Evidence map›Paper›PMID 35190940›Full record

ArticleThe international journal of cardiovascular imaging2022

Two wrongs sometimes do make a right: errors in aortic valve stenosis assessment by same-day Doppler echocardiography and 4D flow MRI.

Hyungkyu Huh, Jeesoo Lee, Menhel Kinno, Michael Markl, James D Thomas, Alex J Barker

Abstract read
In one paragraph

Article in The international journal of cardiovascular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Hyungkyu HuhMedical Device Development Center, Daegu-Gyeongbuk Medical Innovation Foundation, Daegu, South Korea.
Jeesoo LeeDepartment of Radiology, Northwestern University, Feinberg School of Medicine, 737 N. Michigan Avenue, Suite 1600, Chicago, IL, 60611, USA.
Menhel KinnoDivision of Cardiology, Loyola University Chicago, Stritch School of Medicine, Chicago, IL, USA.
Michael MarklDepartment of Radiology, Northwestern University, Feinberg School of Medicine, 737 N. Michigan Avenue, Suite 1600, Chicago, IL, 60611, USA.
James D ThomasDivision of Cardiology, Department of Medicine, Bluhm Cardiovascular Institute, Northwestern University, Feinberg School of Medicine, 676 N. St. Claire Street, Suite 600, Chicago, IL, 60611, USA.
Alex J BarkerDepartment of Radiology and Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. alexander.barker@cuanschutz.edu.ORCID http://orcid.org/0000-0002-6283-9157

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Functional Cardiovascular 4D MRI in Congenital Heart DiseaseR01HL115828 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARKL, MICHAEL, RIGSBY, CYNTHIA K · 2012 to 2021
$5.2M
Role of Valve-Mediated Hemodynamics on Bicuspid AortopathyR01HL133504 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARKER, ALEXANDER J., FEDAK, PAUL WILLIAM MICHAEL · 2017 to 2021
$2.8M
Hemodynamic Loading of the Left Ventricle and Aorta in Aortic Valve DiseaseK25HL119608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARKER, ALEXANDER J. · 2014 to 2018
$819k
NCATS NIH HHS UL1 TR001422NHLBI NIH HHS K25 HL119608NHLBI NIH HHS R01 HL115828NHLBI NIH HHS R01 HL133504NIH HHS K25HL119608NIH HHS R01HL115828NIH HHS R01HL133504
6 · The paper itself

Abstract

This study aims to systematically verify if the simplified geometry and flow profile of the left ventricular outflow tract (LVOT) assumed in 2D echocardiography is appropriate while examining the utility of 4D flow MRI to assess valvular disease. This prospective study obtained same-day Doppler echocardiography and 4D flow MRI in 37 healthy volunteers (age: 51.9 ± 18.2, 20 females) and 7 aortic stenosis (AS) patients (age: 64.2 ± 9.6, 1 female). Two critical assumptions made in echocardiography for aortic valve area assessment were examined, i.e. the assumption of (1) a circular LVOT shape and (2) a flat velocity profile through the LVOT. 3D velocity and shape information obtained with 4D flow MRI was used as comparison. It was found that the LVOT area was lower (by 26.5% and 24.5%) and the velocity time integral (VTI) was higher (by 28.5% and 30.2%) with echo in the healthy and AS group, respectively. These competing errors largely cancelled out when examining individual and cohort averaged LVOT stroke volume. The LVOT area, VTI and stroke volume measured by echo and 4D flow MRI were 3.6 ± 0.7 vs. 4.9 ± 1.0 cm

Indexed as

Aortic Valve StenosisAortic ValveEchocardiography, DopplerFemaleHumansMagnetic Resonance ImagingPredictive Value of TestsProspective Studies2D Doppler echocardiography4D flow MRIAortic valve diseaseHemodynamicsLeft ventricular outflow tract

Identifiers

PMID35190940
PMCPMC9392814

What OpenQuestion holds

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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.