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Multicenter Consist...
Multicenter Consistency Assessment of Valvular Flow Quantification With Automated Valve Tracking in 4D Flow CMR
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- Juffermans, Joe F. (author)
- Leiden University Medical Centre
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- Minderhoud, Savine C.S. (author)
- Erasmus University Medical Center
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- Wittgren, Johan (author)
- Skåne University Hospital,Lund University
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- Kilburg, Anton (author)
- Johannes-Gutenberg University Mainz,Universitätsmedizin Mainz
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- Ese, Amir (author)
- Johannes-Gutenberg University Mainz,Universitätsmedizin Mainz
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- Fidock, Benjamin (author)
- University of Sheffield
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- Zheng, Yu Cong (author)
- Fu Wai Hospital
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- Zhang, Jun Mei (author)
- National University of Singapore
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- Blanken, Carmen P.S. (author)
- Academic Medical Center of University of Amsterdam (AMC)
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- Lamb, Hildo J. (author)
- Leiden University Medical Centre
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- Goeman, Jelle J. (author)
- Leiden University Medical Centre
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- Carlsson, Marcus (author)
- Lund University,Lunds universitet,Hjärt-MR-gruppen i Lund,Forskargrupper vid Lunds universitet,Lund Cardiac MR Group,Lund University Research Groups,Skåne University Hospital
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- Zhao, Shihua (author)
- Fu Wai Hospital
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- Planken, R. Nils (author)
- Academic Medical Center of University of Amsterdam (AMC)
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- van Ooij, Pim (author)
- Academic Medical Center of University of Amsterdam (AMC)
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- Zhong, Liang (author)
- National University of Singapore
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- Chen, Xiuyu (author)
- Fu Wai Hospital
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- Garg, Pankaj (author)
- University of Sheffield
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- Emrich, Tilman (author)
- Johannes-Gutenberg University Mainz,Universitätsmedizin Mainz,German Centre for Cardiovascular Research
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- Hirsch, Alexander (author)
- Erasmus University Medical Center
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- Töger, Johannes (author)
- Lund University,Lunds universitet,Hjärt-MR-gruppen i Lund,Forskargrupper vid Lunds universitet,Lund Cardiac MR Group,Lund University Research Groups,Skåne University Hospital
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- Westenberg, Jos J.M. (author)
- Leiden University Medical Centre
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- English 13 s.
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In: JACC: Cardiovascular Imaging. - : Elsevier BV. - 1936-878X. ; 14:7, s. 1354-1366
- Related links:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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- Objectives: This study determined: 1) the interobserver agreement; 2) valvular flow variation; and 3) which variables independently predicted the variation of valvular flow quantification from 4-dimensional (4D) flow cardiac magnetic resonance (CMR) with automated retrospective valve tracking at multiple sites. Background: Automated retrospective valve tracking in 4D flow CMR allows consistent assessment of valvular flow through all intracardiac valves. However, due to the variance of CMR scanners and protocols, it remains uncertain if the published consistency holds for other clinical centers. Methods: Seven sites each retrospectively or prospectively selected 20 subjects who underwent whole heart 4D flow CMR (64 patients and 76 healthy volunteers; aged 32 years [range 24 to 48 years], 47% men, from 2014 to 2020), which was acquired with locally used CMR scanners (scanners from 3 vendors; 2 1.5-T and 5 3-T scanners) and protocols. Automated retrospective valve tracking was locally performed at each site to quantify the valvular flow and repeated by 1 central site. Interobserver agreement was evaluated with intraclass correlation coefficients (ICCs). Net forward volume (NFV) consistency among the valves was evaluated by calculating the intervalvular variation. Multiple regression analysis was performed to assess the predicting effect of local CMR scanners and protocols on the intervalvular inconsistency. Results: The interobserver analysis demonstrated strong-to-excellent agreement for NFV (ICC: 0.85 to 0.96) and moderate-to-excellent agreement for regurgitation fraction (ICC: 0.53 to 0.97) for all sites and valves. In addition, all observers established a low intervalvular variation (≤10.5%) in their analysis. The availability of 2 cine images per valve for valve tracking compared with 1 cine image predicted a decreasing variation in NFV among the 4 valves (beta = −1.3; p = 0.01). Conclusions: Independently of locally used CMR scanners and protocols, valvular flow quantification can be performed consistently with automated retrospective valve tracking in 4D flow CMR.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Keyword
- automated retrospective valve tracking
- valvular flow assessment regurgitation
- whole heart 4D flow CMR
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Juffermans, Joe ...
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Minderhoud, Savi ...
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Wittgren, Johan
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Kilburg, Anton
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Ese, Amir
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Fidock, Benjamin
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show more...
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Zheng, Yu Cong
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Zhang, Jun Mei
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Blanken, Carmen ...
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Lamb, Hildo J.
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Goeman, Jelle J.
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Carlsson, Marcus
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Zhao, Shihua
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Planken, R. Nils
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van Ooij, Pim
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Zhong, Liang
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Chen, Xiuyu
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Garg, Pankaj
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Emrich, Tilman
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Hirsch, Alexande ...
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Töger, Johannes
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Westenberg, Jos ...
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- MEDICAL AND HEALTH SCIENCES
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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JACC: Cardiovasc ...
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