Normal Human Left and Right Ventricular and Left Atrial Dimensions Using Steady State Free Precession Magnetic Resonance Imaging
Abstract
Purpose 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.Methods 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.Results 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.Conclusion 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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The link between female sex and stroke might vary across populations and age groups.
“The link between female sex and stroke might vary across populations and age groups.75–84”
From Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis (2016) · cites this paper as [80]
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Grothues, F., Smith, G. C., Moon, J., Bellenger, N. G., Collins, P. D., Klein, H., & Pennell, D. J. (2002) · The American Journal of Cardiology · doi:10.1016/s0002-9149(02)02381-0 · Cited by 1,449 · see citing works
Grothues, F., Moon, J., Bellenger, N. G., Smith, G. S., Klein, H., & Pennell, D. J. (2004) · American Heart Journal · doi:10.1016/j.ahj.2003.10.005 · Cited by 779 · see citing works
Alfakih, K., Plein, S., Thiele, H., Jones, T. R., Ridgway, J. P., & Sivananthan, M. U. (2003) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.10262 · Cited by 725 · see citing works
Lorenz, C., Walker, E., Morgan, V., Klein, S., & Graham, T. (1999) · Journal of Cardiovascular Magnetic Resonance · doi:10.3109/10976649909080829 · Cited by 717 · see citing works
Gender differences and aging: Effects on the human heart
Olivetti, G., Giordano, G., Corradi, D., Melissari, M., Lagrasta, C. A. M., Gambert, S. R., & Anversa, P. (1995) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(95)00282-8 · Cited by 574 · see citing works
Gender differences and normal left ventricular anatomy in an adult population free of hypertension
Salton, C. J., Chuang, M. L., O’Donnell, C. J., Kupka, M. J., Larson, M. G., Kissinger, K. V., Edelman, R. R., Levy, D. A., & Manning, W. J. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)01712-6 · Cited by 353 · see citing works
Moon, J., Lorenz, C. H., Francis, J. M., Smith, G. C., & Pennell, D. J. (2002) · Radiology · doi:10.1148/radiol.2233011181 · Cited by 291 · see citing works
Self-citationSandstede, J. J. W., Lipke, C. S. A., Beer, M., Hofmann, S., Pabst, T., Kenn, W., Neubauer, S., & Hahn, D. W. (2000) · European Radiology · doi:10.1007/s003300050072 · Cited by 273 · see citing works
Self-citationAlfakih, K., Plein, S., Bloomer, T., Jones, T. R., Ridgway, J. P., & Sivananthan, M. U. (2003) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.10329 · Cited by 244 · see citing works
Dulce, M., Mostbeck, G., Friese, K., et al. (1993) · Radiology · doi:10.1148/radiology.188.2.8327680 · Cited by 195 · see citing works
Sievers, B., Kirchberg, S., Addo, M., Bakan, A., Brandts, B., & TRAPPE, H. J. (2004) · Journal of Cardiovascular Magnetic Resonance · doi:10.1081/jcmr-200036170 · Cited by 112 · see citing works
Effect of testosterone on post-myocardial infarction remodeling and function
Nahrendorf, M. (2003) · Cardiovascular Research · doi:10.1016/s0008-6363(02)00701-0 · Cited by 83 · see citing works
Cardiovascular magnetic resonance: twenty-first century solutions in cardiology
Pennell, D. J. (2003) · Clinical Medicine · doi:10.7861/clinmedicine.3-3-273 · Cited by 72 · see citing works
Rominger, M. B., Bachmann, G. F., Geuer, M., et al. (2008) · RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren · doi:10.1055/s-2007-1011007 · Cited by 32 · see citing works
Measurement of Cardiac Chamber Volumes by Cine Magnetic Resonance Imaging
Matsuoka, H., Hamada, M., Honda, T., et al. (1993) · Angiology · doi:10.1177/000331979304400409 · Cited by 31 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Geva, T. (2011) · Journal of Cardiovascular Magnetic Resonance · doi:10.1186/1532-429x-13-9 · Cited by 582 · see citing works
Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis
Ko, D., Rahman, F., Schnabel, R. B., Yin, X., Benjamin, E. J., & Christophersen, I. E. (2016) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2016.45 · Cited by 353 · see citing works
Valente, A. M., Cook, S., Festa, P., Ko, H. H., Krishnamurthy, R., Taylor, A. M., Warnes, C. A., Kreutzer, J., & Geva, T. (2014) · Journal of the American Society of Echocardiography · doi:10.1016/j.echo.2013.11.009 · Cited by 317 · see citing works
Evaluation of left ventricular diastolic function with cardiac MR imaging.
Caudron, J., Fares, J., Bauer, F., & Dacher, J.-N. (2011) · Radiographics · doi:10.1148/rg.311105049 · Cited by 129 · see citing works
Gürdoğan, M., Ustabaşıoğlu, F. E., Kula, O., & Korkmaz, S. (2019) · Medicina · doi:10.3390/medicina55060260 · Cited by 6 · see citing works
- Authors
- Hudsmith†, L., Petersen†, S., Francis, J., Robson, M., & Neubauer, S.
- Affiliations
- John Radcliffe Hospital (GB)
- Venue
- Journal of Cardiovascular Magnetic Resonance
- Publisher
- Elsevier BV
- Published
- 2005-10-01
- Volume
- 7
- Issue
- 5
- Pages
- 775-782
- ISSN
- 1097-6647 (ISSN-L)
- 1532-429X
- OpenAlex
- W2060292275
- Cited by
- 627
- References
- 16
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 19 · 2023: 14 · 2022: 21 · 2021: 42 · 2020: 44 · 2019: 44 · 2018: 35 · 2017: 27 · 2016: 46 · 2015: 50 · 2014: 39 · 2013: 48 · 2012: 34
- FWCI
- 10.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cardiovascular Magnetic Resonance (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- reference values, left ventricular dimensions, right ventricular size, left atrial diameter, left ventricular mass, ventricular volume, left atrial ejection fraction, sex differences, age-related changes, body surface area normalization, healthy volunteers
- MeSH terms
- Adult, Age Factors, Aged, Female, Heart Atria, Heart Ventricles, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Sex Factors, Stroke Volume, Reproducibility of Results, Observer Variation, Ventricular Function, Atrial Function, Left, Hypertrophy, Left Ventricular
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review