Table 4

Published data on estimation of RV volumes by different echocardiographic techniques compared with values derived from magnetic resonance imaging

Echo method and referencePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibility (EDV)
ICC (%) or limits of agreement (mL)
Test–retest
Method of discs
 Lu et al.98Healthy children2085r = 0.98r = 0.96r = 0.89−3.2 ± 7.0 mLIntra: 2.1 ± 5.3%
Inter: 5.4 ± 9.2%
 Renella et al.99Varied, including normal and CHD7058Intra: −1.9 mL (−5.1 to 1.3)
Inter: −2.0 mL (−6.0 to 2.1)
−0.50 (−3.5 to 2.5)
Semi-automated border detection
 Maffessanti et al.100Healthy adults54094Intraobserver COV 2–8.6%
Interobserver COV 7–15%
 Tamborini et al.101Healthy adults24594−10 mLIntra: 0.6 ± 5.1
Inter: 0.9 ± 20.3
0.2 ± 6.9
 Leibundgut et al.102Adults with cardiac dysfunction10092r = 0.84r = 0.83r = 0.72−10 mLIntra: ICC 0.93
Inter: ICC 0.95
 Jenkins et al.103Adults with cardiac dysfunction5493r = 0.6r = 0.55r = 0.78−3 ± 10 mLIntra: r = 0.94, 1 ± 3 mL
Inter: r = 0.76, 0 ± 10
r = 0.91, 0 ± 5
 Dragulescu et al.104Children with CHD70 (36 vs. MRI)91r = 0.98r = 0.98r = 0.8518.2 ± 17.8Intra: COV 5.4
Inter: 8
 Khoo et al.17Children with CHD5452r = 0.91r = 0.9r = 0.76−19.3 ± 6 14Inter: ICC 0.97, 11.6 ± 7.0
 Grewal et al.105Adults with CHD25r = 0.88r = 0.89−9%, max 34%Inter: 10%
 Van der Zwaan et al.106,107Adults with CHD6281r = 0.93r = 0.91r = 0.7434 mL
LOA −32 to 99
Intra: 1 ± 12
Inter: ±
7%
 Iriart et al.108Adults with repaired TOF3492r = 0.99
ICC = 0.99
r = 0.98
ICC = 0.98
r = 0.86
ICC = 0.85
18.7 ± 12.2Inter: 0.4 ± 0.3
 Grapsa et al.109Adults normal+PAH80r = 0.75
−3.7 mL
LOA 52.6 mL
r = 0.74−1.3%
LOA 12.5
Inter: ICC 0.8910.6%
Knowledge-based reconstruction
 Dragulescu et al.110Children with TOF30100r = 0.99r = 0.99r = 0.87−2.5 ± 3.7 mLIntra r = 0.997
Inter: r = 0.995
 Dragulescu et al.104Children with TOF (40 vs. MRI)7098r = 0.99r = 0.99r = 0.946.6 ± 10.7Intra: COV 3.4
Inter: COV 3.8
 Kutty et al.111Adolescents and adults with systemic RV15100r = 0.80r = 0.82r = 0.86−4.3%Intra: 3.2%
Inter: 4.6%
Single-beat full-volume capturePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibilityTest–retest
Zhang et al.112adults normal and with cardiac dysfunction6196.7r = 0.97
Bias: 2.16
LOA: 15.1
r = 0.96
Bias: 2.6
LOA: 15.8
r = 0.71
Bias: 0.86
LOA: 16
2Intra: ICC 0.97
Inter: ICC 0.97
EDV ICC 0.96, mean difference −1.7
Echo method and referencePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibility (EDV)
ICC (%) or limits of agreement (mL)
Test–retest
Method of discs
 Lu et al.98Healthy children2085r = 0.98r = 0.96r = 0.89−3.2 ± 7.0 mLIntra: 2.1 ± 5.3%
Inter: 5.4 ± 9.2%
 Renella et al.99Varied, including normal and CHD7058Intra: −1.9 mL (−5.1 to 1.3)
Inter: −2.0 mL (−6.0 to 2.1)
−0.50 (−3.5 to 2.5)
Semi-automated border detection
 Maffessanti et al.100Healthy adults54094Intraobserver COV 2–8.6%
Interobserver COV 7–15%
 Tamborini et al.101Healthy adults24594−10 mLIntra: 0.6 ± 5.1
Inter: 0.9 ± 20.3
0.2 ± 6.9
 Leibundgut et al.102Adults with cardiac dysfunction10092r = 0.84r = 0.83r = 0.72−10 mLIntra: ICC 0.93
Inter: ICC 0.95
 Jenkins et al.103Adults with cardiac dysfunction5493r = 0.6r = 0.55r = 0.78−3 ± 10 mLIntra: r = 0.94, 1 ± 3 mL
Inter: r = 0.76, 0 ± 10
r = 0.91, 0 ± 5
 Dragulescu et al.104Children with CHD70 (36 vs. MRI)91r = 0.98r = 0.98r = 0.8518.2 ± 17.8Intra: COV 5.4
Inter: 8
 Khoo et al.17Children with CHD5452r = 0.91r = 0.9r = 0.76−19.3 ± 6 14Inter: ICC 0.97, 11.6 ± 7.0
 Grewal et al.105Adults with CHD25r = 0.88r = 0.89−9%, max 34%Inter: 10%
 Van der Zwaan et al.106,107Adults with CHD6281r = 0.93r = 0.91r = 0.7434 mL
LOA −32 to 99
Intra: 1 ± 12
Inter: ±
7%
 Iriart et al.108Adults with repaired TOF3492r = 0.99
ICC = 0.99
r = 0.98
ICC = 0.98
r = 0.86
ICC = 0.85
18.7 ± 12.2Inter: 0.4 ± 0.3
 Grapsa et al.109Adults normal+PAH80r = 0.75
−3.7 mL
LOA 52.6 mL
r = 0.74−1.3%
LOA 12.5
Inter: ICC 0.8910.6%
Knowledge-based reconstruction
 Dragulescu et al.110Children with TOF30100r = 0.99r = 0.99r = 0.87−2.5 ± 3.7 mLIntra r = 0.997
Inter: r = 0.995
 Dragulescu et al.104Children with TOF (40 vs. MRI)7098r = 0.99r = 0.99r = 0.946.6 ± 10.7Intra: COV 3.4
Inter: COV 3.8
 Kutty et al.111Adolescents and adults with systemic RV15100r = 0.80r = 0.82r = 0.86−4.3%Intra: 3.2%
Inter: 4.6%
Single-beat full-volume capturePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibilityTest–retest
Zhang et al.112adults normal and with cardiac dysfunction6196.7r = 0.97
Bias: 2.16
LOA: 15.1
r = 0.96
Bias: 2.6
LOA: 15.8
r = 0.71
Bias: 0.86
LOA: 16
2Intra: ICC 0.97
Inter: ICC 0.97
EDV ICC 0.96, mean difference −1.7

