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Angiology
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Reliability of Three Computer Methods in the Analysis of ECG-Gated Radionuclide Left Ventriculography: Interrecording, Interobserver and Intraobserver Variability

Finn Taagehøj Jensen

Department of Clinical Physiology and Nuclear Medicine, Aarhus Kommunehospital-University Hospital

Ole Lund

Department of Thoracic and Cardiovascular Surgery, Skejby Sygehus-Aarhus University Hospital

Mogens Erlandsen

Department of Theoretical Statistics and Institute of Experimental Clinical Research, Aarhus University, Aarhus, Denmark

Three different computer methods for analysis of systolic and diastolic left ventricular function (ejection fraction, peak ejection rate, time to peak ejection rate, peak filling rate, time to peak filling rate, duration of fast filling phase, and fast filling fraction) as derived from ECG-gated radionuclide cardiography were compared in 30 patients with various diseases. The patients had two gam ma camera recordings of the left ventricle performed immediately following one another during radionuclide (99mTc) equilibrium (3 x 106 counts, 16 frames/cy cle, 64 x 64 pixels). Mean ECG R-R interval of the patients remained unchanged from first to second recording. The three computer methods were: (1) end-diastolic (ED) region of interest (ROI) analysis based on manually defined ED-ROI; (2) multi (M) ROI, manually defined ROI for each frame; and (3) semiautomatic (SA) ROI, ROI for each frame defined by an SA edge detection technique. With the 16 frame points as nodes, a 160-point time-activity curve was constructed for each of the three methods by use of a spline function. A tailored multiway analysis of variance showed that the M-ROI method had the highest interindividu al range of values of the function parameters and the smallest interrecording, interobserver, and intraobserver variabilities. In theory this implies a better di agnostic sensitivity and specificity for the M-ROI method as compared with the other two methods.

Angiology, Vol. 42, No. 11, 866-877 (1991)
DOI: 10.1177/000331979104201102
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