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The International Journal of Cardiovascular Imaging
Published in: The International Journal of Cardiovascular Imaging 4/2011

Open Access 01-04-2011 | Editorial Comment

Assessment of left ventricular function: visual or quantitative?

Authors: E. E. van der Wall, J. H. C. Reiber

Published in: The International Journal of Cardiovascular Imaging | Issue 4/2011

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Excerpt

Assessment of cardiac function continues to be an important issue in patients with assumed left ventricular (LV) dysfunction [1‐10]. In particular in patients with enlarged left ventricles, such as occurs in ischemic and idiopathic dilated cardiomyopathy, accurate assessment of LV function remains pivotal [11‐14]. To assess myocardial function, different diagnostic methods are currently performed such as echocardiography, single photon emission computed tomography (SPECT), and cardiac magnetic resonance imaging (CMR) [15‐23]. In the clinical arena, detection of myocardial function is predominantly based on echocardiographic studies. In addition, nuclear techniques, showing preserved tracer uptake and metabolism in viable myocardium, may also assess left ventricular function and wall motion. Volumetric analysis by gated SPECT imaging offers considerable additional value to SPECT myocardial perfusion imaging in characterizing functional abnormalities thereby potentially improving test specificity [24‐37]. Subsequent to echocardiography and gated SPECT imaging, CMR has now long been recognized as an accurate and reliable means of evaluating LV function. Considerable progress has been made in the field of CMR, providing accurate evaluation of LV function parameters in coronary artery disease, heart failure, hypertrophic cardiomyopathy, and many other cardiac diseases [38‐49]. CMR may be more accurate than echocardiography and gated SPECT in establishing LV volumetric parameters because of its more objective analysis and superb spatial resolution, respectively [50‐58]. …
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Metadata
Title
Assessment of left ventricular function: visual or quantitative?
Authors
E. E. van der Wall
J. H. C. Reiber
Publication date
01-04-2011
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue 4/2011
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-010-9735-8

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