Two‑dimensional transthoracic measure of mitral annulus in mitral valve prolapse and moderate to severe regurgitation: a method comparison analysis with three‑dimensional transesophageal echocardiography
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Background Mitral annulus (MA) area is derived during transthoracic echocardiography (TTE) assuming of a circular shape using the MA diameter from the apical 4 chamber (A4c) view. Since the MA is not a circular structure, we hypothesized that an elliptical model using parasternal long-axis (PLAX) and apical 2 chamber (A2c) view measured MA diameters would have better agreement with 3-dimensional transesophageal echocardiography (3D TEE) measured MA in degenerative mitral valve disease (DMVD). Methods Seventy-six patients with moderate-to-severe DMVD had 2D TTE and 3D TEE performed. MA area was measured retrospectively using semi-automatic modeling of 3D data (3D TEEsa) and considered as the reference method. MA diameters were measured using different 2D TTE views. MA area was calculated using assumptions of a circular or an elliptical shape. 2D TTE derived and 3D TEEsa. MA areas were compared using linear regression and Bland-Altman analysis. Results The median MA area measured at 3D TEEsa was 1,386 (1,293–1,673) mm2. With 2D TTE, the circular model using A4c view diameter resulted in a small systematic underestimation of MA area (6%), while the elliptical model using PLAX and A2c diameters resulted in 25% systematic underestimation. The standard deviations of the distributions of inter-method differences were wide for all 2D TTE methods (265–289 mm2) when compared to 3D TEEsa, indicating imprecision. Conclusions When compared with 3D TEEsa modeling of the MA as the reference, the assumption of a circular shape using A4c TTE view diameter was the method with the least systematic error to assess MA area in DMVD and moderate to severe regurgitation.
Abstract
Background Mitral annulus (MA) area is derived during transthoracic echocardiography (TTE) assuming of a circular shape using the MA diameter from the apical 4 chamber (A4c) view. Since the MA is not a circular structure, we hypothesized that an elliptical model using parasternal long-axis (PLAX) and apical 2 chamber (A2c) view measured MA diameters would have better agreement with 3-dimensional transesophageal echocardiography (3D TEE) measured MA in degenerative mitral valve disease (DMVD). Methods Seventy-six patients with moderate-to-severe DMVD had 2D TTE and 3D TEE performed. MA area was measured retrospectively using semi-automatic modeling of 3D data (3D TEEsa) and considered as the reference method. MA diameters were measured using different 2D TTE views. MA area was calculated using assumptions of a circular or an elliptical shape. 2D TTE derived and 3D TEEsa. MA areas were compared using linear regression and Bland-Altman analysis. Results The median MA area measured at 3D TEEsa was 1,386 (1,293–1,673) mm2. With 2D TTE, the circular model using A4c view diameter resulted in a small systematic underestimation of MA area (6%), while the elliptical model using PLAX and A2c diameters resulted in 25% systematic underestimation. The standard deviations of the distributions of inter-method differences were wide for all 2D TTE methods (265–289 mm2) when compared to 3D TEEsa, indicating imprecision. Conclusions When compared with 3D TEEsa modeling of the MA as the reference, the assumption of a circular shape using A4c TTE view diameter was the method with the least systematic error to assess MA area in DMVD and moderate to severe regurgitation.
