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Updated: Aug 6, 2026

Quantification of Mouse Heart Left Ventricular Function, Myocardial Strain, and Hemodynamic Forces by Cardiovascular Magnetic Resonance Imaging
Published on: May 24, 2021
Global and regional left ventricular function: a comparison between gated SPECT, 2D echocardiography and multi-slice
Maureen M Henneman1, Jeroen J Bax, Joanne D Schuijf
1Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Insights
Multi-slice computed tomography (MSCT) can effectively assess left ventricular (LV) function in coronary artery disease (CAD) patients. MSCT shows excellent correlation with 2D echocardiography for LV volumes and function.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Diagnostics
Background:
- Left ventricular (LV) function is crucial for assessing cardiac status in coronary artery disease (CAD).
- Non-invasive assessment of coronary arteries using multi-slice computed tomography (MSCT) is established.
- Retrospective ECG-gating in MSCT allows for derivation of LV function data.
Purpose of the Study:
- To evaluate the capability of MSCT in assessing global and regional LV function and volumes in patients with CAD.
- To compare the accuracy of MSCT-derived LV function parameters with those obtained from gated SPECT and 2D echocardiography.
Main Methods:
- Coronary angiography with MSCT was performed in 49 patients with known or suspected CAD.
- LV end-diastolic volume, LV end-systolic volume, and LV ejection fraction were analyzed using dedicated software.
- Regional wall motion was assessed using a 17-segment model and a three-point score system, compared against gated SPECT and 2D echocardiography.
Main Results:
- MSCT demonstrated good correlations with gated SPECT for LV volumes (r=0.63-0.65) and ejection fraction (r=0.60).
- MSCT showed excellent correlations with 2D echocardiography for LV volumes (r=0.92-0.93) and ejection fraction (r=0.80).
- Agreement for regional wall motion was high between MSCT and 2D echocardiography (96%, kappa=0.73) and gated SPECT (95%, kappa=0.66).
Conclusions:
- MSCT is an adequate imaging modality for assessing global and regional LV function and volumes in CAD patients.
- The correlation between MSCT and 2D echocardiography for LV function assessment is stronger than that with gated SPECT.
Purpose:
Global and regional left ventricular (LV) function are important indicators of the cardiac status in patients with coronary artery disease (CAD). Therapy and prognosis are to a large extent dependent on LV function. Multi-slice computed tomography (MSCT) has already earned its place as an imaging modality for non-invasive assessment of the coronary arteries, but since retrospective gating to the patient's ECG is performed, information on LV function can be derived.
Methods:
In 49 patients with known or suspected CAD, coronary angiography with MSCT imaging was performed, in addition to gated SPECT and 2D echocardiography. LV end-diastolic and LV end-systolic volumes and LV ejection fraction were analysed with dedicated software (CMR Analytical Software System, Medis, Leiden, The Netherlands for MSCT; gated SPECT by QGS, Cedars-Sinai Medical Center, Los Angeles, CA, USA), and by the biplane Simpson's rule for 2D echocardiography. Regional wall motion was evaluated according to a 17-segment model and a three-point score system.
Results:
Correlations were fairly good between gated SPECT and MSCT (LVEDV: r=0.65; LVESV: r=0.63; LVEF: r=0.60), and excellent between 2D echocardiography and MSCT (LVEDV: r=0.92; LVESV: r=0.93; LVEF: r=0.80). Agreement for regional wall motion was 95% (kappa=0.66) between gated SPECT and MSCT, and 96% (kappa=0.73) between 2D echocardiography and MSCT.
Conclusion:
Global and regional LV function and LV volumes can be adequately assessed with MSCT. Correlations with 2D echocardiography are stronger than with gated SPECT.
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