EDV, end-diastolic volume; ESV, end-systolic volume; EF, ejection fraction; RV, right ventricle; MRI, magnetic resonance imaging; Intra, intraobserver; Inter, interobserver; Bias, LOA, bias and limits of agreement between two methods assessed by Bland–Altman analysis; ICC, intra-class correlation coefficient.

Table 4

Published data on estimation of RV volumes by different echocardiographic techniques compared with values derived from magnetic resonance imaging

Echo method and referencePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibility (EDV)
ICC (%) or limits of agreement (mL)
Test–retest
Method of discs
 Lu et al.98Healthy children2085r = 0.98r = 0.96r = 0.89−3.2 ± 7.0 mLIntra: 2.1 ± 5.3%
Inter: 5.4 ± 9.2%
 Renella et al.99Varied, including normal and CHD7058Intra: −1.9 mL (−5.1 to 1.3)
Inter: −2.0 mL (−6.0 to 2.1)
−0.50 (−3.5 to 2.5)
Semi-automated border detection
 Maffessanti et al.100Healthy adults54094Intraobserver COV 2–8.6%
Interobserver COV 7–15%
 Tamborini et al.101Healthy adults24594−10 mLIntra: 0.6 ± 5.1
Inter: 0.9 ± 20.3
0.2 ± 6.9
 Leibundgut et al.102Adults with cardiac dysfunction10092r = 0.84r = 0.83r = 0.72−10 mLIntra: ICC 0.93
Inter: ICC 0.95
 Jenkins et al.103Adults with cardiac dysfunction5493r = 0.6r = 0.55r = 0.78−3 ± 10 mLIntra: r = 0.94, 1 ± 3 mL
Inter: r = 0.76, 0 ± 10
r = 0.91, 0 ± 5
 Dragulescu et al.104Children with CHD70 (36 vs. MRI)91r = 0.98r = 0.98r = 0.8518.2 ± 17.8Intra: COV 5.4
Inter: 8
 Khoo et al.17Children with CHD5452r = 0.91r = 0.9r = 0.76−19.3 ± 6 14Inter: ICC 0.97, 11.6 ± 7.0
 Grewal et al.105Adults with CHD25r = 0.88r = 0.89−9%, max 34%Inter: 10%
 Van der Zwaan et al.106,107Adults with CHD6281r = 0.93r = 0.91r = 0.7434 mL
LOA −32 to 99
Intra: 1 ± 12
Inter: ±
7%
 Iriart et al.108Adults with repaired TOF3492r = 0.99
ICC = 0.99
r = 0.98
ICC = 0.98
r = 0.86
ICC = 0.85
18.7 ± 12.2Inter: 0.4 ± 0.3
 Grapsa et al.109Adults normal+PAH80r = 0.75
−3.7 mL
LOA 52.6 mL
r = 0.74−1.3%
LOA 12.5
Inter: ICC 0.8910.6%
Knowledge-based reconstruction
 Dragulescu et al.110Children with TOF30100r = 0.99r = 0.99r = 0.87−2.5 ± 3.7 mLIntra r = 0.997
Inter: r = 0.995
 Dragulescu et al.104Children with TOF (40 vs. MRI)7098r = 0.99r = 0.99r = 0.946.6 ± 10.7Intra: COV 3.4
Inter: COV 3.8
 Kutty et al.111Adolescents and adults with systemic RV15100r = 0.80r = 0.82r = 0.86−4.3%Intra: 3.2%
Inter: 4.6%
Single-beat full-volume capturePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibilityTest–retest
Zhang et al.112adults normal and with cardiac dysfunction6196.7r = 0.97
Bias: 2.16
LOA: 15.1
r = 0.96
Bias: 2.6
LOA: 15.8
r = 0.71
Bias: 0.86
LOA: 16
2Intra: ICC 0.97
Inter: ICC 0.97
EDV ICC 0.96, mean difference −1.7
