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The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria

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Borgquist, R, Haugaa, KH, Gilljam, T, Bundgaard, H, Hansen, J, Eschen, O, Jensen, HK, Holst, AG, Edvardsen, T, Svendsen, JH & Platonov, PG 2014, 'The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria', European heart journal cardiovascular Imaging, bind 15, nr. 11, s. 1219-25. https://doi.org/10.1093/ehjci/jeu109

APA

Borgquist, R., Haugaa, K. H., Gilljam, T., Bundgaard, H., Hansen, J., Eschen, O., Jensen, H. K., Holst, A. G., Edvardsen, T., Svendsen, J. H., & Platonov, P. G. (2014). The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria. European heart journal cardiovascular Imaging, 15(11), 1219-25. https://doi.org/10.1093/ehjci/jeu109

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MLA

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Author

Borgquist, Rasmus ; Haugaa, Kristina H ; Gilljam, Thomas ; Bundgaard, Henning ; Hansen, Jim ; Eschen, Ole ; Jensen, Henrik Kjærulf ; Holst, Anders G ; Edvardsen, Thor ; Svendsen, Jesper H ; Platonov, Pyotr G. / The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria. I: European heart journal cardiovascular Imaging. 2014 ; Bind 15, Nr. 11. s. 1219-25.

Bibtex

@article{8df5cc1d702c4318972957f8097ebcf8,
title = "The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria",
abstract = "AIMS: This study evaluates the agreement between echocardiographic and cardiac magnetic resonance (CMR) imaging data, and the impact a discrepancy between the two may have on the clinical diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC).METHODS AND RESULTS: From the Nordic ARVC Registry, 102 patients with definite ARVC who had undergone both echocardiography and CMR were included (median age 42 ± 16 years, 36% female, 78% probands). Patients were divided into two groups according to CMR-positive or -negative criteria, and the echocardiographic data were compared between the two. There were 72 CMR-positive patients. They had significantly larger RV dimensions and lower fractional area change on echocardiography compared with CMR-negative patients; parasternal long-axis right ventricular outflow tract (RVOT) 37 ± 7 vs. 32 ± 5 mm, parasternal short-axis RVOT 38 ± 7 vs. 32 ± 6 mm, fractional area shortening 31 ± 9 vs. 39 ± 9% (P < 0.003 for all). Only 36 (50%) of the CMR-positive patients fulfilled ARVC criteria by echocardiography, hence the diagnostic performance was low; sensitivity 50% and specificity 70%, positive predictive value 80% and negative predictive value 37%. Individuals with regional wall abnormalities on CMR were more likely to have ventricular arrhythmias (77 vs. 57%, P = 0.047).CONCLUSION: A significant proportion of patients with imaging-positive ARVC by CMR did not fulfil echocardiographic ARVC 2010 criteria. These findings confirm that echocardiographic evaluation of subtle structural changes in the right ventricle may be unreliable, and the diagnostic performance of CMR compared with echocardiography should be reflected in the guidelines.",
author = "Rasmus Borgquist and Haugaa, {Kristina H} and Thomas Gilljam and Henning Bundgaard and Jim Hansen and Ole Eschen and Jensen, {Henrik Kj{\ae}rulf} and Holst, {Anders G} and Thor Edvardsen and Svendsen, {Jesper H} and Platonov, {Pyotr G}",
note = "Published on behalf of the European Society of Cardiology. All rights reserved. {\textcopyright} The Author 2014. For permissions please email: journals.permissions@oup.com.",
year = "2014",
month = nov,
doi = "10.1093/ehjci/jeu109",
language = "English",
volume = "15",
pages = "1219--25",
journal = "European Heart Journal Cardiovascular Imaging",
issn = "1525-2167",
publisher = "Oxford University Press",
number = "11",

}

RIS

TY - JOUR

T1 - The diagnostic performance of imaging methods in ARVC using the 2010 Task Force criteria

