Feasibility of diastolic function assessment with cardiac CT: Feasibility study in comparison with tissue Doppler imaging

Mark J. Boogers, Jacob M. Van Werkhoven, Joanne D. Schuijf, Victoria Delgado, Heba M. El-Naggar, Eric Boersma, Gaetano Nucifora, Rob J. Van Der Geest, Bernard P. Paelinck, Lucia J. Kroft, Johan H.C. Reiber, Albert De Roos, Jeroen J. Bax, Hildo J. Lamb

Research output: Contribution to journalArticle

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Abstract

Objectives: This study aimed to demonstrate the feasibility of multidetector row computed tomography (CT) for assessment of diastolic function in comparison with 2-dimensional (2D) echocardiography using tissue Doppler imaging (TDI). Background: Diastolic left ventricular (LV) function plays an important role in patients with cardiovascular disease. 2D echocardiography using TDI has been used most commonly to evaluate diastolic LV function. Although the role of cardiac CT imaging for evaluation of coronary atherosclerosis has been explored extensively, its feasibility to evaluate diastolic function has not been studied. Methods: Patients who had undergone 64-multidetector row CT and 2D echocardiography with TDI were enrolled. Diastolic function was evaluated using early (E) and late (A) transmitral peak velocity (cm/s) and peak mitral septal tissue velocity (Ea; cm/s). Peak transmitral velocity (cm/s) was calculated by dividing peak diastolic transmitral flow (ml/s) by the corresponding mitral valve area (cm 2). Mitral septal tissue velocity was calculated from changes in LV length per cardiac phase. Subsequently, the estimation of LV filling pressures (E/Ea) was determined. Results: Seventy patients (46 men; mean age 55 ± 11 years) who had undergone cardiac CT and 2D echocardiography with TDI were included. Good correlations were observed between cardiac CT and 2D echocardiography for assessment of E (r = 0.73; p < 0.01), E/A (r = 0.87; p < 0.01), Ea (r = 0.82; p < 0.01), and E/Ea (r = 0.81; p < 0.01). Moreover, a good diagnostic accuracy (79%) was found for detection of diastolic dysfunction using cardiac CT. Finally, the study showed a low intraobserver and interobserver variability for assessment of diastolic function on cardiac CT. Conclusions: Cardiac CT imaging showed good correlations for transmitral velocity, mitral septal tissue velocity, and estimation of LV filling pressures when compared with 2D echocardiography. Additionally, cardiac CT and 2D echocardiography were comparable for assessment of diastolic dysfunction. Accordingly, cardiac CT may provide information on diastolic dysfunction.

LanguageEnglish
Pages246-256
Number of pages11
JournalJACC: Cardiovascular Imaging
Volume4
Issue number3
DOIs
Publication statusPublished - Mar 2011

