A Comparison of the Pulmonary Valve, Main Pulmonary Artery, and Branch Pulmonary Artery Measurements by Echocardiography and Computed Tomography Scan
| Autor: | Bhadra Y. Trivedi, Ajay G Phatak, Somashekhar M Nimbalkar, Priyanka A. Parikh, Binoy Viresh Shah, Shreya Desai, Viral B. Patel |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
pediatric congenital heart disease cardiothoracic & vascular surgery research Cardiology trans-thoracic echocardiography multidetector computed tomography Computed tomography Pediatrics Pulmonary artery anomalies pediatrics & neonatology medicine.artery Multidetector computed tomography Medicine cardiovascular diseases medicine.diagnostic_test business.industry General Engineering computed tomography Left pulmonary artery Right pulmonary artery Main Pulmonary Artery medicine.anatomical_structure Cardiac/Thoracic/Vascular Surgery Pulmonary valve Pulmonary artery cardiovascular system intervention pediatric cardiology echocardiography - heart failure - valvular heart disease Radiology business pediatric clinical cardiology |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Introduction: Congenital heart diseases (CHD) are one of the most commonly occurring congenital anomalies. Echocardiography is usually the initial investigation for suspected CHD. However, it is operator-dependent and limited by available chest windows. Multidetector computed tomography (MDCT) scan provides superior temporal and spatial resolution producing excellent cross-sectional anatomical images. MDCT is specifically helpful for pulmonary artery anomalies if not clearly visible on an echocardiogram. Objective and methods: The study aims to compare measurements of branch pulmonary arteries, pulmonary valve, and main pulmonary artery obtained from trans-thoracic echocardiography measurements and MDCT. Forty-nine patients younger than 17 years of age underwent MDCT, and an echocardiogram was included in the study. The measurements of the pulmonary valve, main pulmonary artery, and branch pulmonary arteries were measured on MDCT and echocardiogram. Results: Bland-Altman analysis revealed the mean difference (95% confidence limits) in measurements of diameter between echocardiogram and MDCT for the right pulmonary artery, left pulmonary artery, pulmonary valve, and main pulmonary artery, which were -0.5 (-3.1, 2.2) mm, -0.6 (-3.3, 2.1) mm, 0.7 (-2.5, 3.9) mm, and 1.2 (-6.9, 4.5) mm, respectively. Conclusion: The analysis revealed acceptable agreement in measurements of the pulmonary valve, main pulmonary artery, and branch pulmonary arteries obtained from MDCT and echocardiogram. The difference was marginally more for the main pulmonary artery compared to the pulmonary valve and branch pulmonary arteries. |
| Databáze: | OpenAIRE |
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