Atrioventricular plane displacement versus mitral and tricuspid annular plane systolic excursion : a comparison between cardiac magnetic resonance and M-mode echocardiography
(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
- Sepúlveda-Martínez, Alvaro ; Steding-Ehrenborg, Katarina LU ; Rodríguez-López, Mérida LU ; Ostenfeld, Ellen LU ; Valenzuela-Alcaráz, Brenda ; Heiberg, Einar LU ; Gratacós, Eduard ; Prat-González, Susanna ; Crispi, Fátima and Hedström, Erik LU
- organization
- publishing date
- 2021-02-07
- 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
- 2024-09-19 16:42:27
@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<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.</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}}, }