Cardiac Magnetic Resonance Imaging and Transthoracic Echocardiography: Investigation of Concordance between the Two Methods for Measurement of the Cardiac Chamber

Abstract

Background and objectives: Cardiac magnetic resonance (CMR) imaging is the gold standard method for the detection of ventricular volumes and myocardial edema/scar. Transthoracic echocardiography (TTE) imaging is primarily used in the evaluation of cardiac functions and chamber dimensions. This study aims to investigate whether the chamber diameter measurements are concordant with each other in the same patient group who underwent TTE and CMR. Materials and Methods: The study included 41 patients who underwent TTE and CMR imaging. Ventricular and atrial diameter measurements from TTE-derived standard parasternal long axis and apical four-chamber views and CMR-derived three- and four-chamber views were recorded. The concordance between the two methods was compared using intra-class correlation coefficients (ICC) and Bland−Altman plots. Results: Of the patients, 25 (61%) were male and the mean age was 48.12 ± 16.79. The mean ICC for LVDD between CMR observers was 0.957 (95% CI: 0.918−0.978), while the mean ICC between CMR and TTE measurements were 0.849 (95% CI: 0.709−0.922) and 0.836 (95% CI: 0.684−0.915), respectively. The mean ICC for the right ventricle between CMR observers was 0.985 (95% CI: 0.971−0.992), while the mean ICC between CMR and TTE measurements were 0.869 (95% CI: 0.755−0.930) and 0.892 (95% CI: 0.799−0.942), respectively. Passing−Bablok Regression and Bland−Altman plots indicated high concordance between the two methods. Conclusions: TTE and CMR indicated high concordance in chamber diameter measurements for which the CMR should be considered in patients for whom optimal evaluation with TTE could not be performed due to their limitations.

Keywords

• cardiac magnetic resonance
• transthoracic echocardiography
• chamber
• measurement
• concordance