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Transthoracic two-dimensional xPlane and three-dimensional echocardiographic analysis of the site of mitral valve prolapse

This study sought to assess the value of two-dimensional (2D) transthoracic echocardiography (TTE), 2D xPlane imaging and three-dimensional (3D) TTE for the definition of the site and the extent of mitral valve (MV) prolapse. Fifty patients underwent transthoracic 2D, 2D xPlane and 3D echocardiograp... Full description

Journal Title: The International Journal of Cardiovascular Imaging 2015-12-01, Vol.31 (8), p.1553-1560
Main Author: Vletter-McGhie, Jackie
Other Authors: Groot-de Laat, Lotte , Ren, Ben , Vletter, Wim , Frowijn, René , Oei, Frans , Geleijnse, Marcel
Format: Electronic Article Electronic Article
Language: English
Subjects:
Two
Publisher: Dordrecht: Springer Netherlands
ID: ISSN: 1569-5794
Link: https://www.ncbi.nlm.nih.gov/pubmed/26276508
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title: Transthoracic two-dimensional xPlane and three-dimensional echocardiographic analysis of the site of mitral valve prolapse
format: Article
creator:
  • Vletter-McGhie, Jackie
  • Groot-de Laat, Lotte
  • Ren, Ben
  • Vletter, Wim
  • Frowijn, René
  • Oei, Frans
  • Geleijnse, Marcel
subjects:
  • Aged
  • Cardiac Imaging
  • Cardiology
  • Cardiovascular Medicine
  • dimensional xPlane echocardiography
  • Echocardiography, Three-Dimensional - methods
  • Echocardiography, Transesophageal - methods
  • Female
  • Heart valve diseases
  • Humans
  • Image Interpretation, Computer-Assisted - methods
  • Imaging
  • Male
  • Medicine
  • Medicine & Public Health
  • Middle Aged
  • Mitral valve
  • Mitral Valve - diagnostic imaging
  • Mitral Valve - physiopathology
  • Mitral Valve - surgery
  • Mitral Valve Insufficiency - diagnostic imaging
  • Mitral Valve Insufficiency - physiopathology
  • Mitral Valve Insufficiency - surgery
  • Mitral Valve Prolapse - diagnostic imaging
  • Mitral Valve Prolapse - physiopathology
  • Mitral Valve Prolapse - surgery
  • Observer Variation
  • Original Paper
  • Predictive Value of Tests
  • Prolapse
  • Radiology
  • Radiology Nuclear Medicine
  • Reproducibility of Results
  • Severity of Illness Index
  • Three dimensional echocardiography
  • Two
  • Two-dimensional xPlane echocardiography
ispartof: The International Journal of Cardiovascular Imaging, 2015-12-01, Vol.31 (8), p.1553-1560
description: This study sought to assess the value of two-dimensional (2D) transthoracic echocardiography (TTE), 2D xPlane imaging and three-dimensional (3D) TTE for the definition of the site and the extent of mitral valve (MV) prolapse. Fifty patients underwent transthoracic 2D, 2D xPlane and 3D echocardiography. With 2D xPlane a segmental analysis of the MV was performed, by making a lateral sweep across the MV coaptation line as seen in the parasternal short-axis view. Inter-observer agreement for specific scallop prolapse was for 2D xPlane excellent (97 %, kappa = 0.94) and for 3D TTE moderate (85 %, kappa = 0.67). The respective sensitivities of standard 2D TTE, 2D xPlane, and 3D TTE for the identification of the precise posterior scallop prolapse were for P1 92, 85, and 92 %, for P2 96, 96, and 82 %, and for P3 86, 81, and 71 %. In total, 5 (8 %) prolapsing MV scallops were missed by 2D TTE, 7 (12 %) by 2D xPlane, and 12 (20 %) by 3D TTE. The sensitivity of 3D TTE was significantly lower than standard 2D imaging (80 % versus 93 %, P 
language: eng
source:
identifier: ISSN: 1569-5794
fulltext: no_fulltext
issn:
  • 1569-5794
  • 1875-8312
  • 1573-0743
url: Link


