Journal of the Korean Society of Magnetic Resonance in Medicine 2013;17(3):200-206
doi:10.13104/jksmrm.2013.17.3.200
Heart-Model-Based Automated Method for Left Ventricular Measurements in Cardiac MR: Comparison with Manual and Semi-automated Methods.
Seung Hoon CHAE 1 ; Whal LEE ; Eun Ah PARK ; Jin Wook CHUNG
Affiliations
Keywords
Magnetic resonance imaging (MRI); Heart; Volumetery
Country
Republic of Korea
Language
English
MeSH
ACTIONS
ACTIONS
ACTIONS
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Abstract
PURPOSE: To assess the effect of applying an automated heart model based measurements of left ventricle (LV) and compare with manual and semi-automated measurements at Cardiovascular MR Imaging. MATERIALS AND METHODS: Sixty-two patients who underwent cardiac 1.5T MR imaging were included. Steady state free precession cine images of 20 phases per cardiac cycle were obtained in short axis views and both 2-chamber and 4-chamber views. Epicardial and endocardial contours were drawn in manual, automated, and semi-automated ways. Based on these acquired contour sets, the end-diastolic (ED) and end-systolic (ES) volumes, ejection fraction (EF), systolic volume (SV) and LV mass were calculated and compared. RESULTS: In EDV and ESV, the differences among three measurement methods were not statistically significant (P = .399 and .145, respectively). However, in EF, SV, and LV mass, the differences were statistically significant (P=.001, <001, <001, respectively) and the measured value from automated method tend to be consistently higher than the values from other two methods. CONCLUSION: An automatic heart model-based method grossly overestimate EF, SV and LV mass compared with manual or semi-automated methods. Even though the method saves a considerable amount of efforts, further manual adjustment should be considered in critical clinical cases.
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