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Boogers, M. J., Van Werkhoven, J. M., Schuijf, J. D., Delgado, V., El-Naggar, H. M., Boersma, E., ... Lamb, H. J. (2011). Feasibility of diastolic function assessment with cardiac CT: Feasibility study in comparison with tissue Doppler imaging. JACC: Cardiovascular Imaging, 4(3), 246-256. https://doi.org/10.1016/j.jcmg.2010.11.017
Boogers, Mark J. ; Van Werkhoven, Jacob M. ; Schuijf, Joanne D. ; Delgado, Victoria ; El-Naggar, Heba M. ; Boersma, Eric ; Nucifora, Gaetano ; Van Der Geest, Rob J. ; Paelinck, Bernard P. ; Kroft, Lucia J. ; Reiber, Johan H.C. ; De Roos, Albert ; Bax, Jeroen J. ; Lamb, Hildo J. / Feasibility of diastolic function assessment with cardiac CT : Feasibility study in comparison with tissue Doppler imaging. In: JACC: Cardiovascular Imaging. 2011 ; Vol. 4, No. 3. pp. 246-256.
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abstract = "Objectives: This study aimed to demonstrate the feasibility of multidetector row computed tomography (CT) for assessment of diastolic function in comparison with 2-dimensional (2D) echocardiography using tissue Doppler imaging (TDI). Background: Diastolic left ventricular (LV) function plays an important role in patients with cardiovascular disease. 2D echocardiography using TDI has been used most commonly to evaluate diastolic LV function. Although the role of cardiac CT imaging for evaluation of coronary atherosclerosis has been explored extensively, its feasibility to evaluate diastolic function has not been studied. Methods: Patients who had undergone 64-multidetector row CT and 2D echocardiography with TDI were enrolled. Diastolic function was evaluated using early (E) and late (A) transmitral peak velocity (cm/s) and peak mitral septal tissue velocity (Ea; cm/s). Peak transmitral velocity (cm/s) was calculated by dividing peak diastolic transmitral flow (ml/s) by the corresponding mitral valve area (cm 2). Mitral septal tissue velocity was calculated from changes in LV length per cardiac phase. Subsequently, the estimation of LV filling pressures (E/Ea) was determined. Results: Seventy patients (46 men; mean age 55 ± 11 years) who had undergone cardiac CT and 2D echocardiography with TDI were included. Good correlations were observed between cardiac CT and 2D echocardiography for assessment of E (r = 0.73; p < 0.01), E/A (r = 0.87; p < 0.01), Ea (r = 0.82; p < 0.01), and E/Ea (r = 0.81; p < 0.01). Moreover, a good diagnostic accuracy (79{\%}) was found for detection of diastolic dysfunction using cardiac CT. Finally, the study showed a low intraobserver and interobserver variability for assessment of diastolic function on cardiac CT. Conclusions: Cardiac CT imaging showed good correlations for transmitral velocity, mitral septal tissue velocity, and estimation of LV filling pressures when compared with 2D echocardiography. Additionally, cardiac CT and 2D echocardiography were comparable for assessment of diastolic dysfunction. Accordingly, cardiac CT may provide information on diastolic dysfunction.",
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Boogers, MJ, Van Werkhoven, JM, Schuijf, JD, Delgado, V, El-Naggar, HM, Boersma, E, Nucifora, G, Van Der Geest, RJ, Paelinck, BP, Kroft, LJ, Reiber, JHC, De Roos, A, Bax, JJ & Lamb, HJ 2011, 'Feasibility of diastolic function assessment with cardiac CT: Feasibility study in comparison with tissue Doppler imaging', JACC: Cardiovascular Imaging, vol. 4, no. 3, pp. 246-256. https://doi.org/10.1016/j.jcmg.2010.11.017

Feasibility of diastolic function assessment with cardiac CT : Feasibility study in comparison with tissue Doppler imaging. / Boogers, Mark J.; Van Werkhoven, Jacob M.; Schuijf, Joanne D.; Delgado, Victoria; El-Naggar, Heba M.; Boersma, Eric; Nucifora, Gaetano; Van Der Geest, Rob J.; Paelinck, Bernard P.; Kroft, Lucia J.; Reiber, Johan H.C.; De Roos, Albert; Bax, Jeroen J.; Lamb, Hildo J.

In: JACC: Cardiovascular Imaging, Vol. 4, No. 3, 03.2011, p. 246-256.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Feasibility of diastolic function assessment with cardiac CT

T2 - JACC: Cardiovascular Imaging

AU - Boogers, Mark J.

AU - Van Werkhoven, Jacob M.

AU - Schuijf, Joanne D.

AU - Delgado, Victoria

AU - El-Naggar, Heba M.

AU - Boersma, Eric

AU - Nucifora, Gaetano

AU - Van Der Geest, Rob J.

AU - Paelinck, Bernard P.

AU - Kroft, Lucia J.

AU - Reiber, Johan H.C.

AU - De Roos, Albert

AU - Bax, Jeroen J.

AU - Lamb, Hildo J.

