Value of assessment of tricuspid annulus: Real-time three-dimensional echocardiography and magnetic resonance imaging
Aim: To detect the accuracy of real-time three-dimensional echocardiography (RT3DE) and two-dimensional echocardiography (2DE) for tricuspid annulus (TA) assessment compared with magnetic resonance imaging (MRI). Methods: Thirty patients (mean age 34 ± 13 years, 60% males) in sinus rhythm were examined by MRI, RT3DE, and 2DE for TA assessment. End-diastolic and end-systolic TA diameter (TAD) and TA fractional shortening (TAFS) were measured by RT3DE, 2DE, and MRI. End-diastolic and end-systolic TA area (TAA) and TA fractional area changes (TAFAC) were measured by RT3DE and MRI. End-diastolic and end-systolic right ventricular (RV) volumes and ejection fraction (RV-EF) were measured by MRI. Results: The TA was clearly delineated in all patients and visualized as an oval-shaped by RT3DE and MRI. There was a good correlation between TADMRIand TAD3D(r = 0.75, P = 0.001), while TAD2Dwas fairly correlated with TAD3Dand TADMRI(r = 0.5, P = 0.01 for both). There were no significant differences between RT3DE and MRI in TAD, TAA, TAFS, and TAFAC measurements, while TAD2Dand TAFS2Dwere significantly underestimated (P < 0.001). TAFS2Dwas not correlated with RV-EF, while TAFS3Dand TAFAC3Dwere fairly correlated with RV-EF (r = 0.49, P = 0.01, and r = 0.47, P = 0.02 respectively). Conclusion: RT3DE helps in accurate assessment of TA comparable to MRI and may have an important implication in the TV surgical decision-making processes. RT3DE analysis of TA function could be used as a marker of RV function.
|Keywords||Magnetic resonance imaging, Real-timethree-dimensional echocar diography, Tricuspid annulus|
|Persistent URL||dx.doi.org/10.1007/s10554-006-9206-4, hdl.handle.net/1765/36955|
Anwar, A.M., Soliman, O.I.I., Nemes, A., van Geuns, R.J.M., Geleijnse, M.L., & ten Cate, F.J.. (2007). Value of assessment of tricuspid annulus: Real-time three-dimensional echocardiography and magnetic resonance imaging. International Journal of Cardiovascular Imaging, 23(6), 701–705. doi:10.1007/s10554-006-9206-4