Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions

Martina Chantal de Knegt; Tor Biering-Sorensen; Peter Sogaard; Jacob Sivertsen; Jan Skov Jensen; Rasmus Mogelvang

doi:10.1093/ehjci/jet119

Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions

Martina Chantal de Knegt, Tor Biering-Sorensen, Peter Sogaard, Jacob Sivertsen, Jan Skov Jensen, Rasmus Mogelvang

Institut for Klinisk Medicin

37 Citationer (Scopus)

Abstract

AIMS: Mitral annular (MA) displacement reflects longitudinal left ventricular (LV) deformation and systolic velocity measurements reflect the rate of contraction; both are valuable in the diagnosis and prognosis of cardiac disease. The aim of this study was to test the agreement and reproducibility between motion mode (M-mode), colour tissue Doppler imaging (TDI), and two-dimensional strain imaging (2DSI) when measuring MA displacement and systolic velocity.

METHODS AND RESULTS: Using GE Healthcare Vivid 7 and E9 and Echopac BT11 software, MA displacement and velocity measurements by 2DSI, TDI, and M-mode determined in the septal and lateral walls in the apical four-chamber view were assessed in 50 control subjects and in 168 patients with various cardiac anomalies known to affect longitudinal displacement such as heart failure, mitral regurgitation, LV hypertrophy, and LV dilation. Intra- and inter-observer variability were tested using the Bland-Altman method in 125 patients. A relatively low bias between M-mode and TDI with respect to MA displacement (mean difference ± 1.96 standard deviation: 0.08 ± 0.35 cm) and a low bias between TDI and 2DSI with respect to MA peak systolic velocity (-0.13 ± 1.87 cm/s) were found. Reproducibility was acceptable for all methods with TDI having the lowest intra- and inter-observer variability.

CONCLUSION: LV function could be assessed in terms of MA displacement and systolic velocity using M-mode, TDI, and 2DSI. None of the measurement techniques are, however, interchangeable. Overall, TDI seems to be the most robust method, having the lowest observer variability.

Originalsprog	Engelsk
Tidsskrift	European Heart Journal Cardiovascular Imaging
Vol/bind	15
Udgave nummer	1
Sider (fra-til)	62-69
Antal sider	8
ISSN	1525-2167
DOI	https://doi.org/10.1093/ehjci/jet119
Status	Udgivet - jan. 2014

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10.1093/ehjci/jet119

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Citationsformater

de Knegt, M. C., Biering-Sorensen, T., Sogaard, P., Sivertsen, J., Jensen, J. S., & Mogelvang, R. (2014). Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions. European Heart Journal Cardiovascular Imaging, 15(1), 62-69. https://doi.org/10.1093/ehjci/jet119

Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions. / de Knegt, Martina Chantal; Biering-Sorensen, Tor; Sogaard, Peter et al.
I: European Heart Journal Cardiovascular Imaging, Bind 15, Nr. 1, 01.2014, s. 62-69.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

de Knegt, MC, Biering-Sorensen, T, Sogaard, P, Sivertsen, J, Jensen, JS & Mogelvang, R 2014, 'Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions', European Heart Journal Cardiovascular Imaging, bind 15, nr. 1, s. 62-69. https://doi.org/10.1093/ehjci/jet119

de Knegt MC, Biering-Sorensen T, Sogaard P, Sivertsen J, Jensen JS, Mogelvang R. Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions. European Heart Journal Cardiovascular Imaging. 2014 jan.;15(1):62-69. doi: 10.1093/ehjci/jet119

de Knegt, Martina Chantal ; Biering-Sorensen, Tor ; Sogaard, Peter et al. / Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions. I: European Heart Journal Cardiovascular Imaging. 2014 ; Bind 15, Nr. 1. s. 62-69.

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abstract = "AIMS: Mitral annular (MA) displacement reflects longitudinal left ventricular (LV) deformation and systolic velocity measurements reflect the rate of contraction; both are valuable in the diagnosis and prognosis of cardiac disease. The aim of this study was to test the agreement and reproducibility between motion mode (M-mode), colour tissue Doppler imaging (TDI), and two-dimensional strain imaging (2DSI) when measuring MA displacement and systolic velocity.METHODS AND RESULTS: Using GE Healthcare Vivid 7 and E9 and Echopac BT11 software, MA displacement and velocity measurements by 2DSI, TDI, and M-mode determined in the septal and lateral walls in the apical four-chamber view were assessed in 50 control subjects and in 168 patients with various cardiac anomalies known to affect longitudinal displacement such as heart failure, mitral regurgitation, LV hypertrophy, and LV dilation. Intra- and inter-observer variability were tested using the Bland-Altman method in 125 patients. A relatively low bias between M-mode and TDI with respect to MA displacement (mean difference ± 1.96 standard deviation: 0.08 ± 0.35 cm) and a low bias between TDI and 2DSI with respect to MA peak systolic velocity (-0.13 ± 1.87 cm/s) were found. Reproducibility was acceptable for all methods with TDI having the lowest intra- and inter-observer variability.CONCLUSION: LV function could be assessed in terms of MA displacement and systolic velocity using M-mode, TDI, and 2DSI. None of the measurement techniques are, however, interchangeable. Overall, TDI seems to be the most robust method, having the lowest observer variability.",

