Precision of pulmonary vein diameter measurements assessed by CE-MRA and steady-state-free precession imaging

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Precision of pulmonary vein diameter measurements assessed by CE-MRA and steady-state-free precession imaging. / Groth, Michael; Bannas, Peter; Regier, Marc; Buhk, Jan-Hendrik; Müllerleile, Kai; Adam, Gerhard; Henes, Frank O.

in: EUR RADIOL, Jahrgang 23, Nr. 6, 01.06.2013, S. 1546-52.

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@article{07965ecf554848f398bc5d8de0da0539,
title = "Precision of pulmonary vein diameter measurements assessed by CE-MRA and steady-state-free precession imaging",
abstract = "OBJECTIVE: Pulmonary vein (PV) diameter assessment is important for planning and follow-up of PV ablation in atrial fibrillation. Therefore, the aim of our study was to evaluate inter- and intraobserver reliability of PV diameter measurements by contrast-enhanced magnetic resonance angiography (CE-MRA) and ECG-gated 2D multislice unenhanced steady-state-free precession sequences (multislice SSFP).METHODS: Sixty PV diameters in 17 consecutive patients were measured in transverse and coronal orientation with CE-MRA and multislice SSFP by two observers. Statistics to evaluate inter- and intraobserver reliability included Bland-Altman analysis and F-test.RESULTS: Intraobserver limits of agreement (LAG) ranged between ±0.50 cm (transverse) and ±0.86 cm (coronal) for CE-MRA versus ±0.40 cm (transverse) and ±0.67 cm (coronal) for multislice SSFP. Interobserver agreement showed LAG ranging between ±0.59 cm (transverse) and ±0.83 cm (coronal) for CE-MRA versus ±0.34 cm (transverse) and ±0.75 cm (coronal) for multislice SSFP. Intra- and interobserver variances did not reveal significant differences between CE-MRA and multislice SSFP in any orientation (all p-values >0.05).CONCLUSION: Multislice SSFP and CE-MRA enable comparable precision of PV diameter measurements. However, both methods reveal a wide range of intra- and interobserver agreement, which has to be thoroughly considered in clinical use. KEY POINTS : • Unenhanced magnetic resonance imaging can now provide measurement of pulmonary vein diameters • Steady-state-free precession offers a new method of performing unenhanced MR imaging • Both unenhanced and enhanced MRI measurements show wide intra- and interobserver variation • PV diameter measurements assessed by MRI have to be interpreted with care • Nevertheless, unenhanced MRI might replace some CT examinations for pulmonary vein demonstration.",
keywords = "Adult, Aged, Atrial Fibrillation, Cohort Studies, Constriction, Pathologic, Contrast Media, Electrocardiography, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Angiography, Male, Middle Aged, Observer Variation, Pulmonary Veins, Reproducibility of Results, Retrospective Studies",
author = "Michael Groth and Peter Bannas and Marc Regier and Jan-Hendrik Buhk and Kai M{\"u}llerleile and Gerhard Adam and Henes, {Frank O}",
year = "2013",
month = jun,
day = "1",
doi = "10.1007/s00330-012-2752-3",
language = "English",
volume = "23",
pages = "1546--52",
journal = "EUR RADIOL",
issn = "0938-7994",
publisher = "Springer",
number = "6",

}

RIS

TY - JOUR

T1 - Precision of pulmonary vein diameter measurements assessed by CE-MRA and steady-state-free precession imaging