AU - Borgquist, Rasmus

AU - Haugaa, Kristina H

AU - Gilljam, Thomas

AU - Bundgaard, Henning

AU - Hansen, Jim

AU - Eschen, Ole

AU - Jensen, Henrik Kjærulf

AU - Holst, Anders G

AU - Edvardsen, Thor

AU - Svendsen, Jesper H

AU - Platonov, Pyotr G

N1 - Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

PY - 2014/11

Y1 - 2014/11

N2 - AIMS: This study evaluates the agreement between echocardiographic and cardiac magnetic resonance (CMR) imaging data, and the impact a discrepancy between the two may have on the clinical diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC).METHODS AND RESULTS: From the Nordic ARVC Registry, 102 patients with definite ARVC who had undergone both echocardiography and CMR were included (median age 42 ± 16 years, 36% female, 78% probands). Patients were divided into two groups according to CMR-positive or -negative criteria, and the echocardiographic data were compared between the two. There were 72 CMR-positive patients. They had significantly larger RV dimensions and lower fractional area change on echocardiography compared with CMR-negative patients; parasternal long-axis right ventricular outflow tract (RVOT) 37 ± 7 vs. 32 ± 5 mm, parasternal short-axis RVOT 38 ± 7 vs. 32 ± 6 mm, fractional area shortening 31 ± 9 vs. 39 ± 9% (P < 0.003 for all). Only 36 (50%) of the CMR-positive patients fulfilled ARVC criteria by echocardiography, hence the diagnostic performance was low; sensitivity 50% and specificity 70%, positive predictive value 80% and negative predictive value 37%. Individuals with regional wall abnormalities on CMR were more likely to have ventricular arrhythmias (77 vs. 57%, P = 0.047).CONCLUSION: A significant proportion of patients with imaging-positive ARVC by CMR did not fulfil echocardiographic ARVC 2010 criteria. These findings confirm that echocardiographic evaluation of subtle structural changes in the right ventricle may be unreliable, and the diagnostic performance of CMR compared with echocardiography should be reflected in the guidelines.

AB - AIMS: This study evaluates the agreement between echocardiographic and cardiac magnetic resonance (CMR) imaging data, and the impact a discrepancy between the two may have on the clinical diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC).METHODS AND RESULTS: From the Nordic ARVC Registry, 102 patients with definite ARVC who had undergone both echocardiography and CMR were included (median age 42 ± 16 years, 36% female, 78% probands). Patients were divided into two groups according to CMR-positive or -negative criteria, and the echocardiographic data were compared between the two. There were 72 CMR-positive patients. They had significantly larger RV dimensions and lower fractional area change on echocardiography compared with CMR-negative patients; parasternal long-axis right ventricular outflow tract (RVOT) 37 ± 7 vs. 32 ± 5 mm, parasternal short-axis RVOT 38 ± 7 vs. 32 ± 6 mm, fractional area shortening 31 ± 9 vs. 39 ± 9% (P < 0.003 for all). Only 36 (50%) of the CMR-positive patients fulfilled ARVC criteria by echocardiography, hence the diagnostic performance was low; sensitivity 50% and specificity 70%, positive predictive value 80% and negative predictive value 37%. Individuals with regional wall abnormalities on CMR were more likely to have ventricular arrhythmias (77 vs. 57%, P = 0.047).CONCLUSION: A significant proportion of patients with imaging-positive ARVC by CMR did not fulfil echocardiographic ARVC 2010 criteria. These findings confirm that echocardiographic evaluation of subtle structural changes in the right ventricle may be unreliable, and the diagnostic performance of CMR compared with echocardiography should be reflected in the guidelines.

U2 - 10.1093/ehjci/jeu109

DO - 10.1093/ehjci/jeu109

M3 - Journal article

C2 - 24939949

VL - 15

SP - 1219

EP - 1225

JO - European Heart Journal Cardiovascular Imaging

JF - European Heart Journal Cardiovascular Imaging

SN - 1525-2167

IS - 11

ER -

ID: 44677786