Document Detail


Magnetic resonance planimetry of the vena contracta as a new approach to assessment of stenotic heart valves: an in vitro study.
MedLine Citation:
PMID:  11436211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exact determination of the orifice area in stenotic valve disease is essential to guide therapy. With the standard imaging methods, the orifice area has to be calculated by empirically-derived formulas, which may be susceptible to changes in hemodynamic status, leading to wrong therapeutic decisions. We tested the ability of magnetic resonance imaging (MRI) to quantify the orifice area by planimetry of the proximal vena contracta (PVC) in an idealized, constant-flow model in a 1.0-T tomograph (Siemens Magnetom Expert). There was a close correlation of the PVC area in MRI and the true orifice area (r2 = 0.985), and agreement of the methods as measured by the Bland-Altman test was significant with a low systematic error of -0.02 cm2. We conclude that MRI planimetry of the PVC in stenotic valves in a constant-flow model may be used to reliably measure the orifice area.
Authors:
O Strohm; J Schulz-Menger; D Hänlein; R Dietz; M G Friedrich
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  14     ISSN:  1053-1807     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-03     Completed Date:  2001-08-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Wiley-Liss, Inc.
Affiliation:
Charité, Universitätsklinikum, Medizinische Fakultät der Humboldt-Universität, Franz-Volhard-Klinik am Max-Delbrück-Centrum für Molekulare Medizin, Berlin, Germany. strohm@fvk-berlin.de
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity / physiology
Calcinosis / diagnosis
Constriction, Pathologic / diagnosis
Heart Valve Diseases / diagnosis*
Heart Valves / pathology
Hemodynamics / physiology
Humans
Image Processing, Computer-Assisted*
Magnetic Resonance Imaging*
Models, Cardiovascular
Numerical Analysis, Computer-Assisted*
Phantoms, Imaging
Reproducibility of Results
Veins / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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