Visual versus fully automated assessment of left ventricular ejection fraction
Introduction: The aim of this study is to compare three different methods commonly used in the assessment of left ventricle (LV) ejection fraction (EF) by echocardiography. Methodology: all patients underwent full echocardiography imaging that includes assessment of LVEF using M-mode, Automated EF (...
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2018-10-01
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doaj-676a61c7bb77443aa98c4ecdfa130f862020-11-25T03:19:38ZengSaudi Heart AssociationJournal of the Saudi Heart Association1016-73152018-10-01304357Visual versus fully automated assessment of left ventricular ejection fractionM.D. Rami AbazidRami AbazidSamah AbohamrOsama SmetteiMohammed QasemAnny SureshMohammad Al HarbiAbdulrahman AljaberAthary Al MotairyDiana AlbielaHaitham SakrIntroduction: The aim of this study is to compare three different methods commonly used in the assessment of left ventricle (LV) ejection fraction (EF) by echocardiography. Methodology: all patients underwent full echocardiography imaging that includes assessment of LVEF using M-mode, Automated EF (Auto-EF) through tracing the myocardial borders during systole and diastole, and visual EF estimation by two readers. Results: We enrolled 268 patients. Auto-EF measurement was feasible in 240 (89.5%) patients. The averaged LVEF was (52%12) with the visual assessment, (51%11) with Auto-EF and (57%13) with M-mode. Using Bland-Altman analysis we found that the difference between the mean visual and the Auto-EF was not significant [−0.3% (−0.5803–0.0053), p = 0.054]. However, we found a significant difference in the mean EF between the visual versus M-mode and Auto-EF versus M-mode with the mean differences: [−2.4365(−2.9946–1.8783), p < 0.0001] and [−2.1490 (−2.7348–1.5631), p < 0.0001] respectively. Inter-observer variability analysis of the visual EF assessment between the two readers showed that intraclass correlation coefficient was 0.953, (95% confidence interval: 0.939–0.965, p < 0.0001), with excellent correlation between the two readers: R = 0.911, p < 0.0001). Conclusion: The two-dimensional echocardiographic methods using Biplane Auto-EF or visual assessment were significantly comparable, whereas M-mode results in an overestimation of the LV ejection fraction.http://www.sciencedirect.com/science/article/pii/S1016731518301477 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
M.D. Rami Abazid Rami Abazid Samah Abohamr Osama Smettei Mohammed Qasem Anny Suresh Mohammad Al Harbi Abdulrahman Aljaber Athary Al Motairy Diana Albiela Haitham Sakr |
spellingShingle |
M.D. Rami Abazid Rami Abazid Samah Abohamr Osama Smettei Mohammed Qasem Anny Suresh Mohammad Al Harbi Abdulrahman Aljaber Athary Al Motairy Diana Albiela Haitham Sakr Visual versus fully automated assessment of left ventricular ejection fraction Journal of the Saudi Heart Association |
author_facet |
M.D. Rami Abazid Rami Abazid Samah Abohamr Osama Smettei Mohammed Qasem Anny Suresh Mohammad Al Harbi Abdulrahman Aljaber Athary Al Motairy Diana Albiela Haitham Sakr |
author_sort |
M.D. Rami Abazid |
title |
Visual versus fully automated assessment of left ventricular ejection fraction |
title_short |
Visual versus fully automated assessment of left ventricular ejection fraction |
title_full |
Visual versus fully automated assessment of left ventricular ejection fraction |
title_fullStr |
Visual versus fully automated assessment of left ventricular ejection fraction |
title_full_unstemmed |
Visual versus fully automated assessment of left ventricular ejection fraction |
title_sort |
visual versus fully automated assessment of left ventricular ejection fraction |
publisher |
Saudi Heart Association |
series |
Journal of the Saudi Heart Association |
issn |
1016-7315 |
publishDate |
2018-10-01 |
description |
Introduction: The aim of this study is to compare three different methods commonly used in the assessment of left ventricle (LV) ejection fraction (EF) by echocardiography. Methodology: all patients underwent full echocardiography imaging that includes assessment of LVEF using M-mode, Automated EF (Auto-EF) through tracing the myocardial borders during systole and diastole, and visual EF estimation by two readers. Results: We enrolled 268 patients. Auto-EF measurement was feasible in 240 (89.5%) patients. The averaged LVEF was (52%12) with the visual assessment, (51%11) with Auto-EF and (57%13) with M-mode. Using Bland-Altman analysis we found that the difference between the mean visual and the Auto-EF was not significant [−0.3% (−0.5803–0.0053), p = 0.054]. However, we found a significant difference in the mean EF between the visual versus M-mode and Auto-EF versus M-mode with the mean differences: [−2.4365(−2.9946–1.8783), p < 0.0001] and [−2.1490 (−2.7348–1.5631), p < 0.0001] respectively. Inter-observer variability analysis of the visual EF assessment between the two readers showed that intraclass correlation coefficient was 0.953, (95% confidence interval: 0.939–0.965, p < 0.0001), with excellent correlation between the two readers: R = 0.911, p < 0.0001). Conclusion: The two-dimensional echocardiographic methods using Biplane Auto-EF or visual assessment were significantly comparable, whereas M-mode results in an overestimation of the LV ejection fraction. |
url |
http://www.sciencedirect.com/science/article/pii/S1016731518301477 |
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