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      3T MRI investigation of cardiac left ventricular structure and function in a UK population: The tayside screening for the prevention of cardiac events (TASCFORCE) study

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          Abstract

          Purpose

          To scan a volunteer population using 3.0T magnetic resonance imaging (MRI). MRI of the left ventricular (LV) structure and function in healthy volunteers has been reported extensively at 1.5T.

          Materials and Methods

          A population of 1528 volunteers was scanned. A standardized approach was taken to acquire steady‐state free precession (SSFP) LV data in the short‐axis plane, and images were quantified using commercial software. Six observers undertook the segmentation analysis.

          Results

          Mean values (±standard deviation, SD) were: ejection fraction (EF) = 69 ± 6%, end diastolic volume index (EDVI) = 71 ± 13 ml/m 2, end systolic volume index (ESVI) = 22 ± 7 ml/m 2, stroke volume index (SVI) = 49 ± 8 ml/m 2, and LV mass index (LVMI) = 55 ± 12 g/m 2. The mean EF was slightly larger for females (69%) than for males (68%), but all other variables were smaller for females (EDVI 68v77 ml/m 2, ESVI 21v25 ml/m 2, SVI 46v52 ml/m 2, LVMI 49v64 g/m 2, all P < 0.05). The mean LV volume data mostly decreased with each age decade (EDVI males: –2.9 ± 1.3 ml/m 2, females: –3.1 ± 0.8 ml/m 2; ESVI males: –1.3 ± 0.7 ml/m 2, females: –1.7 ± 0.5 ml/m 2; SVI males: –1.7 ± 0.9 ml/m 2, females: –1.4 ± 0.6 ml/m 2; LVMI males: –1.6 ± 1.1 g/m 2, females: –0.2 ± 0.6 g/m 2) but the mean EF was virtually stable in males (0.6 ± 0.6%) and rose slightly in females (1.2 ± 0.5%) with age.

          Conclusion

          LV reference ranges are provided in this population‐based MR study at 3.0T. The variables are similar to those described at 1.5T, including variations with age and gender. These data may help to support future population‐based MR research studies that involve the use of 3.0T MRI scanners. J. Magn. Reson. Imaging 2016;44:1186–1196.

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          Most cited references17

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          Normal human left and right ventricular dimensions for MRI as assessed by turbo gradient echo and steady-state free precession imaging sequences.

          To establish normal ranges of left ventricular (LV) and right ventricular (RV) dimensions as determined by the current pulse sequences in cardiac magnetic resonance imaging (MRI). Sixty normal subjects (30 male and 30 female; age range, 20-65) were examined; both turbo gradient echo (TGE) and steady-state free precession (SSFP) pulse sequences were used to obtain contiguous short-axis cine data sets from the ventricular apex to the base of the heart. The LV and RV volumes and LV mass were calculated by modified Simpson's rule. Normal ranges were established and indexed to both body surface area (BSA) and height. There were statistically significant differences in the measurements between the genders and between TGE and SSFP pulse sequences. For TGE the LV end-diastolic volume (EDV)/BSA (mL/m(2)) in males was 74.4 +/- 14.6 and in females was 70.9 +/- 11.7, while in SSFP in males it was 82.3 +/- 14.7 and in females it was 77.7 +/- 10.8. For the TGE the LV mass/BSA (g/m(2)) in males was 77.8 +/- 9.1 and in females it was 61.5 +/- 7.5, while in SSFP in males it was 64.7 +/- 9.3 and in females it was 52.0 +/- 7.4. For TGE the RV EDV/BSA (mL/m(2)) in males was 78.4 +/- 14.0 and in females it was 67.5 +/- 12.7, while in SSFP in males it was 86.2 +/- 14.1 and in females it was 75.2 +/- 13.8. We have provided normal ranges that are gender specific as well as data that can be used for age-specific normal ranges for both SSFP and TGE pulse sequences. Copyright 2003 Wiley-Liss, Inc.
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            Normalized left ventricular systolic and diastolic function by steady state free precession cardiovascular magnetic resonance.

