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Atrioventricular plane displacement versus mitral and tricuspid annular plane systolic excursion : a comparison between cardiac magnetic resonance and M-mode echocardiography

Sepúlveda-Martínez, Alvaro ; Steding-Ehrenborg, Katarina LU ; Rodríguez-López, Mérida LU ; Ostenfeld, Ellen LU orcid ; Valenzuela-Alcaráz, Brenda ; Heiberg, Einar LU ; Gratacós, Eduard ; Prat-González, Susanna ; Crispi, Fátima and Hedström, Erik LU orcid (2021) In Clinical Physiology and Functional Imaging 41(3). p.262-270
Abstract

INTRODUCTION: Both echocardiography and CMR imaging are used to quantify longitudinal function. Inter-method variability for mitral (MAPSE) and tricuspid (TAPSE) annular plane systolic excursion, and variability between directly measured MAPSE and TAPSE and as based on atrio-ventricular plane displacement (AVPD) analysis by CMR, are however not known. This study therefore assessed inter-method variability and variability between annular plane systolic excursion and AVPD-based values in a healthy adult population.

METHODS: Echocardiography and CMR were performed in 111 adults (35 [32 - 38] years). Method comparisons were assessed with Deming regression, Bland-Altman analysis and coefficient of variation. Observer reproducibility... (More)

INTRODUCTION: Both echocardiography and CMR imaging are used to quantify longitudinal function. Inter-method variability for mitral (MAPSE) and tricuspid (TAPSE) annular plane systolic excursion, and variability between directly measured MAPSE and TAPSE and as based on atrio-ventricular plane displacement (AVPD) analysis by CMR, are however not known. This study therefore assessed inter-method variability and variability between annular plane systolic excursion and AVPD-based values in a healthy adult population.

METHODS: Echocardiography and CMR were performed in 111 adults (35 [32 - 38] years). Method comparisons were assessed with Deming regression, Bland-Altman analysis and coefficient of variation. Observer reproducibility was assessed by the concordance correlation coefficient.

RESULTS: Echocardiography and semi-automatic CMR agreed on MAPSE (17±2mm vs. 17±2mm, p=0.1) and TAPSE (25±3mm vs. 25±3mm, p=0.5), correlated highly between methods (fitted-slope 1.22 [95% CI 1.07-1.38] and 1.12 [95% CI 0.95-1.29]) and showed low bias (0.42 [95% CI -2.05-2.88] and -0.18 [95% CI -4.78-4.43]). Intra-/inter-observer reproducibility was high for both methods for both MAPSE (echocardiography 0.96/0.86; CMR 0.87/0.85) and TAPSE (echocardiography 0.96/0.95; CMR 0.97/0.96). MAPSE (16 ± 2 mm vs. 17 ± 2 mm; p<0.001) and TAPSE (24 ± 3 vs. 25 ± 3 mm; p<0.001) based on AVPD were similar but statistically different compared to semi-automatic CMR.

CONCLUSIONS: Echocardiography and semi-automatic CMR have low variability and provide similar values for MAPSE and TAPSE, and are thus interchangeable for follow-up studies. Lateral values based on tracked data from AVPD analysis are not clinically significantly different and could be used as a representation of annular displacement.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Physiology and Functional Imaging
volume
41
issue
3
pages
262 - 270
publisher
John Wiley & Sons Inc.
external identifiers
  • scopus:85101825335
  • pmid:33550709
ISSN
1475-0961
DOI
10.1111/cpf.12693
language
English
LU publication?
yes
id
4a501c74-c3db-4124-9bb2-99ccfbc5a88d
date added to LUP
2021-02-28 13:14:17
date last changed
2024-06-13 07:27:20
@article{4a501c74-c3db-4124-9bb2-99ccfbc5a88d,
  abstract     = {{<p>INTRODUCTION: Both echocardiography and CMR imaging are used to quantify longitudinal function. Inter-method variability for mitral (MAPSE) and tricuspid (TAPSE) annular plane systolic excursion, and variability between directly measured MAPSE and TAPSE and as based on atrio-ventricular plane displacement (AVPD) analysis by CMR, are however not known. This study therefore assessed inter-method variability and variability between annular plane systolic excursion and AVPD-based values in a healthy adult population.</p><p>METHODS: Echocardiography and CMR were performed in 111 adults (35 [32 - 38] years). Method comparisons were assessed with Deming regression, Bland-Altman analysis and coefficient of variation. Observer reproducibility was assessed by the concordance correlation coefficient.</p><p>RESULTS: Echocardiography and semi-automatic CMR agreed on MAPSE (17±2mm vs. 17±2mm, p=0.1) and TAPSE (25±3mm vs. 25±3mm, p=0.5), correlated highly between methods (fitted-slope 1.22 [95% CI 1.07-1.38] and 1.12 [95% CI 0.95-1.29]) and showed low bias (0.42 [95% CI -2.05-2.88] and -0.18 [95% CI -4.78-4.43]). Intra-/inter-observer reproducibility was high for both methods for both MAPSE (echocardiography 0.96/0.86; CMR 0.87/0.85) and TAPSE (echocardiography 0.96/0.95; CMR 0.97/0.96). MAPSE (16 ± 2 mm vs. 17 ± 2 mm; p&lt;0.001) and TAPSE (24 ± 3 vs. 25 ± 3 mm; p&lt;0.001) based on AVPD were similar but statistically different compared to semi-automatic CMR.</p><p>CONCLUSIONS: Echocardiography and semi-automatic CMR have low variability and provide similar values for MAPSE and TAPSE, and are thus interchangeable for follow-up studies. Lateral values based on tracked data from AVPD analysis are not clinically significantly different and could be used as a representation of annular displacement.</p>}},
  author       = {{Sepúlveda-Martínez, Alvaro and Steding-Ehrenborg, Katarina and Rodríguez-López, Mérida and Ostenfeld, Ellen and Valenzuela-Alcaráz, Brenda and Heiberg, Einar and Gratacós, Eduard and Prat-González, Susanna and Crispi, Fátima and Hedström, Erik}},
  issn         = {{1475-0961}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{3}},
  pages        = {{262--270}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Clinical Physiology and Functional Imaging}},
  title        = {{Atrioventricular plane displacement versus mitral and tricuspid annular plane systolic excursion : a comparison between cardiac magnetic resonance and M-mode echocardiography}},
  url          = {{http://dx.doi.org/10.1111/cpf.12693}},
  doi          = {{10.1111/cpf.12693}},
  volume       = {{41}},
  year         = {{2021}},
}