keywords = "Aged, Blood Flow Velocity, Case-Control Studies, Echocardiography, Echocardiography, Doppler, Female, Heart Diseases, Humans, Image Interpretation, Computer-Assisted, Male, Middle Aged, Reproducibility of Results, Software, Systole",

author = "{de Knegt}, {Martina Chantal} and Tor Biering-Sorensen and Peter Sogaard and Jacob Sivertsen and Jensen, {Jan Skov} and Rasmus Mogelvang",

year = "2014",

month = jan,

doi = "10.1093/ehjci/jet119",

language = "English",

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pages = "62--69",

journal = "European Heart Journal Cardiovascular Imaging",

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T1 - Concordance and reproducibility between M-mode, tissue Doppler imaging, and two-dimensional strain imaging in the assessment of mitral annular displacement and velocity in patients with various heart conditions

AU - de Knegt, Martina Chantal

AU - Biering-Sorensen, Tor

AU - Sogaard, Peter

AU - Sivertsen, Jacob

AU - Jensen, Jan Skov

AU - Mogelvang, Rasmus

PY - 2014/1

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N2 - AIMS: Mitral annular (MA) displacement reflects longitudinal left ventricular (LV) deformation and systolic velocity measurements reflect the rate of contraction; both are valuable in the diagnosis and prognosis of cardiac disease. The aim of this study was to test the agreement and reproducibility between motion mode (M-mode), colour tissue Doppler imaging (TDI), and two-dimensional strain imaging (2DSI) when measuring MA displacement and systolic velocity.METHODS AND RESULTS: Using GE Healthcare Vivid 7 and E9 and Echopac BT11 software, MA displacement and velocity measurements by 2DSI, TDI, and M-mode determined in the septal and lateral walls in the apical four-chamber view were assessed in 50 control subjects and in 168 patients with various cardiac anomalies known to affect longitudinal displacement such as heart failure, mitral regurgitation, LV hypertrophy, and LV dilation. Intra- and inter-observer variability were tested using the Bland-Altman method in 125 patients. A relatively low bias between M-mode and TDI with respect to MA displacement (mean difference ± 1.96 standard deviation: 0.08 ± 0.35 cm) and a low bias between TDI and 2DSI with respect to MA peak systolic velocity (-0.13 ± 1.87 cm/s) were found. Reproducibility was acceptable for all methods with TDI having the lowest intra- and inter-observer variability.CONCLUSION: LV function could be assessed in terms of MA displacement and systolic velocity using M-mode, TDI, and 2DSI. None of the measurement techniques are, however, interchangeable. Overall, TDI seems to be the most robust method, having the lowest observer variability.

AB - AIMS: Mitral annular (MA) displacement reflects longitudinal left ventricular (LV) deformation and systolic velocity measurements reflect the rate of contraction; both are valuable in the diagnosis and prognosis of cardiac disease. The aim of this study was to test the agreement and reproducibility between motion mode (M-mode), colour tissue Doppler imaging (TDI), and two-dimensional strain imaging (2DSI) when measuring MA displacement and systolic velocity.METHODS AND RESULTS: Using GE Healthcare Vivid 7 and E9 and Echopac BT11 software, MA displacement and velocity measurements by 2DSI, TDI, and M-mode determined in the septal and lateral walls in the apical four-chamber view were assessed in 50 control subjects and in 168 patients with various cardiac anomalies known to affect longitudinal displacement such as heart failure, mitral regurgitation, LV hypertrophy, and LV dilation. Intra- and inter-observer variability were tested using the Bland-Altman method in 125 patients. A relatively low bias between M-mode and TDI with respect to MA displacement (mean difference ± 1.96 standard deviation: 0.08 ± 0.35 cm) and a low bias between TDI and 2DSI with respect to MA peak systolic velocity (-0.13 ± 1.87 cm/s) were found. Reproducibility was acceptable for all methods with TDI having the lowest intra- and inter-observer variability.CONCLUSION: LV function could be assessed in terms of MA displacement and systolic velocity using M-mode, TDI, and 2DSI. None of the measurement techniques are, however, interchangeable. Overall, TDI seems to be the most robust method, having the lowest observer variability.

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KW - Blood Flow Velocity

KW - Case-Control Studies

KW - Echocardiography

KW - Echocardiography, Doppler

KW - Female

KW - Heart Diseases

KW - Humans

KW - Image Interpretation, Computer-Assisted

KW - Male

KW - Middle Aged

KW - Reproducibility of Results

KW - Software

KW - Systole

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DO - 10.1093/ehjci/jet119

M3 - Journal article

C2 - 23811494

SN - 1525-2167

VL - 15

SP - 62

EP - 69

JO - European Heart Journal Cardiovascular Imaging

JF - European Heart Journal Cardiovascular Imaging

IS - 1

ER -