Multi-modality imaging to assess rheumatic mitral stenosis severity.

3D echocardiography Cardiac MRI Computed tomography Mitral stenosis

Journal

The international journal of cardiovascular imaging
ISSN: 1875-8312
Titre abrégé: Int J Cardiovasc Imaging
Pays: United States
ID NLM: 100969716

Informations de publication

Date de publication:
25 Sep 2024
Historique:
received: 20 03 2024
accepted: 16 09 2024
medline: 25 9 2024
pubmed: 25 9 2024
entrez: 24 9 2024
Statut: aheadofprint

Résumé

Multi-modality imaging is the recommended approach to assess the severity of valvular heart diseases. Rheumatic mitral stenosis (MS), however, has yet to benefit from this approach. The aim of this study is to assess the added value of cardiac MRI (CMR) and computed tomography (CT) calcium score in assessing severity of MS when compared to 3D echocardiography. Patients with MS in sinus rhythm were included. Both CMR and 3D echo assessments of the mitral valve were performed. Subsequently, three radiologists and three cardiologists independently measured mitral valve area (MVA). In addition, CT of the mitral valve was conducted. Mitral calcium score was calculated according the Agatston method. A total of 41 patients were included. CMR significantly overestimated MVA when compared to 3D echo MVA regardless of the investigator [F (1, 40) = 23.3, p < 0.001, η2 = 0.36]. The more severe the MS, the greater the overestimation by CMR compared to 3D echo. Regarding CT of the mitral valve, 25 (61%) patients had an undetectable calcium. There was no significant difference in CT calcium scores between severe and non-severe MS (74 ± 282 HU vs. 65 ± 210 HU, p = 0.9). MVA measurement by CMR is overestimated when compared to 3D echo. Additionally, mitral valve calcium score is not correlated to MS severity.

Identifiants

DOI: 10.1007/s10554-024-03251-3 PMID: 39317822
pubmed: 39317822
doi: 10.1007/s10554-024-03251-3
pii: 10.1007/s10554-024-03251-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Nature B.V.

