Multi-slice spiral CT for calculating the accuracy of ventricular volume and optimal layer thickness selection

Release date: 2008-09-08

Cui Wei Takeshi Kondo Hirofumi Anno Guo Yuyin Takahisa Sato Masayoshi SaraiHitoshi Shinozaki Satoshi Kakizawa Atsushi Sugiura Keita Oshima Kazuhiro Katada Hitoshi Hishida [Abstract] Objectives (1) Determine the optimal layer thickness of the ventricular volume calculated by the Simpson method; (2) Evaluate the multi-slice spiral CT to calculate the ventricle The accuracy of the volume. Methods The left ventricular cast and 15 right ventricular casts of 14 individuals were scanned using a multi-slice spiral CT (Toshiba Aquilion) scanning system. The left and right ventricular short-axis multiplanar remodeling (MPR) images were reconstructed with layer thicknesses of 2.0, 3.5, 5.0, 7. 0, and 10. 0 mm, respectively. The volume of the left and right ventricular casts was calculated using the standard Simpson method. The actual volume of the ventricular cast is calculated by the capacity of the mold to exclude water. Results The calculated ventricular volume of each layer was overestimated by the actual volume of the corresponding ventricle [ left ventricular high estimate between ( 3. 21 ± 5.95) ml to ( 12. 58 ± 8.56) ml, right ventricle The high estimate is between ( 10. 22 ± 8.45) ml to ( 23. 91 ± 12.24) ml]. The calculated ventricular volume of each layer thickness is highly correlated with the corresponding actual ventricular volume (left ventricular r value > 0.97, right ventricular r value > 0.05); ventricular volume overestimation and selected layer thickness Significant positive correlation (left ventricular r = 0. 998, right ventricle r = 0. 996). When the layer thickness was reduced to 5 mm, the calculated high estimate of the ventricular volume versus the actual volume was no longer statistically different from the 2 mm layer thickness. Conclusion The 5 mm layer thickness is the most efficient layer thickness when using the multi-row Simpson method to calculate left and right ventricular volumes. MSCT can accurately calculate left and right ventricular volumes. [Keywords] tomography, X-ray computed; cardiac volume; hemodynamics, accel acy of ventr icular volume measur ement and the opt ima l slice thickness by using mult islicehelica l computed tomogr aphy CUI Wei* , Takeshi Kondo, Hirofumi Anno, GUO Yu-yin, TakahisaSato, Masayoshi Sa rai, Hitoshi Shinozaki, Satoshi Kakizawa, Atsushi Sugiura, Keita Oshima, Kazuhiro Katada, Hitoshi Hishida. * Depa rtment of Ca rdiology, The Second Hospital of Hebei Medical University, Shijia zhua ng 050000 , China [Abstra ct ] Object ive To determine the optimal slice thickness for ventricular volume measurement by tomographic multislice Simpson's method and to evaluate the accuracy of ventricular volume measured by multislice helical computed tomography ( MSCT ) in human ventricular casts. Methods Fourteen humanleft ventricular ( LV) and 15 right ventricular ( RV) casts were scanned with MSCT scanner by using ascanning protocol similar to clinical practice. A series of LV and RV short-axis image s were reconstructedwith slice thickness of 2 mm, 3. 5 mm, 5 mm, 7 mm, and 10 mm, respectively. Multislice Simpson'smethod was used to calculate LV and RV volumes and true cast volume was determined by waterdisplacement. Result s The True LV and RV volumes were ( 55. 57 ± 28.91) ml, and ( 64. 23 ± 24.51 ) ml, respectively. The calculated volumes from dranged from ( 58. 78 ± 28.93) ml to ( 68 15 ±32. 57 ) ml for LV casts, and ( 74. 45 ±27. 81 ) ml to ( 88. 14 ±32. 91) ml for RV casts,respectively. Both the calculated LV and RV volumes The corresponding true volumes( all r > 0. 95, P < 0. 001) , but overestimated the corresponding true volume by ( 3. 21 ± 5.95) to ( 12. 58 ± 8.56) ml for LV and ( 10. 22 ±8. 45) to ( 23. 91 ±12. 24) ml for RV ( all P < 0. 01) . There was a closecorrelation between the overestimation and the selected slice thickness for both LV and RV volumemeasurements ( r = 0. 998 and 0. 996, P < 0.001) . However, when slice thickness Was reduced to 5. 0 mm, the overestimation became nonsignmm to 5. 0 mm, and also for both LV and RV volume measurements . Conclusion Both LV and RV volumes can be accurately calculated with MSCT. A 5 mm slice thickness is enough and most efficient for Accurate measurement of LV and RVvolume. [Key wor ds] Tomography, X-ray computed; Cardiac volume; Hemodynamics

Source: Meditech Medical Network

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