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titleTransthoracic two-dimensional xPlane and three-dimensional echocardiographic analysis of the site of mitral valve prolapse
creatorVletter-McGhie, Jackie ; Groot-de Laat, Lotte ; Ren, Ben ; Vletter, Wim ; Frowijn, René ; Oei, Frans ; Geleijnse, Marcel
creatorcontribVletter-McGhie, Jackie ; Groot-de Laat, Lotte ; Ren, Ben ; Vletter, Wim ; Frowijn, René ; Oei, Frans ; Geleijnse, Marcel
descriptionThis study sought to assess the value of two-dimensional (2D) transthoracic echocardiography (TTE), 2D xPlane imaging and three-dimensional (3D) TTE for the definition of the site and the extent of mitral valve (MV) prolapse. Fifty patients underwent transthoracic 2D, 2D xPlane and 3D echocardiography. With 2D xPlane a segmental analysis of the MV was performed, by making a lateral sweep across the MV coaptation line as seen in the parasternal short-axis view. Inter-observer agreement for specific scallop prolapse was for 2D xPlane excellent (97 %, kappa = 0.94) and for 3D TTE moderate (85 %, kappa = 0.67). The respective sensitivities of standard 2D TTE, 2D xPlane, and 3D TTE for the identification of the precise posterior scallop prolapse were for P1 92, 85, and 92 %, for P2 96, 96, and 82 %, and for P3 86, 81, and 71 %. In total, 5 (8 %) prolapsing MV scallops were missed by 2D TTE, 7 (12 %) by 2D xPlane, and 12 (20 %) by 3D TTE. The sensitivity of 3D TTE was significantly lower than standard 2D imaging (80 % versus 93 %, P < 0.05). The extent of P2 prolapse was under or overestima
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subjectAged ; Cardiac Imaging ; Cardiology ; Cardiovascular Medicine ; dimensional xPlane echocardiography ; Echocardiography, Three-Dimensional - methods ; Echocardiography, Transesophageal - methods ; Female ; Heart valve diseases ; Humans ; Image Interpretation, Computer-Assisted - methods ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Mitral valve ; Mitral Valve - diagnostic imaging ; Mitral Valve - physiopathology ; Mitral Valve - surgery ; Mitral Valve Insufficiency - diagnostic imaging ; Mitral Valve Insufficiency - physiopathology ; Mitral Valve Insufficiency - surgery ; Mitral Valve Prolapse - diagnostic imaging ; Mitral Valve Prolapse - physiopathology ; Mitral Valve Prolapse - surgery ; Observer Variation ; Original Paper ; Predictive Value of Tests ; Prolapse ; Radiology ; Radiology Nuclear Medicine ; Reproducibility of Results ; Severity of Illness Index ; Three dimensional echocardiography ; Two ; Two-dimensional xPlane echocardiography
ispartofThe International Journal of Cardiovascular Imaging, 2015-12-01, Vol.31 (8), p.1553-1560
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descriptionThis study sought to assess the value of two-dimensional (2D) transthoracic echocardiography (TTE), 2D xPlane imaging and three-dimensional (3D) TTE for the definition of the site and the extent of mitral valve (MV) prolapse. Fifty patients underwent transthoracic 2D, 2D xPlane and 3D echocardiography. With 2D xPlane a segmental analysis of the MV was performed, by making a lateral sweep across the MV coaptation line as seen in the parasternal short-axis view. Inter-observer agreement for specific scallop prolapse was for 2D xPlane excellent (97 %, kappa = 0.94) and for 3D TTE moderate (85 %, kappa = 0.67). The respective sensitivities of standard 2D TTE, 2D xPlane, and 3D TTE for the identification of the precise posterior scallop prolapse were for P1 92, 85, and 92 %, for P2 96, 96, and 82 %, and for P3 86, 81, and 71 %. In total, 5 (8 %) prolapsing MV scallops were missed by 2D TTE, 7 (12 %) by 2D xPlane, and 12 (20 %) by 3D TTE. The sensitivity of 3D TTE was significantly lower than standard 2D imaging (80 % versus 93 %, P < 0.05). The extent of P2 prolapse was under or overestima
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titleTransthoracic two-dimensional xPlane and three-dimensional echocardiographic analysis of the site of mitral valve prolapse
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abstractThis study sought to assess the value of two-dimensional (2D) transthoracic echocardiography (TTE), 2D xPlane imaging and three-dimensional (3D) TTE for the definition of the site and the extent of mitral valve (MV) prolapse. Fifty patients underwent transthoracic 2D, 2D xPlane and 3D echocardiography. With 2D xPlane a segmental analysis of the MV was performed, by making a lateral sweep across the MV coaptation line as seen in the parasternal short-axis view. Inter-observer agreement for specific scallop prolapse was for 2D xPlane excellent (97 %, kappa = 0.94) and for 3D TTE moderate (85 %, kappa = 0.67). The respective sensitivities of standard 2D TTE, 2D xPlane, and 3D TTE for the identification of the precise posterior scallop prolapse were for P1 92, 85, and 92 %, for P2 96, 96, and 82 %, and for P3 86, 81, and 71 %. In total, 5 (8 %) prolapsing MV scallops were missed by 2D TTE, 7 (12 %) by 2D xPlane, and 12 (20 %) by 3D TTE. The sensitivity of 3D TTE was significantly lower than standard 2D imaging (80 % versus 93 %, P < 0.05). The extent of P2 prolapse was under or overestima
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