Références

Sebag IA, Morgan JG, Handschumacher MD et al (2005) Usefulness of three-dimensionally guided Assessment of mitral stenosis using matrix-array Ultrasound. Am J Cardiol 96:1151–1156. https://doi.org/10.1016/j.amjcard.2005.06.046
doi: 10.1016/j.amjcard.2005.06.046 pubmed: 16214455
Bouchahda N, Jarraya M, Kallala Y et al (2023) Reproducibility of transthoracic 3D echocardiography in the assessment of mitral valve area in patients with rheumatic mitral stenosis: real time versus ECG-gated 3D echocardiography. Int J Cardiovasc Imaging. https://doi.org/10.1007/s10554-023-02939-2
doi: 10.1007/s10554-023-02939-2 pubmed: 37658988
Pandian NG, Kim JK, Arias-Godinez JA et al (2023) Recommendations for the Use of Echocardiography in the evaluation of Rheumatic Heart Disease: a report from the American Society of Echocardiography. J Am Soc Echocardiogr 36:3–28. https://doi.org/10.1016/j.echo.2022.10.009
doi: 10.1016/j.echo.2022.10.009 pubmed: 36428195
Vahanian A, Beyersdorf F, Praz F et al (2022) 2021 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal (2022) 43:561–632. https://doi.org/10.1016/j.rec.2022.05.006
Pawade T, Sheth T, Guzzetti E et al (2019) Why and how to measure aortic valve calcification in patients with aortic stenosis. JACC Cardiovasc Imaging 12:1835–1848. https://doi.org/10.1016/j.jcmg.2019.01.045
doi: 10.1016/j.jcmg.2019.01.045 pubmed: 31488252
Mahmoud Elsayed HM, Hassan M, Nagy M et al (2018) A novel method to measure mitral valve area in patients with rheumatic mitral stenosis using three-dimensional transesophageal echocardiography: feasibility and validation. Echocardiography 35:368–374. https://doi.org/10.1111/echo.13786
doi: 10.1111/echo.13786 pubmed: 29271495
Min SY, Song JM, Kim YJ et al (2013) Discrepancy between mitral valve areas measured by two-dimensional planimetry and three-dimensional transoesophageal echocardiography in patients with mitral stenosis. Heart 99:253–258. https://doi.org/10.1136/heartjnl-2012-302742
doi: 10.1136/heartjnl-2012-302742 pubmed: 23125249
Helvacioglu F, Yildirimturk O, Duran C et al (2014) The evaluation of mitral valve stenosis: comparison of transthoracic echocardiography and cardiac magnetic resonance †. 164–169. https://doi.org/10.1093/ehjci/jet087
Kim SS, Ko SM, Song MG et al (2015) Quantification of stenotic mitral valve area and diagnostic accuracy of mitral stenosis by dual-source computed tomography in patients with atrial fibrillation: comparison with cardiovascular magnetic resonance and transthoracic echocardiography. Int J Cardiovasc Imaging 31:103–114. https://doi.org/10.1007/s10554-014-0488-7
doi: 10.1007/s10554-014-0488-7 pubmed: 25011534
Zhong X, Chen W, Shi Z et al (2021) Three dimensional transesophageal echocardiography measurement of mitral valve area in patients with rheumatic mitral stenosis: multiplanar reconstruction or 3D direct planimetry ? Int J Cardiovasc Imaging 37:99–107. https://doi.org/10.1007/s10554-020-01950-1
doi: 10.1007/s10554-020-01950-1 pubmed: 32719991
Djavidani B, Debl K, Lenhart M et al (2005) Planimetry of mitral valve stenosis by magnetic resonance imaging. J Am Coll Cardiol 45:2048–2053. https://doi.org/10.1016/j.jacc.2005.03.036
doi: 10.1016/j.jacc.2005.03.036 pubmed: 15963408
Schlosshan D, Aggarwal G, Ed BSCM et al (2011) Real-time 3D transesophageal echocardiography for the evaluation of rheumatic mitral stenosis. JACC Cardiovasc Imaging 4:580–588. https://doi.org/10.1016/j.jcmg.2010.12.009
doi: 10.1016/j.jcmg.2010.12.009 pubmed: 21679891
Abdelaziz HMM, Tawfik AM, Abd-Elsamad AA et al (2020) Cardiac magnetic resonance imaging for assessment of mitral stenosis before and after percutaneous balloon valvuloplasty in comparison to two- and three-dimensional echocardiography. Acta Radiol 61:1176–1185. https://doi.org/10.1177/0284185119897368
doi: 10.1177/0284185119897368 pubmed: 31937108
Uygur B, Celik O, Ustabasioglu FE et al (2018) Three-dimensional transesophageal echocardiography vs cardiac magnetic resonance in the assessment of planimetric mitral valve area in rheumatic mitral stenosis. Echocardiography 35:1621–1625. https://doi.org/10.1111/echo.14096
doi: 10.1111/echo.14096 pubmed: 29981197
Silbiger JJ, York N, York N (2021) Advances in rheumatic mitral stenosis: echocardiographic, Pathophysiologic, and hemodynamic considerations. J Am Soc Echocardiogr 1–15. https://doi.org/10.1016/j.echo.2021.02.015
Cartlidge TRG, Pawade TA, Dweck MR (2017) Aortic stenosis and CT calcium scoring: is it for everyone? Heart 103:8–9. https://doi.org/10.1136/heartjnl-2016-310297
doi: 10.1136/heartjnl-2016-310297 pubmed: 27647167
Shen M, Tastet L, Capoulade R et al (2017) Effect of age and aortic valve anatomy on calcification and haemodynamic severity of aortic stenosis. Heart 103:32–39. https://doi.org/10.1136/heartjnl-2016-309665
doi: 10.1136/heartjnl-2016-309665 pubmed: 27504001

Auteurs

Nidhal Bouchahda (N)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia. nidhalbouchahda@gmail.com.

Mezri Maatouk (M)

Medical imaging Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Ghada Sassi (G)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Marwa Jarraya (M)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Mohamed Yessine Kallela (MY)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Houssemeddine Hamrouni (H)

Medical imaging Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Mouna Bader (M)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Hatem Hamrouni (H)

Medical imaging Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Aymen Najjar (A)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Ahmed Zrig (A)

Medical imaging Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Mejdi Ben Messaoud (M)

Cardiology A Department, Research Laboratory LR12 SP 16 Fattouma Bourguiba University Hospital, University of Monastir, Rue du 1er juin 1955, Monastir, 5000, Tunisia.

Classifications MeSH