The potential clinical value of contrast-enhanced echocardiography beyond current recommendations

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The potential clinical value of contrast-enhanced echocardiography beyond current recommendations

Larsson, Malin K. (author): KTH,Medicinsk teknik,KTH, Medicinsk teknik

Da Silva, Cristina (author)

Gunyeli, Elif (author)

Bin Ilami, Ali Akebat (author)

Szummer, Karolina (author): Karolinska Institutet

Winter, Reidar (author): KTH,Medicinsk teknik,Karolinska University Hospital, Sweden,KTH, Medicinsk teknik

Bjällmark, Anna (author): KTH,Medicinsk teknik,Karolinska Institutet, Sweden,KTH, Medicinsk teknik

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2016-01-05
2016
English.
In: Cardiovascular Ultrasound. - : BioMed Central. - 1476-7120. ; 14

Related links:: https://doi.org/10.1...; show more...; https://cardiovascul...; https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Contrast agents are used in resting echocardiography to opacify the left ventricular (LV) cavity and to improve LV endocardial border delineation in patients with suboptimal image quality. If a wider use of contrast-enhanced echocardiography would be adopted instead of the current selective approach, diagnoses such as myocardial ischemia and LV structural abnormalities could potentially be detected earlier. The aim was therefore to retrospectively investigate if contrast- enhanced echocardiography beyond the current recommendations for contrast agent usage affects assessment of wall motion abnormalities, ejection fraction (EF) and detection of LV structural abnormalities. A secondary aim was to evaluate the user dependency during image analysis. Methods: Experienced readers (n = 4) evaluated wall motion score index (WMSI) and measured EF on greyscale and contrast-enhanced images from 192 patients without indications for contrast-enhanced echocardiography. Additionally, screening for LV structural abnormalities was performed. Repeated measurements were performed in 20 patients by the experienced as well as by inexperienced (n = 2) readers. Results: Contrast analysis resulted in significantly higher WMSI compared to greyscale analysis (p < 0.003). Of the 83 patients, classified as healthy by greyscale analysis, 55 % were re-classified with motion abnormalities by contrast analysis. No significant difference in EF classification (>= 55 %, 45-54 %, 30-44 %, < 30 %) was observed. LV structural abnormalities, such as increased trabeculation (n = 21), apical aneurysm (n = 4), hypertrophy (n = 1) and thrombus (n = 1) were detected during contrast analysis. Intra- and interobserver variability for experienced readers as well as the variability between inexperienced and experienced readers decreased for WMSI and EF after contrast analysis. Conclusions: Contrast-enhanced echocardiography beyond current recommendations for contrast agent usage increased the number of detected wall motion and LV structural abnormalities. Moreover, contrast- enhanced echocardiography increased reproducibility for assessment of WMSI and EF.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Keyword

Contrast agent
Echocardiography
Wall motion score index
Ejection fraction

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

Articles in the publication: Cardiovascular U ...

By the university: Royal Institute of Technology; Jönköping University; Karolinska Institutet

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