The aim of our study was to estimate the intra- and inter-reader reproducibility of blood flow measurements in the ascending aorta and main pulmonary artery using cardiac magnetic resonance (CMR) and a semi-automated segmentation method. The ethics committee approved this retrospective study. A total of 50 consecutive patients (35 males and 15 females; mean age±standard deviation 27±13 years) affected by congenital heart disease were reviewed. They underwent CMR for flow analysis of the ascending aorta and main pulmonary artery (1.5 T, through-plane phase-contrast sequences). Two independent readers (R1, trained radiology resident; R2, lower-trained technician student) obtained segmented images twice (>10-day interval), using a semi-automated method of segmentation. Peak velocity, forward and backward flows were obtained. Bland-Altman analysis was used and reproducibility was reported as complement to 100% of the ratio between the coefficient of repeatability and the mean. R1 intra-reader reproducibility for the aorta was 99% (peak velocity), 95% (forward flow) and 49% (backward flow); for the pulmonary artery, 99%, 91% and 90%, respectively. R2 intra-reader reproducibility was 92%, 91% and 38%; 98%, 86% and 87%, respectively. Inter-reader reproducibility for the aorta was 91%, 85% and 20%; for the pulmonary artery 96%, 75%, and 82%, respectively. Our results showed a good to excellent reproducibility of blood flow measurements of CMR together with a semiautomated method of segmentation, for all variables except the backward flow of the ascending aorta, with a limited impact of operator's training.
Intra- and inter-reader reproducibility of blood flow measurements on the ascending aorta and pulmonary artery using cardiac magnetic resonance / G. Di Leo, I.D. D'Angelo, M. Alì, P.M. Cannaò, G. Mauri, F. Secchi, F. Sardanelli. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 122:3(2017 Mar), pp. 179-185.
|Titolo:||Intra- and inter-reader reproducibility of blood flow measurements on the ascending aorta and pulmonary artery using cardiac magnetic resonance|
D'ANGELO, IDA DANIELA (Secondo)
ALI', MARCO (Corresponding)
SECCHI, FRANCESCO (Penultimo)
SARDANELLI, FRANCESCO (Ultimo)
|Parole Chiave:||Blood flow; Cardiac magnetic resonance; Heart valve; Phase-contrast sequences; Reproducibility|
|Settore Scientifico Disciplinare:||Settore MED/36 - Diagnostica per Immagini e Radioterapia|
|Data di pubblicazione:||mar-2017|
|Data ahead of print / Data di stampa:||22-nov-2016|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s11547-016-0706-6|
|Appare nelle tipologie:||01 - Articolo su periodico|