Regurgitant jet evaluation using three-dimensional echocardiography and magnetic resonance.
BACKGROUND
Three-dimensional assessment of regurgitant jet volume is the prerequisite for stratifying valve insufficiency. However, systematic comparison of three-dimensional methods is lacking. Therefore, we evaluated magnetic resonance imaging and three-dimensional echocardiography experimentally.


METHODS
An insufficiency chamber (22 x 18.5 x 27 cm; ostia 10, 16, and 20 mm; regurgitant volumes 2.3 to 25 mL) within experimental circulation (BioMedicus pump, tubes, pulsatile flow 0.2 to 1.9 L/min) was used for three-dimensional echocardiography (HP Sonos 2500) and magnetic resonance imaging (Siemens Magnetom Vision). Doppler flowmeter served as a gold standard. Segmentation used thresholding and surface integration of velocity vectors. Jet volume was evaluated qualitatively by polynom fitting.


RESULTS
Jet volume calculated by magnetic resonance (r = 0.99, p < 0.0001) and by echocardiography (r = 0.99, p < 0.0001) correlated identically to the gold standard. Jet volume derived from imaging correlated with each other by r = 0.98 (p < 0.0001). Polynom fits indicated a more paraboloid shape of magnetic resonance jet volume.


CONCLUSIONS
Experimentally, three-dimensional echocardiography and magnetic resonance imaging possess identical accuracy for determining regurgitant jet volume. Magnetic resonance imaging seems to provide qualitatively better image data for three-dimensional reconstruction.
Albers
Joerg
J
Department of Cardiac Surgery, University of Heidelberg, Germany. oerg.albers@urz.uni-heidelberg.de
Nitsche
Tobias
T
Boese
Jan
J
De Simone
Raffaele
R
Wolf
Ivo
I
Schroeder
Antje
A
Vahl
Christian F
CF
D019560:Echocardiography, Three-Dimensional; D018056:Hemorheology; D019028:Magnetic Resonance Imaging, Cine / Q000295:instrumentation / Q000379:methods; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000503:physiopathology; D008953:Models, Anatomic; D015203:Reproducibility of Results; D012212:Rheology; D013318:Stroke Volume