How to plan an overlap-free projection on CTA or fluoroscopy to facilitate quantitative analysis of aortic regurgitation

Justin Teng; Vincent Nijenhuis; Martin Swaans; Gerald Yong; Carl Schultz

doi:10.4244/EIJ-D-17-00080

How to plan an overlap-free projection on CTA or fluoroscopy to facilitate quantitative analysis of aortic regurgitation

Justin Teng, Vincent Nijenhuis, Martin Swaans, Gerald Yong, Carl Schultz

UWA Medical School

Research output: Contribution to journal › Article

2 Citations (Scopus)

Abstract

AIMS: Assessment of para-valvular aortic regurgitation remains challenging. Quantitative video-densitometry is an effective technique however overlap of the aorta and left ventricle (LV) limits feasibility. We aimed to develop and validate a method to determine an 'Overlap Free Projection' (OFP).

METHODS AND RESULTS: 65 computed tomography scans of patients referred for transcatheter aortic valve implantation were analysed using 3D reconstruction to evaluate the OFP. We observed that the relative position of the descending aorta to the LV and aortic root determines the OFP and developed a rule based on this data. 81 fluoroscopic cases were assessed for validation. The OFP was determined in a significantly greater proportion of cases that followed the rule compared to those that did not (98% vs. 45%, p<0.001).

CONCLUSIONS: The OFP rule is a straightforward method to reliably determine a patient-specific OFP for contrast aortography.

Original language	English
Pages (from-to)	1652-1654
Journal	EuroIntervention
Volume	13
Issue number	14
DOIs	https://doi.org/10.4244/EIJ-D-17-00080
Publication status	Published - 20 Feb 2018

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Teng, J., Nijenhuis, V., Swaans, M., Yong, G., & Schultz, C. (2018). How to plan an overlap-free projection on CTA or fluoroscopy to facilitate quantitative analysis of aortic regurgitation. EuroIntervention, 13(14), 1652-1654. https://doi.org/10.4244/EIJ-D-17-00080

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abstract = "AIMS: Assessment of para-valvular aortic regurgitation remains challenging. Quantitative video-densitometry is an effective technique however overlap of the aorta and left ventricle (LV) limits feasibility. We aimed to develop and validate a method to determine an 'Overlap Free Projection' (OFP).METHODS AND RESULTS: 65 computed tomography scans of patients referred for transcatheter aortic valve implantation were analysed using 3D reconstruction to evaluate the OFP. We observed that the relative position of the descending aorta to the LV and aortic root determines the OFP and developed a rule based on this data. 81 fluoroscopic cases were assessed for validation. The OFP was determined in a significantly greater proportion of cases that followed the rule compared to those that did not (98{\%} vs. 45{\%}, p<0.001).CONCLUSIONS: The OFP rule is a straightforward method to reliably determine a patient-specific OFP for contrast aortography.",

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AU - Schultz, Carl

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AB - AIMS: Assessment of para-valvular aortic regurgitation remains challenging. Quantitative video-densitometry is an effective technique however overlap of the aorta and left ventricle (LV) limits feasibility. We aimed to develop and validate a method to determine an 'Overlap Free Projection' (OFP).METHODS AND RESULTS: 65 computed tomography scans of patients referred for transcatheter aortic valve implantation were analysed using 3D reconstruction to evaluate the OFP. We observed that the relative position of the descending aorta to the LV and aortic root determines the OFP and developed a rule based on this data. 81 fluoroscopic cases were assessed for validation. The OFP was determined in a significantly greater proportion of cases that followed the rule compared to those that did not (98% vs. 45%, p<0.001).CONCLUSIONS: The OFP rule is a straightforward method to reliably determine a patient-specific OFP for contrast aortography.

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10.4244/EIJ-D-17-00080