The Open Magnetic Resonance Journal




    (Discontinued)

    ISSN: 1874-7698 ― Volume 3, 2010

    Cardiac MRI: Standardized Right and Left Ventricular Quantification by Briefly Coaching Inexperienced Personnel


    The Open Magnetic Resonance Journal, 2008, 1: 104-111

    Niek H. Prakken, Birgitta K. Velthuis, Evert-Jan J. Vonken, Willem P. Mali , Maarten-Jan J. Cramer

    Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands.

    Electronic publication date 19/12/2008
    [DOI: 10.2174/1874769800801010104]




    Abstract:

    MRI quantification of the cardiac ventricles is time-consuming, especially for the right ventricle due to its complex geometry. Using a short axis MRI protocol, we tested if briefly coaching persons inexperienced in cardiac MRI provides reliable right and left ventricular quantification.

    22 healthy subjects (mean age 26 ± 4.2 years) underwent short-axis breath-hold SSFP sequence cardiac MRI. Two persons inexperienced in cardiac MRI independently traced endocardial and epicardial contours of both ventricles with a predefined contour tracing protocol. Measurements were repeated after visual correction of each two most basal slices of the endocardial contours and epicardial contours in the learning curve. Five random short-axis cines were retraced for intraobserver variability. Measurements were performed blinded within 4 months. Agreement was assessed with the Bland- Altman method.

    No systematic bias was observed and measurements were within acceptable limits of agreement after brief coaching. Repeat measurements following visual correction significantly improved inter-observer differences, especially for mass calculations. Maximum interobserver and intraobserver disagreement of the final protocol were respectively ≤ 8% and ≤ 5%.

    Brief coaching of persons inexperienced in cardiac MRI, using the short axis MRI protocol, provides reliable volume, function and mass quantification of both ventricles.


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