            We used state of the art CMR to define ranges for normal left ventricular volumes and systolic/diastolic function normalized to the influence of gender, body surface area and age. New CMR normalized ranges were modeled and displayed in graphical form for clinical use, with normalization for body surface area, gender, and age. The determination of normality, or the severity of abnormality, depends on the use of the appropriate reference ranges normalized to all 3 variables. These novel data have particular importance for clinical practice and clinical trials using CMR.
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              Normal human left and right ventricular and left atrial dimensions using steady state free precession magnetic resonance imaging.

              The aim of this project was to establish a database of left and right ventricular and left atrial dimensions in healthy volunteers using steady-state free precession cardiac magnetic resonance imaging, the clinical technique of choice, across a wide age range. 108 healthy volunteers (63 male, 45 female) underwent cardiac magnetic resonance imaging using steady-state free precession sequences. Manual analysis was performed by 2 experienced observers. Left and right ventricular volumes and left ventricular mass were larger in males than females: LV end-diastolic volume 160 +/- 29 mL vs. 135 +/- 26 mL, LV end-systolic volume 50 +/- 16 mL vs. 42 +/- 12 mL; RV end-diastolic volume 190 +/- 33 mL vs. 148 +/- 35 mL, RV end-systolic volume 78 +/- 20 mL vs. 56 +/- 18 mL (p < .05 for all). Normalization of values to body surface area removed the statistical differences for LV volumes, but not for LV mass or RV volumes. With increased age, males showed a significant decrease in volume and mass indices for both ventricles, while female values remained unchanged. Compared to females, males had significantly larger maximal left atrial volumes (103 +/- 30 mL vs. 89 +/- 21 mL, p = .01) and left atrial stroke volumes (58 +/- 23 mL vs. 48 +/- 15 mL, p = .01). There was no difference in left atrial ejection fraction between the sexes. We have produced a large database of age-related normal ranges for left and right ventricular function and left atrial function in males and females. This will allow accurate interpretation of clinical and research datasets.
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                Author and article information

                Contributors
                ghouston@nhs.net
                Journal
                J Magn Reson Imaging
                J Magn Reson Imaging
                10.1002/(ISSN)1522-2586
                JMRI
                Journal of Magnetic Resonance Imaging
                John Wiley and Sons Inc. (Hoboken )
                1053-1807
                1522-2586
                03 May 2016
                November 2016
                : 44
                : 5 ( doiID: 10.1002/jmri.v44.5 )
                : 1186-1196
                Affiliations
                [ 1 ] NHS Tayside Clinical RadiologyNinewells Hospital DundeeUK
                [ 2 ] NHS Tayside Medical PhysicsNinewells Hospital DundeeUK
                [ 3 ]University of Dundee School of Medicine DundeeUK
                [ 4 ] Department of Family and Community MedicineUniversity of Toronto TorontoCanada
                [ 5 ] Department of Research and InnovationNorth York General Hospital TorontoCanada
                [ 6 ] Department of Clinical RadiologyUniversity Hospital of Wales UK
                Author notes
                [*] [* ]Address reprint requests to: J.G.H., Department of Clinical Radiology, Ninewells Hospital, Dundee, DD1 9SY, UK. E‐mail: ghouston@ 123456nhs.net
                Article
                JMRI25267
                10.1002/jmri.25267
                5082537
                27143317
                a0dab270-f183-4142-a17a-f635cfbf2c2c
                © 2016 The Authors Journal of Magnetic Resonance Imaging published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.

                This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 January 2016
                : 28 March 2016
                Page count
                Figures: 2, Tables: 7, Pages: 11, Words: 5285
                Funding
                Funded by: Souter Charitable Trust, and Chest, Heart and Stroke Scotland
                Funded by: Wellcome Trust
                Award ID: WT 085664 (Clinical Research Fellowship to J.W‐McC.)
                Categories
                Original Research
                Original Research
                Cardiac
                Custom metadata
                2.0
                jmri25267
                November 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.6 mode:remove_FC converted:27.10.2016

                Radiology & Imaging
                cardiac,mri,3.0t,left ventricle,population
                Radiology & Imaging
                cardiac, mri, 3.0t, left ventricle, population

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