Cardiac Magnetic Resonance Imaging and Transthoracic Echocardiography: Investigation of Concordance between the Two Methods for Measurement of the Cardiac Chamber
Open accessAbstract
Background and objectives: Cardiac magnetic resonance (CMR) imaging is the gold standard method for the detection of ventricular volumes and myocardial edema/scar. Transthoracic echocardiography (TTE) imaging is primarily used in the evaluation of cardiac functions and chamber dimensions. This study aims to investigate whether the chamber diameter measurements are concordant with each other in the same patient group who underwent TTE and CMR. Materials and Methods: The study included 41 patients who underwent TTE and CMR imaging. Ventricular and atrial diameter measurements from TTE-derived standard parasternal long axis and apical four-chamber views and CMR-derived three- and four-chamber views were recorded. The concordance between the two methods was compared using intra-class correlation coefficients (ICC) and Bland–Altman plots. Results: Of the patients, 25 (61%) were male and the mean age was 48.12 ± 16.79. The mean ICC for LVDD between CMR observers was 0.957 (95% CI: 0.918–0.978), while the mean ICC between CMR and TTE measurements were 0.849 (95% CI: 0.709–0.922) and 0.836 (95% CI: 0.684–0.915), respectively. The mean ICC for the right ventricle between CMR observers was 0.985 (95% CI: 0.971–0.992), while the mean ICC between CMR and TTE measurements were 0.869 (95% CI: 0.755–0.930) and 0.892 (95% CI: 0.799–0.942), respectively. Passing–Bablok Regression and Bland–Altman plots indicated high concordance between the two methods. Conclusions: TTE and CMR indicated high concordance in chamber diameter measurements for which the CMR should be considered in patients for whom optimal evaluation with TTE could not be performed due to their limitations.
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Cardiac magnetic resonance imaging is considered the noninvasive gold standard method for quantifying cardiac output.
“Cardiac magnetic resonance imaging (CMRI) is considered the noninvasive gold standard method for quantifying cardiac output [59].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [59]
The Introduction describes CMR as noninvasive and as the gold standard for volumetric assessment of ventricular function. It lists cardiac output among volumetric measurements studied with CMR, but does not specifically call CMR the gold standard for quantifying cardiac output. (LLM, conf=0.80)
Experimental — accuracy not yet measuredCMRI allows detailed evaluation of ventricular volumes and function, myocardial tissue edema, fibrosis, and scarring, thus facilitating the diagnosis of heart failure, myocarditis and congenital heart disease.
“It allows detailed evaluation of ventricular volumes and function, myocardial tissue edema, fibrosis, and scarring, thus facilitating the diagnosis of heart failure, myocarditis and congenital heart disease (e.g., borderline hypoplastic left ventricle) [59].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [59]
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- Authors
- Gürdoğan, M., Ustabaşıoğlu, F. E., Kula, O., & Korkmaz, S.
- Affiliations
- Trakya University (TR)
- Corresponding author
- Gürdoğan, Muhammet
- Venue
- Medicina
- Publisher
- MDPI AG
- Published
- 2019-06-09
- Volume
- 55
- Issue
- 6
- Pages
- 260
- ISSN
- 1010-660X (ISSN-L)
- 1648-9144
- PMC
- PMC6631713
- OpenAlex
- W2948174104
- Cited by
- 6
- References
- 23
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 2 · 2021: 1
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Medicina (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Trakya University's Institutional Open Access System (Trakya University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Keywords
- cardiac magnetic resonance imaging, transthoracic echocardiography, intermodality agreement, left ventricular end-diastolic diameter, right ventricular size, atrial dimensions
- MeSH terms
- Adult, Aged, Echocardiography, Female, Heart, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Weights and Measures, Reproducibility of Results
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