PY - 2011/3

Y1 - 2011/3

N2 - Objectives: This study aimed to demonstrate the feasibility of multidetector row computed tomography (CT) for assessment of diastolic function in comparison with 2-dimensional (2D) echocardiography using tissue Doppler imaging (TDI). Background: Diastolic left ventricular (LV) function plays an important role in patients with cardiovascular disease. 2D echocardiography using TDI has been used most commonly to evaluate diastolic LV function. Although the role of cardiac CT imaging for evaluation of coronary atherosclerosis has been explored extensively, its feasibility to evaluate diastolic function has not been studied. Methods: Patients who had undergone 64-multidetector row CT and 2D echocardiography with TDI were enrolled. Diastolic function was evaluated using early (E) and late (A) transmitral peak velocity (cm/s) and peak mitral septal tissue velocity (Ea; cm/s). Peak transmitral velocity (cm/s) was calculated by dividing peak diastolic transmitral flow (ml/s) by the corresponding mitral valve area (cm 2). Mitral septal tissue velocity was calculated from changes in LV length per cardiac phase. Subsequently, the estimation of LV filling pressures (E/Ea) was determined. Results: Seventy patients (46 men; mean age 55 ± 11 years) who had undergone cardiac CT and 2D echocardiography with TDI were included. Good correlations were observed between cardiac CT and 2D echocardiography for assessment of E (r = 0.73; p < 0.01), E/A (r = 0.87; p < 0.01), Ea (r = 0.82; p < 0.01), and E/Ea (r = 0.81; p < 0.01). Moreover, a good diagnostic accuracy (79%) was found for detection of diastolic dysfunction using cardiac CT. Finally, the study showed a low intraobserver and interobserver variability for assessment of diastolic function on cardiac CT. Conclusions: Cardiac CT imaging showed good correlations for transmitral velocity, mitral septal tissue velocity, and estimation of LV filling pressures when compared with 2D echocardiography. Additionally, cardiac CT and 2D echocardiography were comparable for assessment of diastolic dysfunction. Accordingly, cardiac CT may provide information on diastolic dysfunction.

AB - Objectives: This study aimed to demonstrate the feasibility of multidetector row computed tomography (CT) for assessment of diastolic function in comparison with 2-dimensional (2D) echocardiography using tissue Doppler imaging (TDI). Background: Diastolic left ventricular (LV) function plays an important role in patients with cardiovascular disease. 2D echocardiography using TDI has been used most commonly to evaluate diastolic LV function. Although the role of cardiac CT imaging for evaluation of coronary atherosclerosis has been explored extensively, its feasibility to evaluate diastolic function has not been studied. Methods: Patients who had undergone 64-multidetector row CT and 2D echocardiography with TDI were enrolled. Diastolic function was evaluated using early (E) and late (A) transmitral peak velocity (cm/s) and peak mitral septal tissue velocity (Ea; cm/s). Peak transmitral velocity (cm/s) was calculated by dividing peak diastolic transmitral flow (ml/s) by the corresponding mitral valve area (cm 2). Mitral septal tissue velocity was calculated from changes in LV length per cardiac phase. Subsequently, the estimation of LV filling pressures (E/Ea) was determined. Results: Seventy patients (46 men; mean age 55 ± 11 years) who had undergone cardiac CT and 2D echocardiography with TDI were included. Good correlations were observed between cardiac CT and 2D echocardiography for assessment of E (r = 0.73; p < 0.01), E/A (r = 0.87; p < 0.01), Ea (r = 0.82; p < 0.01), and E/Ea (r = 0.81; p < 0.01). Moreover, a good diagnostic accuracy (79%) was found for detection of diastolic dysfunction using cardiac CT. Finally, the study showed a low intraobserver and interobserver variability for assessment of diastolic function on cardiac CT. Conclusions: Cardiac CT imaging showed good correlations for transmitral velocity, mitral septal tissue velocity, and estimation of LV filling pressures when compared with 2D echocardiography. Additionally, cardiac CT and 2D echocardiography were comparable for assessment of diastolic dysfunction. Accordingly, cardiac CT may provide information on diastolic dysfunction.

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