Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/11110/1414 |
Resumo: | Background: Accurate aortic annulus (AoA) sizing is crucial for transcatheter aortic valve implantation planning. Three-dimensional (3D) transesophageal echocardiography (TEE) is a viable alternative to the standard multidetector row computed tomography (MDCT) for such assessment, with few automatic software solutions available. The aim of this study was to present and evaluate a novel software tool for automatic AoA sizing by3D TEE. Methods: One hundred one patients who underwent both preoperative MDCT and 3D TEE were retrospectively analyzed using the software. The automatic software measurements’ accuracy was compared against values obtained using standard manual MDCT, as well as against those obtained using manual 3D TEE, and intraobserver, interobserver, and test-retest reproducibility was assessed. Because the software can be used as a fully automatic or as an interactive tool, both options were addressed and contrasted. The impact of these measures on the recommended prosthesis size was then evaluated to assess if the software’s automated sizes were concordant with those obtained using an MDCT- or a TEE-based manual sizing strategy. Results: The software showed very good agreement with manual values obtained using MDCT and 3D TEE, with the interactive approach having slightly narrower limits of agreement. The latter also had excellent intra-and interobserver variability. Both fully automatic and interactive analyses showed excellent test-retest reproducibility, with the first having a faster analysis time. Finally, either approach led to good sizing agreement against the true implanted sizes (>77%) and against MDCT-based sizes (>88%). Conclusions: Given the automated, reproducible, and fast nature of its analyses, the novel software tool presented here may potentially facilitate and thus increase the use of 3D TEE for preoperative transcatheter aortic valve implantation sizing. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic ImagesAortic valve sizing3D transesophageal echocardiographyFully automatic analysisInteractive analysisTranscatheter aortic valve implantationBackground: Accurate aortic annulus (AoA) sizing is crucial for transcatheter aortic valve implantation planning. Three-dimensional (3D) transesophageal echocardiography (TEE) is a viable alternative to the standard multidetector row computed tomography (MDCT) for such assessment, with few automatic software solutions available. The aim of this study was to present and evaluate a novel software tool for automatic AoA sizing by3D TEE. Methods: One hundred one patients who underwent both preoperative MDCT and 3D TEE were retrospectively analyzed using the software. The automatic software measurements’ accuracy was compared against values obtained using standard manual MDCT, as well as against those obtained using manual 3D TEE, and intraobserver, interobserver, and test-retest reproducibility was assessed. Because the software can be used as a fully automatic or as an interactive tool, both options were addressed and contrasted. The impact of these measures on the recommended prosthesis size was then evaluated to assess if the software’s automated sizes were concordant with those obtained using an MDCT- or a TEE-based manual sizing strategy. Results: The software showed very good agreement with manual values obtained using MDCT and 3D TEE, with the interactive approach having slightly narrower limits of agreement. The latter also had excellent intra-and interobserver variability. Both fully automatic and interactive analyses showed excellent test-retest reproducibility, with the first having a faster analysis time. Finally, either approach led to good sizing agreement against the true implanted sizes (>77%) and against MDCT-based sizes (>88%). Conclusions: Given the automated, reproducible, and fast nature of its analyses, the novel software tool presented here may potentially facilitate and thus increase the use of 3D TEE for preoperative transcatheter aortic valve implantation sizing.This work was funded by projects ‘‘NORTE-01-0145-FEDER-000013’’ and‘‘NORTE-01-0145-FEDER-024300,’’ supported by Northern Portugal RegionalOperational Programme (Norte2020), under the Portugal 2020 Partnership Agreement, through the European Regional Development Fund. This work has also been funded by European Regional Development Fund funds, through the Competitive-ness Factors Operational Programme, and by national funds, through Fundação para a Ciência e Tecnologia, under the scope of the project POCI-01-0145-FEDER-007038. The authors also acknowledge support from Fundação para aCi^encia e Tecnologia and the European Social Found, through Programa Operational Capital Humano, in the scope of PhD grants SFRH/BD/93443/2013 (S.Q.)and SFRH/BD/95438/2013 (P.M.).Journal of the American Society of Echocardiography2018-09-12T13:46:55Z2018-05-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/11110/1414oai:ciencipca.ipca.pt:11110/1414eng0894-7317http://hdl.handle.net/11110/1414metadata only accessinfo:eu-repo/semantics/openAccessQueirós, SandroMorais, PedroDubois, ChristopheVoigt, Jens-UweFehske, WolfgangKuhn, AndreasAchenbach, TobiasFonseca, JaimeVilaça, JoãoD'hooge, Janreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-05T12:52:51Zoai:ciencipca.ipca.pt:11110/1414Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:01:47.264190Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
