Cardiovascular magnetic resonance imaging for accurate sizing of the left atrium: predictability of pulmonary vein isolation success in patients with atrial fibrillation. Jahnke, C., Fischer, J., Mirelis, J., Kriatselis, C., Gerds-Li, J., Gebker, R., Manka, R., Schnackenburg, B., Fleck, E., & Paetsch, I. J Magn Reson Imaging, 33(2):455--463, 2011.
bibtex   
@Article{RSM:Jah2011a,
  author =       "C. Jahnke and J. Fischer and J.G. Mirelis and C.
                 Kriatselis and J.H. Gerds-Li and R. Gebker and R. Manka
                 and B. Schnackenburg and E. Fleck and I. Paetsch",
  title =        "Cardiovascular magnetic resonance imaging for accurate
                 sizing of the left atrium: predictability of pulmonary
                 vein isolation success in patients with atrial
                 fibrillation.",
  journal =      "J Magn Reson Imaging",
  year =         "2011",
  volume =       "33",
  number =       "2",
  pages =        "455--463",
  robnote =      "PURPOSE: To prospectively determine the most reproducible
                 approach for left-atrial size assessment using
                 cardiovascular magnetic resonance (CMR) imaging in
                 patients with atrial fibrillation and its value for
                 prediction of pulmonary vein isolation (PVI) treatment
                 success. MATERIALS AND METHODS: Eighty patients underwent
                 CMR imaging prior to PVI; the CMR examination included
                 standard cine sequences, a multislice cine sequence in
                 4-chamber orientation with full left-atrial coverage, and
                 a contrast-enhanced MR angiography of the left atrium.
                 Left-atrial size was determined as: diameter, area, volume
                 segmented from angiography, and diastolic/systolic volumes
                 from cine imaging (Simpson's rule). All measurements were
                 carried out by two independent observers and repeated by
                 one observer to assess inter- and intrareader variability.
                 Treatment success was defined as persisting sinus rhythm
                 after PVI (follow-up period 12.6 +/- 6.6 months). RESULTS:
                 All left-atrial measurements showed substantial
                 intrareader agreement. Interreader agreement was
                 substantial for diastolic/systolic left-atrial volumes
                 only. Calculated bias was found to be minimal
                 (0.1\%-4.9\%). Predictability of PVI treatment success was
                 best using cine volumetric measurements (cutoff value for
                 diastolic volume, 112 mL) yielding a sensitivity and
                 specificity of 80\% and 70\%, respectively. CONCLUSION:
                 Left-atrial volumetry based on cine imaging represented
                 the most reproducible approach to determine left-atrial
                 size. PVI success was predicted best using cine volumetry.",
  bibdate =      "Wed Aug 3 07:14:08 2011",
}

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