Echo method and referencePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibility (EDV)
ICC (%) or limits of agreement (mL)
Test–retest
Method of discs
 Lu et al.98Healthy children2085r = 0.98r = 0.96r = 0.89−3.2 ± 7.0 mLIntra: 2.1 ± 5.3%
Inter: 5.4 ± 9.2%
 Renella et al.99Varied, including normal and CHD7058Intra: −1.9 mL (−5.1 to 1.3)
Inter: −2.0 mL (−6.0 to 2.1)
−0.50 (−3.5 to 2.5)
Semi-automated border detection
 Maffessanti et al.100Healthy adults54094Intraobserver COV 2–8.6%
Interobserver COV 7–15%
 Tamborini et al.101Healthy adults24594−10 mLIntra: 0.6 ± 5.1
Inter: 0.9 ± 20.3
0.2 ± 6.9
 Leibundgut et al.102Adults with cardiac dysfunction10092r = 0.84r = 0.83r = 0.72−10 mLIntra: ICC 0.93
Inter: ICC 0.95
 Jenkins et al.103Adults with cardiac dysfunction5493r = 0.6r = 0.55r = 0.78−3 ± 10 mLIntra: r = 0.94, 1 ± 3 mL
Inter: r = 0.76, 0 ± 10
r = 0.91, 0 ± 5
 Dragulescu et al.104Children with CHD70 (36 vs. MRI)91r = 0.98r = 0.98r = 0.8518.2 ± 17.8Intra: COV 5.4
Inter: 8
 Khoo et al.17Children with CHD5452r = 0.91r = 0.9r = 0.76−19.3 ± 6 14Inter: ICC 0.97, 11.6 ± 7.0
 Grewal et al.105Adults with CHD25r = 0.88r = 0.89−9%, max 34%Inter: 10%
 Van der Zwaan et al.106,107Adults with CHD6281r = 0.93r = 0.91r = 0.7434 mL
LOA −32 to 99
Intra: 1 ± 12
Inter: ±
7%
 Iriart et al.108Adults with repaired TOF3492r = 0.99
ICC = 0.99
r = 0.98
ICC = 0.98
r = 0.86
ICC = 0.85
18.7 ± 12.2Inter: 0.4 ± 0.3
 Grapsa et al.109Adults normal+PAH80r = 0.75
−3.7 mL
LOA 52.6 mL
r = 0.74−1.3%
LOA 12.5
Inter: ICC 0.8910.6%
Knowledge-based reconstruction
 Dragulescu et al.110Children with TOF30100r = 0.99r = 0.99r = 0.87−2.5 ± 3.7 mLIntra r = 0.997
Inter: r = 0.995
 Dragulescu et al.104Children with TOF (40 vs. MRI)7098r = 0.99r = 0.99r = 0.946.6 ± 10.7Intra: COV 3.4
Inter: COV 3.8
 Kutty et al.111Adolescents and adults with systemic RV15100r = 0.80r = 0.82r = 0.86−4.3%Intra: 3.2%
Inter: 4.6%
Single-beat full-volume capturePopulationNFeasibility (%)EDV correlation/agreement with MRIESV correlation with MRIEF correlation with MRIMean difference EDVReproducibilityTest–retest
Zhang et al.112adults normal and with cardiac dysfunction6196.7r = 0.97
Bias: 2.16
LOA: 15.1
r = 0.96
Bias: 2.6
LOA: 15.8
r = 0.71
Bias: 0.86
LOA: 16
2Intra: ICC 0.97
Inter: ICC 0.97
EDV ICC 0.96, mean difference −1.7

EDV, end-diastolic volume; ESV, end-systolic volume; EF, ejection fraction; RV, right ventricle; MRI, magnetic resonance imaging; Intra, intraobserver; Inter, interobserver; Bias, LOA, bias and limits of agreement between two methods assessed by Bland–Altman analysis; ICC, intra-class correlation coefficient.

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