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    Keywords: evaluation ; Germany ; imaging ; QUANTIFICATION ; SYSTEM ; SYSTEMS ; VOLUME ; NEW-YORK ; ACCURACY ; SURGERY ; validation ; FLOW ; magnetic resonance ; MAGNETIC-RESONANCE ; magnetic resonance imaging ; VECTORS ; VECTOR ; SURFACE ; RECONSTRUCTION ; COLOR DOPPLER ; LACKING ; VOLUMES ; AORTIC REGURGITATION ; CARDIOVASCULAR-SYSTEM ; CONTROL-VOLUME METHOD ; INTEGRATION ; MITRAL REGURGITATION ; QUANTITATIVE ASSESSMENT ; resonance imaging ; respiratory system ; STANDARD ; VALVULAR REGURGITATION ; VELOCITY
    Abstract: Background. Three-dimensional assessment of regurgitant jet volume is the prerequisite for stratifying valve insufficiency. However, systematic comparison of three-dimensional methods is lacking. Therefore, we evaluated magnetic resonance imaging and three-dimensional echocardiography experimentally. Methods. An insufficiency chamber (22 x 18.5 x 27 cm; ostia 10, 16, and 20 mm; regurgitant volumes 2.3 to 25 mL) within experimental circulation (BioMedicus pump, tubes, pulsatile flow 0.2 to 1.9 L/min) was used for three-dimensional echocardiography (HP Sonos 2500) and magnetic resonance imaging (Siemens Magnetom Vision). Doppler flowmeter served as a gold standard. Segmentation used thresholding and surface integration of velocity vectors. jet volume was evaluated qualitatively by polynom fitting. Results. jet volume calculated by magnetic resonance (r = 0.99, p 〈 0.0001) and by echocardiography (r = 0.99, p 〈 0.0001) correlated identically to the gold standard. jet volume derived from imaging correlated with each other by r = 0.98 (p 〈 0.0001). Polynom fits indicated a more paraboloid shape of magnetic resonance jet volume. Conclusions. Experimentally, three-dimensional echocardiography and magnetic resonance imaging possess identical accuracy for determining regurgitant jet volume. Magnetic resonance imaging seems to provide qualitatively better image data for three-dimensional reconstruction. (C) 2004 by The Society of Thoracic Surgeons
    Type of Publication: Journal article published
    PubMed ID: 15223411
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