Reproducible computer assisted quantification of myocardial perfusion with contrast enhanced ultrasound
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Published version
Author(s)
Li, Y
Chahal, N
Senior, R
Tang, M
Type
Journal Article
Abstract
Myocardial perfusion can be quantified by myocardial contrast echocardiography (MCE) and is used for the diagnosis of coronary artery disease (CAD). However, existing MCE quantification software is highly operator dependent and has poor reproducibility and ease of usage. The aim of this study was to develop robust and easy-to-use software that can perform MCE quantification accurately, reproducibly and rapidly. The developed software has the following features: (i) semi-automatic segmentation of the myocardium; (ii) automatic rejection of MCE data with poor image quality; (iii) automatic computation of perfusion parameters such as myocardial blood flow (MBF). MCE sequences of 18 individuals (9 normal, 9 with CAD) undergoing vasodilator stress with dipyridamole were analysed quantitatively using the software. When evaluated against coronary angiography, the software achieved a sensitivity of 71% and a specificity of 91% for hyperemic MBF. With the automatic rejection algorithm, the sensitivity and specificity further improved to 77% and 94%, respectively. For MBF reproducibility, the percentage agreement is 85% (κ = 0.65) for inter-observer variability and 88% (κ = 0.72) for intra-observer variability. The intra-class correlation coefficients are 0.94 (inter-observer) and 0.96 (intra-observer). The time taken to analyse one MCE sequence using the software is about 3 min on a PC. The software has exhibited good diagnostic performance and reproducibility for CAD detection and is rapid and user-friendly.
Date Issued
2017-07-08
Date Acceptance
2017-05-01
Citation
Ultrasound in Medicine & Biology, 2017, 43 (10), pp.2235-2246
ISSN
1879-291X
Publisher
Elsevier
Start Page
2235
End Page
2246
Journal / Book Title
Ultrasound in Medicine & Biology
Volume
43
Issue
10
Copyright Statement
© 2017 The Authors. Published by Elsevier Inc. on behalf of World
Federation for Ultrasound in Medicine & Biology. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Federation for Ultrasound in Medicine & Biology. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
License URL
Sponsor
Engineering & Physical Science Research Council (EPSRC)
Grant Number
EP/M011933/1
Subjects
Science & Technology
Technology
Life Sciences & Biomedicine
Acoustics
Radiology, Nuclear Medicine & Medical Imaging
Myocardial contrast echocardiography
Myocardial perfusion
Computer-assisted quantification
Coronary artery disease
Reproducibility
CORONARY-ARTERY-DISEASE
BLOOD-FLOW RESERVE
STRESS ECHOCARDIOGRAPHY
TOMOGRAPHY
INFARCTION
VARIABILITY
ANGIOGRAPHY
1103 Clinical Sciences
Publication Status
Published