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Quantitation of mitral regurgitation with cardiac magnetic resonance imaging: a systematic review.
- Source :
-
Heart (British Cardiac Society) [Heart] 2016 Dec 01; Vol. 102 (23), pp. 1864-1870. Date of Electronic Publication: 2016 Oct 12. - Publication Year :
- 2016
-
Abstract
- In this review discuss the application of cardiac magnetic resonance (CMR) to the evaluation and quantification of mitral regurgitation and provide a systematic literature review for comparisons with echocardiography. Using the 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology, we searched Medline and PubMed for original research articles published since 2000 that provided data on the quantification of mitral regurgitation by CMR. We identified 220 articles of which 33 were included. Four main techniques of mitral regurgitation quantification were identified. Reproducibility varied substantially between papers but was high overall for all techniques. However, quantification differed between the techniques studied. When compared with two-dimensional echocardiography, mitral regurgitation fraction and regurgitant volume measured by CMR were comparable but typically lower. CMR has high reproducibility for the quantification of mitral regurgitation in experienced centres, but further technological refinement is needed. An integrated and standardised approach that combines multiple techniques is recommended for optimal reproducibility and precise mitral regurgitation quantification. Definitive outcome studies using CMR as a basis for treatment are lacking but needed.<br /> (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.)
- Subjects :
- Echocardiography
Humans
Mitral Valve physiopathology
Mitral Valve Insufficiency physiopathology
Mitral Valve Insufficiency therapy
Observer Variation
Predictive Value of Tests
Prognosis
Reproducibility of Results
Severity of Illness Index
Hemodynamics
Magnetic Resonance Imaging
Mitral Valve diagnostic imaging
Mitral Valve Insufficiency diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1468-201X
- Volume :
- 102
- Issue :
- 23
- Database :
- MEDLINE
- Journal :
- Heart (British Cardiac Society)
- Publication Type :
- Academic Journal
- Accession number :
- 27733535
- Full Text :
- https://doi.org/10.1136/heartjnl-2015-309054