Quantitative right and left ventricular functional analysis during gated whole-chest MDCT : a feasibility study comparing automatic segmentation to semi-manual contouring

Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved..

PURPOSE: To evaluate the feasibility of an automatic, whole-heart segmentation algorithm for measuring global heart function from gated, whole-chest MDCT images.

MATERIAL AND METHODS: 15 patients with suspicion of PE underwent whole-chest contrast-enhanced MDCT with retrospective ECG synchronization. Two observers computed right and left ventricular functional indices using a semi-manual and an automatic whole-heart segmentation algorithm. The two techniques were compared using Bland-Altman analysis and paired Student's t-test. Measurement reproducibility was calculated using intraclass correlation coefficient.

RESULTS: Ventricular analysis with automatic segmentation was successful in 13/15 (86%) and in 15/15 (100%) patients for the right ventricle and left ventricle, respectively. Reproducibility of measurements for both ventricles was perfect (ICC: 1.00) and very good for automatic and semi-manual measurements, respectively. Ventricular volumes and functional indices except right ventricular ejection fraction obtained from the automatic method were significantly higher for the RV compared to the semi-manual methods.

CONCLUSIONS: The automatic, whole-heart segmentation algorithm enabled highly reproducible global heart function to be rapidly obtained in patients undergoing gated whole-chest MDCT for assessment of acute chest pain with suspicion of pulmonary embolism.

Medienart:

E-Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

European journal of radiology - 74(2010), 3 vom: 10. Juni, Seite e138-43

Sprache:

Englisch

Beteiligte Personen:

Coche, Emmanuel [VerfasserIn]
Walker, Matthew J [VerfasserIn]
Zech, Francis [VerfasserIn]
de Crombrugghe, Rodolphe [VerfasserIn]
Vlassenbroek, Alain [VerfasserIn]

Links:

Volltext

Themen:

Comparative Study
Journal Article

Anmerkungen:

Date Completed 11.01.2011

Date Revised 25.11.2016

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejrad.2009.05.037

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM189419385