Interpretation of cardiac wall motion from cine-MRI combined with parametric imaging based on the Hilbert transform.
MAGMA
; 30(4): 347-357, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28220266
ABSTRACT
OBJECT The aim of this study was to test and validate the clinical impact of parametric amplitude images obtained using the Hilbert transform on the regional interpretation of cardiac wall motion abnormalities from cine-MR images by non-expert radiologists compared with expert consensus. MATERIALS AND METHODS:
Cine-MRI short-axis images obtained in 20 patients (10 with myocardial infarction, 5 with myocarditis and 5 with normal function) were processed to compute a parametric amplitude image for each using the Hilbert transform. Two expert radiologists blindly reviewed the cine-MR images to define a gold standard for wall motion interpretation for each left ventricular sector. Two non-expert radiologists reviewed and graded the same images without and in combination with parametric images. Grades assigned to each segment in the two separate sessions were compared with the gold standard.RESULTS:
According to expert interpretation, 264/320 (82.5%) segments were classified as normal and 56/320 (17.5%) were considered abnormal. The accuracy of the non-expert radiologists' grades compared to the gold standard was significantly improved by adding parametric images (from 87.2 to 94.6%) together with sensitivity (from 64.29 to 84.4%) and specificity (from 92 to 96.9%), also resulting in reduced interobserver variability (from 12.8 to 5.6%).CONCLUSION:
The use of parametric amplitude images based on the Hilbert transform in conjunction with cine-MRI was shown to be a promising technique for improvement of the detection of left ventricular wall motion abnormalities in less expert radiologists.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Imagem Cinética por Ressonância Magnética
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Técnicas de Imagem Cardíaca
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Contração Miocárdica
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
MAGMA
Assunto da revista:
DIAGNOSTICO POR IMAGEM
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Tunísia