Do biplane area-length, ellipse, and three-dimensional methods accurately estimate left atrial volume compared to Simpson's method using CMR in patients with atrial fibrillation?
The biplane area-length method is a reliable alternative to Simpson's method for left atrial volume measurement by CMR, though different methods should not be used interchangeably for follow-up.
PURPOSE: Left atrial volume is an important predictor of future arrhythmias, and it can be assessed by several different methods. Simpson's method is well accepted as a reference standard, although no standardization exists for cardiac magnetic resonance (CMR). We aimed to compare the estimations of left atrial volumes obtained by the Simpson's method with three other methods. MATERIALS AND METHODS: Eighty-one consecutive patients referred for CMR imaging between February 2007 and May 2010 were included in the study (47 males; mean age, 59.4±11.5 years; body mass index, 26.3±3.7 kg/m(2)). Left atrial volume measurements were performed using the Simpson's, biplane area-length, ellipse, and three-dimensional methods. Results were correlated using a Bland-Altman plot and linear regression models and compared by two-tailed paired-sample t tests. Reader variability was also calculated. RESULTS: Left atrial volume measurements using the biplane area-length technique showed the best correlation with Simpson's method (r=0.92; P 0.99). CONCLUSION: The biplane area-length method can be used for left atrial volume measurement when the Simpson's method cannot be performed. If these two methods are not feasible, then all methods are highly reproducible and can be used, but should not be used interchangeably for follow-up studies.
Nacif et al. (Sat,) studied this question.
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