참고문헌 (27)
- Freed LA, "Prevalence and clinical outcome of mitral-valve prolapse", N Engl J Med, 341, pp.1~7 (1999)
- Zoghbi WA, "Recommendations for noninvasive evaluation of native valvular regurgitation : a report from the American society of echocardiography developed in collaboration with the society for cardiovascular magnetic resonance", J Am Soc Echocardiogr, 30, pp.303~371 (2017)
- Nishimura RA, "2014 AHA", ACC guideline for the management of patients with valvular heart disease : a report of the American College of Cardiology, J Am Coll Cardiol, pp.2014, 63[DOI]
- Lewis JF, "Pulsed Doppler echocardiographic determination of stroke volume and cardiac output : clinical validation of two new methods using the apical window", Circulation, 70, pp.425~431 (1984)
- Thavendiranathan P, "Quantitative assessment of mitral regurgitation : how best to do it", JACC Cardiovasc Imaging, 5, pp.1161~1175 (2012)
- Hyodo E, "Accurate measurement of mitral annular area by using single and biplane linear measurements : comparison of conventional methods with the three-dimensional planimetric method", Eur Heart J Cardiovasc Imaging, 13, pp.605~611 (2012)
- Foster GP, "Accurate measurement of mitral annular dimensions by echocardiography : importance of correctly aligned imaging planes and anatomic landmarks", J Am Soc Echocardiogr, 22, pp.458~463 (2009)
- Clavel MA, "Dynamic phenotypes of degenerative myxomatous mitral valve disease : quantitative 3-dimensional echocardiographic study", Circ Cardiovasc Imaging, 8, pp.e002989~ (2015)
- Chandra S, "Characterization of degenerative mitral valve disease using morphologic analysis of real-time three-dimensional echocardiographic images : objective insight into complexity and planning of mitral valve repair", Circ Cardiovasc Imaging, 4, pp.24~32 (2011)
- Grewal J, "Mitral annular dynamics in myxomatous valve disease : new insights with real-time 3-dimensional echocardiography", Circulation, 121, pp.1423~1431 (2010)
- Agricola E, "Multimodality imaging for patient selection, procedural guidance, and follow-up of transcatheter interventions for structural heart disease : a consensus document of the EACVI Task Force on Interventional Cardiovascular Imaging : part 1 : access routes, transcatheter aortic valve implantation, and transcatheter mitral valve interventions", Eur Heart J Cardiovasc Imaging, 24, pp.e209~e268 (2023)
- Calleja A, "Quantitative modeling of the mitral valve by three-dimensional transesophageal echocardiography in patients undergoing mitral valve repair : correlation with intraoperative surgical technique", J Am Soc Echocardiogr, 28, pp.1083~1092 (2015)
- Ender J, "Prediction of the annuloplasty ring size in patients undergoing mitral valve repair using real-time threedimensional transoesophageal echocardiography", Eur J Echocardiogr, 12, pp.445~453 (2011)
- Biaggi P, "Quantification of mitral valve anatomy by three-dimensional transesophageal echocardiography in mitral valve prolapse predicts surgical anatomy and the complexity of mitral valve repair", J Am Soc Echocardiogr, 25, pp.758~765 (2012)
- Lang RM, "Recommendations for cardiac chamber quantification by echocardiography in adults : an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging", J Am Soc Echocardiogr, 28, pp.1~39 (2015)
- Ionasec RI, "Patient-specific modeling and quantification of the aortic and mitral valves from 4-D cardiac CT and TEE", IEEE Trans Med Imaging, 29, pp.1636~1651 (2010)
- Hanneman SK, "Design, analysis, and interpretation of method-comparison studies", AACN Adv Crit Care, 19, pp.223~234 (2008)
- Moustafa SE, "Mitral annular geometry in normal and myxomatous mitral valves : three-dimensional transesophageal echocardiographic quantification", J Heart Valve Dis, 21, pp.299~310 (2012)
- Dal-Bianco JP, "Anatomy of the mitral valve apparatus : role of 2D and 3D echocardiography", Cardiol Clin, 31, pp.151~164 (2013)
- Enriquez-Sarano M, "Quantitative determinants of the outcome of asymptomatic mitral regurgitation", N Engl J Med, 352, pp.875~883 (2005)
- Grigioni F, "Contribution of ischemic mitral regurgitation to congestive heart failure after myocardial infarction", J Am Coll Cardiol, 45, pp.260~267 (2005)
- Enriquez-Sarano M, "Quantitative Doppler assessment of valvular regurgitation", Circulation, 87, pp.841~848 (1993)
- Shimamoto H, "Transoesophageal Doppler echocardiographic measurement of cardiac output by the mitral annulus method", Br Heart J, 68, pp.510~515 (1992)
- Heo R, "Clinical implications of threedimensional real-time color doppler transthoracic echocardiography in quantifying mitral regurgitation : a comparison with conventional twodimensional methods", J Am Soc Echocardiogr, 30, pp.393~403 (2017)
- Mihăilă S, "Quantitative analysis of mitral annular geometry and function in healthy volunteers using transthoracic three-dimensional echocardiography", J Am Soc Echocardiogr, 27, pp.846~857 (2014)
- Thavendiranathan P, "Quantification of chronic functional mitral regurgitation by automated 3-dimensional peak and integrated proximal isovelocity surface area and stroke volume techniques using real-time 3-dimensional volume color Doppler echocardiography : in vitro and clinical validation", Circ Cardiovasc Imaging, 6, pp.125~133 (2013)
- Reyaldeen R, "Role of cardiac computed tomography in planning transcatheter mitral valve replacement(TMVR)", Curr Cardiol Rep, 24, pp.1917~1932 (2022)