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Int J Cardiovasc Imaging ; 25 Suppl 1: 55-63, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19132545

ABSTRACT

To compare and correlate left ventricular (LV) myocardial volumes obtained using arterial and delayed phases of multidetector row computed tomography (CT) and evaluate their intra- and interobserver variation. Two observers evaluated the arterial- and delayed-phase serial short-axis images of 45 healthy volunteers. Intra- and interobserver variations in LV myocardial volumes were correlated with four factors-myocardial volume, contrast-volume-to-body-weight ratio, and contrast-to-noise ratios in the arterial and delayed phases. Variations in the apex, mid-ventricle, and base were compared. Intra- and interobserver analyzes revealed no statistical difference and good correlation. Intra- and interobserver variations were within 5 and 10%, respectively, and were independent of the four factors. Variations were the highest at the apex. LV myocardial volumes measured using arterial- and delayed-phase cardiac CT exhibit no significant difference and good correlation. Intra- and interobserver variations are both clinically acceptable, and the apex contributes most to these variations.


Subject(s)
Heart Ventricles/diagnostic imaging , Myocardial Infarction/diagnostic imaging , Myocardium/pathology , Radiographic Image Interpretation, Computer-Assisted , Tomography, X-Ray Computed/methods , Adult , Aged , Feasibility Studies , Female , Humans , Male , Middle Aged , Observer Variation , Predictive Value of Tests , Reference Values , Reproducibility of Results
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