Evidence map›Paper›PMID 25986226›Full record

ArticleCardiovascular ultrasound2015

Mitral valve analysis adding a virtual semi-transparent annulus plane for detection of prolapsing segments.

Karl-Andreas Dumont, Jørn Skaarud Karlsen, Thomas Helle-Valle, Arnt Eltvedt Fiane, Runar Lundblad, Stig Urheim

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular ultrasound, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Karl-Andreas DumontDepartment of Cardiothoracic Surgery, Rikshospitalet, Oslo University Hospital, Post Office Box 4950, Nydalen, 0424, Oslo, Norway. kardum@ous-hf.no.
Jørn Skaarud KarlsenKalkulo AS, Martin Linges vei 17, 1364, Fornebu, Norway. jornskaa@gmail.com.
Thomas Helle-ValleDepartment of Cardiology, Rikshospitalet, Oslo University Hospital, Post Box 4950, Nydalen, 0424, Oslo, Norway. thomhell@medisin.uio.no.
Arnt Eltvedt FianeDepartment of Cardiothoracic Surgery and Faculty of Medicine in Oslo, Rikshospitalet, Oslo University Hospital, Post Office Box 4950, Nydalen, 0424, Oslo, Norway. arnt.fiane@ous-hf.no.
Runar LundbladDepartment of Cardiothoracic Surgery, Rikshospitalet, Oslo University Hospital, Post Office Box 4950, Nydalen, 0424, Oslo, Norway. runar.lundblad@gmail.com.
Stig UrheimDepartment of Cardiology and Institute for Surgical Research, Rikshospitalet, Oslo University Hospital, Post Office Box 4950, Nydalen, 0424, Oslo, Norway. stig.urheim@rikshospitalet.no.
Oslo University Hospital · NOKalkulo (Norway) · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe hypothesized that a novel three-dimensional virtual semi-transparent annulus plane (3D VSAP) presented on a holographic screen can be used to visualize the prolapsing tissue in degenerative mitral valve disease and furthermore, provide us with geometrical data of the mitral valve apparatus. Phantom and patient studies were designed to demonstrate the feasibility of creating a semi-automatic, semi-transparent mitral annulus plane visualized on a holographic display.

methodsTen pipe cleaners mimicking the mitral annulus with different shapes and three types of annuloplasty rings served as phantoms. We obtained 3D transoesophageal examination of the phantoms in a special designed box filled with water. Recordings were converted to the holographic display and a 3D VSAP was created. The ratio of the major and minor axes as well as the non-planar angles were calculated and compared with direct measures of the phantoms. Forty patients with degenerative mitral valve disease were then analyzed with 3D transthoracic echocardiography (TTE) and a 3D VSAP was created on the holographic display. A total of 240 segments were analyzed by two independent observers, one echo expert (observer I), and the other novice with limited echo experience (observer II). The two observers created the 3D VSAP in each patient before suggesting the valve pathology.

resultsThe major/minor axes ratio and non-planar angles by 3D VSAP correlated with direct measurements by r = 0.65, p < 0.02 and r = 0.99, p < 0.0001, respectively. The sensitivity and specificity of the 3D VSAP method in patients was 81 and 97%, respectively (observer I) and for observer II 77 and 96%, respectively. The accuracy and precisions were 93.9 and 89.4%, respectively (observer I), 92.3 and 85.1% (observer II). Mitral valve analysis adding a 3D VSAP was feasible with high accuracy and precision, providing a quick and less subjective method for diagnosing mitral valve prolapse. This novel method may improve preoperative diagnostics and may relieve a better understanding of the pathophysiology of mitral valve disease. Thus, based on the specific findings in each patient, a tailored surgical repair can be planned and hopefully enhance long-term repair patency in the future.

Indexed as

User-Computer InterfaceEchocardiography, Three-DimensionalFemaleHolographyHumansImage Interpretation, Computer-AssistedMaleMiddle AgedMitral ValveMitral Valve ProlapsePhantoms, ImagingReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID25986226
PMCPMC4445285
OpenAlexW1560673192

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.