AU - Groth, Michael

AU - Bannas, Peter

AU - Regier, Marc

AU - Buhk, Jan-Hendrik

AU - Müllerleile, Kai

AU - Adam, Gerhard

AU - Henes, Frank O

PY - 2013/6/1

Y1 - 2013/6/1

N2 - OBJECTIVE: Pulmonary vein (PV) diameter assessment is important for planning and follow-up of PV ablation in atrial fibrillation. Therefore, the aim of our study was to evaluate inter- and intraobserver reliability of PV diameter measurements by contrast-enhanced magnetic resonance angiography (CE-MRA) and ECG-gated 2D multislice unenhanced steady-state-free precession sequences (multislice SSFP).METHODS: Sixty PV diameters in 17 consecutive patients were measured in transverse and coronal orientation with CE-MRA and multislice SSFP by two observers. Statistics to evaluate inter- and intraobserver reliability included Bland-Altman analysis and F-test.RESULTS: Intraobserver limits of agreement (LAG) ranged between ±0.50 cm (transverse) and ±0.86 cm (coronal) for CE-MRA versus ±0.40 cm (transverse) and ±0.67 cm (coronal) for multislice SSFP. Interobserver agreement showed LAG ranging between ±0.59 cm (transverse) and ±0.83 cm (coronal) for CE-MRA versus ±0.34 cm (transverse) and ±0.75 cm (coronal) for multislice SSFP. Intra- and interobserver variances did not reveal significant differences between CE-MRA and multislice SSFP in any orientation (all p-values >0.05).CONCLUSION: Multislice SSFP and CE-MRA enable comparable precision of PV diameter measurements. However, both methods reveal a wide range of intra- and interobserver agreement, which has to be thoroughly considered in clinical use. KEY POINTS : • Unenhanced magnetic resonance imaging can now provide measurement of pulmonary vein diameters • Steady-state-free precession offers a new method of performing unenhanced MR imaging • Both unenhanced and enhanced MRI measurements show wide intra- and interobserver variation • PV diameter measurements assessed by MRI have to be interpreted with care • Nevertheless, unenhanced MRI might replace some CT examinations for pulmonary vein demonstration.

AB - OBJECTIVE: Pulmonary vein (PV) diameter assessment is important for planning and follow-up of PV ablation in atrial fibrillation. Therefore, the aim of our study was to evaluate inter- and intraobserver reliability of PV diameter measurements by contrast-enhanced magnetic resonance angiography (CE-MRA) and ECG-gated 2D multislice unenhanced steady-state-free precession sequences (multislice SSFP).METHODS: Sixty PV diameters in 17 consecutive patients were measured in transverse and coronal orientation with CE-MRA and multislice SSFP by two observers. Statistics to evaluate inter- and intraobserver reliability included Bland-Altman analysis and F-test.RESULTS: Intraobserver limits of agreement (LAG) ranged between ±0.50 cm (transverse) and ±0.86 cm (coronal) for CE-MRA versus ±0.40 cm (transverse) and ±0.67 cm (coronal) for multislice SSFP. Interobserver agreement showed LAG ranging between ±0.59 cm (transverse) and ±0.83 cm (coronal) for CE-MRA versus ±0.34 cm (transverse) and ±0.75 cm (coronal) for multislice SSFP. Intra- and interobserver variances did not reveal significant differences between CE-MRA and multislice SSFP in any orientation (all p-values >0.05).CONCLUSION: Multislice SSFP and CE-MRA enable comparable precision of PV diameter measurements. However, both methods reveal a wide range of intra- and interobserver agreement, which has to be thoroughly considered in clinical use. KEY POINTS : • Unenhanced magnetic resonance imaging can now provide measurement of pulmonary vein diameters • Steady-state-free precession offers a new method of performing unenhanced MR imaging • Both unenhanced and enhanced MRI measurements show wide intra- and interobserver variation • PV diameter measurements assessed by MRI have to be interpreted with care • Nevertheless, unenhanced MRI might replace some CT examinations for pulmonary vein demonstration.

KW - Adult

KW - Aged

KW - Atrial Fibrillation

KW - Cohort Studies

KW - Constriction, Pathologic

KW - Contrast Media

KW - Electrocardiography

KW - Female

KW - Humans

KW - Image Processing, Computer-Assisted

KW - Magnetic Resonance Angiography

KW - Male

KW - Middle Aged

KW - Observer Variation

KW - Pulmonary Veins

KW - Reproducibility of Results

KW - Retrospective Studies

U2 - 10.1007/s00330-012-2752-3

DO - 10.1007/s00330-012-2752-3

M3 - SCORING: Journal article

C2 - 23255176

VL - 23

SP - 1546

EP - 1552

JO - EUR RADIOL

JF - EUR RADIOL

SN - 0938-7994

IS - 6

ER -