Rapid and accurate left ventricular chamber quantification using a novel CMR segmentation algorithm: a clinical validation study.

TitleRapid and accurate left ventricular chamber quantification using a novel CMR segmentation algorithm: a clinical validation study.
Publication TypeJournal Article
Year of Publication2010
AuthorsCodella NCF, Cham MD, Wong R, Chu C, Min JK, Prince MR, Wang Y, Weinsaft JW
JournalJ Magn Reson Imaging
Volume31
Issue4
Pagination845-53
Date Published2010 Apr
ISSN1522-2586
KeywordsAdult, Aged, Algorithms, Automation, Female, Heart Ventricles, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Myocardium, Reproducibility of Results, Ventricular Function, Left
Abstract

PURPOSE: To evaluate the clinical performance of a novel automated left ventricle (LV) segmentation algorithm (LV-METRIC) that involves no geometric assumptions.

MATERIALS AND METHODS: LV-METRIC and manual tracing (MT) were used independently to quantify LV volumes and LVEF (ejection fraction) for 151 consecutive patients who underwent cine-CMR (steady-state free precession). Phase contrast imaging was used to independently measure stroke volume.

RESULTS: LV-METRIC was successful in all cases. Mean LVEF was within 1 point of MT (Delta 0.6 +/- 2.3%, P < 0.05), with smaller differences among patients with (0.5 +/- 2.5%) versus those without (0.9 +/- 2.3%; P = 0.01) advanced systolic dysfunction (LVEF

CONCLUSION: Among a broad series of consecutive patients undergoing CMR, automated LVEF by LV-METRIC was within 1 point of MT with processing time reduced 14-fold. Stroke volume by LV-METRIC yielded improved agreement with an independent standard of phase contrast imaging.

DOI10.1002/jmri.22080
Alternate JournalJ Magn Reson Imaging
PubMed ID20373428
Related Institute: 
MRI Research Institute (MRIRI)

Weill Cornell Medicine
Department of Radiology
525 East 68th Street New York, NY 10065