Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.

<h4>Background</h4>Detecting and quantifying the severity of mitral regurgitation is essential for risk stratification and clinical decision-making regarding timing of surgery. Our objective was to assess specific visual parameters by cine-magnetic resonance imaging (MRI) in the determin...

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Autores principales:	John Heitner, Geetha P Bhumireddy, Anna Lisa Crowley, Jonathan Weinsaft, Salman A Haq, Igor Klem, Raymond J Kim, James G Jollis
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b40123117c2444c8aaa39d059bcd1eaa
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spelling	oai:doaj.org-article:b40123117c2444c8aaa39d059bcd1eaa2021-11-18T07:12:16ZClinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.1932-620310.1371/journal.pone.0040491https://doaj.org/article/b40123117c2444c8aaa39d059bcd1eaa2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22815751/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Detecting and quantifying the severity of mitral regurgitation is essential for risk stratification and clinical decision-making regarding timing of surgery. Our objective was to assess specific visual parameters by cine-magnetic resonance imaging (MRI) in the determination of the severity of mitral regurgitation and to compare it to previously validated imaging modalities: echocardiography and cardiac ventriculography.<h4>Methods</h4>The study population consisted of 68 patients who underwent a cardiac MRI followed by an echocardiogram within a median time of 2.0 days and 49 of these patients who had a cardiac catheterization, median time of 2.0 days. The inter-rater agreement statistic (Kappa) was used to evaluate the agreement.<h4>Results</h4>There was moderate agreement between cine MRI and Doppler echocardiography in assessing mitral regurgitation severity, with a kappa value of 0.47, confidence interval (CI) 0.29-0.65. There was also fair agreement between cine MRI and cardiac catheterization with a kappa value of 0.36, CI of 0.17-0.55.<h4>Conclusion</h4>Cine MRI offers a reasonable alternative to both Doppler echocardiography and, to a lesser extent, cardiac catheterization for visually assessing the severity of mitral regurgitation with specific visual parameters during routine clinical cardiac MRI.John HeitnerGeetha P BhumireddyAnna Lisa CrowleyJonathan WeinsaftSalman A HaqIgor KlemRaymond J KimJames G JollisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e40491 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q John Heitner Geetha P Bhumireddy Anna Lisa Crowley Jonathan Weinsaft Salman A Haq Igor Klem Raymond J Kim James G Jollis Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
description	<h4>Background</h4>Detecting and quantifying the severity of mitral regurgitation is essential for risk stratification and clinical decision-making regarding timing of surgery. Our objective was to assess specific visual parameters by cine-magnetic resonance imaging (MRI) in the determination of the severity of mitral regurgitation and to compare it to previously validated imaging modalities: echocardiography and cardiac ventriculography.<h4>Methods</h4>The study population consisted of 68 patients who underwent a cardiac MRI followed by an echocardiogram within a median time of 2.0 days and 49 of these patients who had a cardiac catheterization, median time of 2.0 days. The inter-rater agreement statistic (Kappa) was used to evaluate the agreement.<h4>Results</h4>There was moderate agreement between cine MRI and Doppler echocardiography in assessing mitral regurgitation severity, with a kappa value of 0.47, confidence interval (CI) 0.29-0.65. There was also fair agreement between cine MRI and cardiac catheterization with a kappa value of 0.36, CI of 0.17-0.55.<h4>Conclusion</h4>Cine MRI offers a reasonable alternative to both Doppler echocardiography and, to a lesser extent, cardiac catheterization for visually assessing the severity of mitral regurgitation with specific visual parameters during routine clinical cardiac MRI.
format	article
author	John Heitner Geetha P Bhumireddy Anna Lisa Crowley Jonathan Weinsaft Salman A Haq Igor Klem Raymond J Kim James G Jollis
author_facet	John Heitner Geetha P Bhumireddy Anna Lisa Crowley Jonathan Weinsaft Salman A Haq Igor Klem Raymond J Kim James G Jollis
author_sort	John Heitner
title	Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
title_short	Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
title_full	Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
title_fullStr	Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
title_full_unstemmed	Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
title_sort	clinical application of cine-mri in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/b40123117c2444c8aaa39d059bcd1eaa
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Clinical application of cine-MRI in the visual assessment of mitral regurgitation compared to echocardiography and cardiac catheterization.

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