger B,Farhan S,Christ G,Schreiber W,Weidinger F,Stefenelli T,Delle-Karth G,Kaff A,Maurer G,Huber K,Vienna STEMI Registry Group.

    更新日期:2017-10-01 00:00:00

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    authors: Maurizi N,Tanini I,Olivotto I,Amendola E,Limongelli G,Losi MA,Allocca G,Perego GB,Pieragnoli P,Ricciardi G,De Filippo P,Ferrari P,Quarta G,Viani S,Rapacciuolo A,Bongiorni MG,Cecchi F

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    pub_type: 杂志文章,多中心研究,随机对照试验


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    pub_type: 杂志文章,评审


    authors: Haghjoo M,Arya A,Sadr-Ameli MA

    更新日期:2006-05-24 00:00:00

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    pub_type: 杂志文章,meta分析


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    authors: Carpeggiani C,Rossi G,Landi P,Michelassi C,Brambilla M,Cortigiani L,Picano E

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Di Franco A,Cantini G,Tani A,Coppini R,Zecchi-Orlandini S,Raimondi L,Luconi M,Mannucci E

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Stein JI,Smallhorn JF,Coles JG,Williams WG,Trusler GA,Freedom RM

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    journal_title:International journal of cardiology

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    authors: Zou J,Yu Y,Wu P,Lin FJ,Yao Y,Xie Y,Jiang GR

    更新日期:2016-10-15 00:00:00

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    pub_type: 杂志文章


    authors: Sinkovec M,Kozelj M,Podnar T

    更新日期:2005-07-10 00:00:00

  • Enhanced protection against pulmonary hypertension with sildenafil and endothelial progenitor cell in rats.

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    authors: Sun CK,Lin YC,Yuen CM,Chua S,Chang LT,Sheu JJ,Lee FY,Fu M,Leu S,Yip HK

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    journal_title:International journal of cardiology

    pub_type: 社论


    authors: Spadaccio C,Nappi F,Nenna A,Beattie G,Chello M,Sutherland FW

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: al-Harthi SS,Nouh MS,al-Arfaj H,Qaraquish A,Akhter J,Nouh RM

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    pub_type: 杂志文章


    authors: Walter J,Tanglay Y,du Fay de Lavallaz J,Strebel I,Boeddinghaus J,Twerenbold R,Doerflinger S,Puelacher C,Nestelberger T,Wussler D,Amrein M,Badertscher P,Todd J,Rentsch K,Fahrni G,Jeger R,Kaiser C,Reichlin T,Mueller C

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Coughlin S,Das S,Lee J,Cooper J

    更新日期:2008-10-30 00:00:00

  • Unusual cause of syncope in a 17 year-old young woman: left ventricular hydatid cyst.

    abstract::Cardiac involvement in echinococcosis remains a singular finding, possibly associated with confusing symptomatology. We report the original case of a 17 year-old young woman, referred to our cardiology department for repeated exertion syncopes, and ultimately, proven through echocardiography, serologies and magnetic r...

    journal_title:International journal of cardiology

    pub_type: 信件


    authors: Rekik S,Krichene S,Sahnoun M,Trabelsi I,Kharrat I,Charfeddine H,Triki F,Hentati M,Kammoun S

    更新日期:2009-07-24 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Trappe HJ,Klein H,Frank G,Wenzlaff P,Lichtlen PR

    更新日期:1992-03-01 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Harfi TT,Seo JH,Yasir HS,Welsh N,Mayer SA,Abraham TP,George RT,Mittal R

    更新日期:2017-01-15 00:00:00

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


    authors: Miñana G,Núñez J,Bayés-Genís A,Revuelta-López E,Ríos-Navarro C,Núñez E,Chorro FJ,López-Lereu MP,Monmeneu JV,Lupón J,Bodí V

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    journal_title:International journal of cardiology

    pub_type: 杂志文章


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    更新日期:2018-05-01 00:00:00