Multimodality imaging of aortic dimensions: comparison of transthoracic echocardiography with multidetector row computed tomography.
Echocardiography
; 29(6): 735-41, 2012 Jul.
Article
em En
| MEDLINE
| ID: mdl-22404245
ABSTRACT
BACKGROUND:
With recent advances in multimodality cardiac imaging, a number of methods exist for the noninvasive assessment of aortic disease. Although multidetector row computed tomography (MDCT) remains the gold standard for aortic measurements, there are a number of limitations including radiation and contrast-induced nephropathy. Transthoracic echocardiography (TTE) is an alternative to MDCT for providing accurate anatomic assessment of aortic root and ascending aorta dimensions. OBJECTIVES ANDMETHODS:
To determine the accuracy of two-dimensional (2D) TTE for determining aortic measurements in comparison to MDCT, a retrospective study of individuals with varying aortic root and ascending aorta dimensions was performed.RESULTS:
There were 116 patients (77 males, mean age 49 ± 12 years) in total. The maximum aortic diameters by 2D TTE were 26.1 ± 4.3 mm (annulus), 32.4 ± 5.6 mm (sinuses), 30.1 ± 5.9 mm (sinotubular [ST] junction), and 33.4 ± 7.3 mm (ascending aorta). The maximum aortic diameters by MDCT were 30.1 ± 4.1 mm (annulus), 35.8 ± 5.8 mm (sinuses), 33.2 ± 5.9 mm (ST junction), and 37.4 ± 7.6 mm (ascending aorta). There was good to excellent correlation between 2D TTE and MDCT at all four levels of the aorta (annulus r = 0.84; sinuses r = 0.93; ST junction r = 0.93; ascending aorta r = 0.88). There was a consistent underestimation of aortic measurements obtained by 2D TTE when compared to MDCT.CONCLUSION:
2DTTE is a feasible, accurate, and reproducible method for the noninvasive assessment of thoracic aortic diameters as compared to MDCT.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Aorta
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Algoritmos
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Aortografia
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Ecocardiografia
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Interpretação de Imagem Assistida por Computador
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Tomografia Computadorizada por Raios X
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Técnica de Subtração
Tipo de estudo:
Diagnostic_studies
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Observational_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article