title |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
spellingShingle |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images Queirós, Sandro Aortic valve sizing 3D transesophageal echocardiography Fully automatic analysis Interactive analysis Transcatheter aortic valve implantation |
title_short |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
title_full |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
title_fullStr |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
title_full_unstemmed |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
title_sort |
Validation of a Novel Software Tool for Automatic Aortic Annular Sizing in Three-Dimensional Transesophageal Echocardiographic Images |
author |
Queirós, Sandro |
author_facet |
Queirós, Sandro Morais, Pedro Dubois, Christophe Voigt, Jens-Uwe Fehske, Wolfgang Kuhn, Andreas Achenbach, Tobias Fonseca, Jaime Vilaça, João D'hooge, Jan |
author_role |
author |
author2 |
Morais, Pedro Dubois, Christophe Voigt, Jens-Uwe Fehske, Wolfgang Kuhn, Andreas Achenbach, Tobias Fonseca, Jaime Vilaça, João D'hooge, Jan |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Queirós, Sandro Morais, Pedro Dubois, Christophe Voigt, Jens-Uwe Fehske, Wolfgang Kuhn, Andreas Achenbach, Tobias Fonseca, Jaime Vilaça, João D'hooge, Jan |
dc.subject.por.fl_str_mv |
Aortic valve sizing 3D transesophageal echocardiography Fully automatic analysis Interactive analysis Transcatheter aortic valve implantation |
topic |
Aortic valve sizing 3D transesophageal echocardiography Fully automatic analysis Interactive analysis Transcatheter aortic valve implantation |
description |
Background: Accurate aortic annulus (AoA) sizing is crucial for transcatheter aortic valve implantation planning. Three-dimensional (3D) transesophageal echocardiography (TEE) is a viable alternative to the standard multidetector row computed tomography (MDCT) for such assessment, with few automatic software solutions available. The aim of this study was to present and evaluate a novel software tool for automatic AoA sizing by3D TEE. Methods: One hundred one patients who underwent both preoperative MDCT and 3D TEE were retrospectively analyzed using the software. The automatic software measurements’ accuracy was compared against values obtained using standard manual MDCT, as well as against those obtained using manual 3D TEE, and intraobserver, interobserver, and test-retest reproducibility was assessed. Because the software can be used as a fully automatic or as an interactive tool, both options were addressed and contrasted. The impact of these measures on the recommended prosthesis size was then evaluated to assess if the software’s automated sizes were concordant with those obtained using an MDCT- or a TEE-based manual sizing strategy. Results: The software showed very good agreement with manual values obtained using MDCT and 3D TEE, with the interactive approach having slightly narrower limits of agreement. The latter also had excellent intra-and interobserver variability. Both fully automatic and interactive analyses showed excellent test-retest reproducibility, with the first having a faster analysis time. Finally, either approach led to good sizing agreement against the true implanted sizes (>77%) and against MDCT-based sizes (>88%). Conclusions: Given the automated, reproducible, and fast nature of its analyses, the novel software tool presented here may potentially facilitate and thus increase the use of 3D TEE for preoperative transcatheter aortic valve implantation sizing. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-12T13:46:55Z 2018-05-03T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/11110/1414 oai:ciencipca.ipca.pt:11110/1414 |
url |
http://hdl.handle.net/11110/1414 |
identifier_str_mv |
oai:ciencipca.ipca.pt:11110/1414 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0894-7317 http://hdl.handle.net/11110/1414 |
dc.rights.driver.fl_str_mv |
metadata only access info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
metadata only access |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Journal of the American Society of Echocardiography |
publisher.none.fl_str_mv |
Journal of the American Society of Echocardiography |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799129887466848256 |