Open-source, vendor-independent, automated multi-beat tissue Doppler echocardiography analysis
Author(s)
Type
Journal Article
Abstract
Current guidelines for measuring cardiac function by tissue Doppler recommend using multiple beats, but this has a time cost for human operators. We present an open-source, vendor-independent, drag-and-drop software capable of automating the measurement process. A database of ~8000 tissue Doppler beats (48 patients) from the septal and lateral annuli were analyzed by three expert echocardiographers. We developed an intensity- and gradient-based automated algorithm to measure tissue Doppler velocities. We tested its performance against manual measurements from the expert human operators. Our algorithm showed strong agreement with expert human operators. Performance was indistinguishable from a human operator: for algorithm, mean difference and SDD from the mean of human operators’ estimates 0.48 ± 1.12 cm/s (R2 = 0.82); for the humans individually this was 0.43 ± 1.11 cm/s (R2 = 0.84), −0.88 ± 1.12 cm/s (R2 = 0.84) and 0.41 ± 1.30 cm/s (R2 = 0.78). Agreement between operators and the automated algorithm was preserved when measuring at either the edge or middle of the trace. The algorithm was 10-fold quicker than manual measurements (p < 0.001). This open-source, vendor-independent, drag-and-drop software can make peak velocity measurements from pulsed wave tissue Doppler traces as accurately as human experts. This automation permits rapid, bias-resistant multi-beat analysis from spectral tissue Doppler images.
Date Issued
2017-02-20
Date Acceptance
2017-02-04
Citation
International Journal of Cardiovascular Imaging, 2017, 33 (8), pp.1135-1148
ISSN
1569-5794
Publisher
Springer Verlag
Start Page
1135
End Page
1148
Journal / Book Title
International Journal of Cardiovascular Imaging
Volume
33
Issue
8
Copyright Statement
© The Author(s) 2017. This article is published with open access at Springerlink.com
License URL
Identifier
https://link.springer.com/article/10.1007/s10554-017-1092-4
Subjects
Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Radiology, Nuclear Medicine & Medical Imaging
Cardiovascular System & Cardiology
Tissue Doppler
Echocardiography
Automated
Vendor-independent measurements
Myocardial velocities
HEART-FAILURE
VELOCITY-MEASUREMENT
DIASTOLIC FUNCTION
PROGNOSTIC VALUE
RECOMMENDATIONS
SOCIETY
Publication Status
Published