Reproducibility of MRI-derived measurements of right ventricular volumes and myocardial mass.

Abstract:

:Magnetic resonance (MR) imaging has been shown to provide accurate measurements of right ventricular (RV) volumes and myocardial mass. The purpose of this study was to evaluate the reproducibility of MR imaging, which in clinical practice may be as important as its absolute accuracy. The reproducibility of MR imaging measurements of the right ventricle was assessed by analyzing 40 serial functional MR imaging examinations of the right ventricle with variance component analysis. Standard deviations and 95% ranges for change were: for RV myocardial mass, 5.9 and 16 g; and for RV ejection fraction, 6.0% and 16%, respectively. Reproducibility was similar for cine and spin-echo MR imaging. The intraobserver and interobserver errors were especially large, indicating that observer subjectivity is the limiting factor in the interpretation of the MR images. This study suggests that the reproducibility of RV measurements is adequate to detect RV hypertrophy and a low ejection fraction in the individual patient. For accurate follow-up examinations, whereby smaller changes are to be detected, the reproducibility of MR imaging measurements may not be sufficient. More effort is needed to improve the reproducibility of MR imaging measurements.

journal_name

Magn Reson Imaging

authors

Pattynama PM,Lamb HJ,Van der Velde EA,Van der Geest RJ,Van der Wall EE,De Roos A

doi

10.1016/0730-725x(94)00076-f

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

53-63

issue

1

eissn

0730-725X

issn

1873-5894

pii

0730725X9400076F

journal_volume

13

pub_type

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