Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
- Autores
- Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; Rodriguez Granillo, Gaston Alfredo; Martínez Ferro, Marcelo
- Año de publicación
- 2018
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.
Fil: Deviggiano, Alejandro. No especifíca;
Fil: Carrascosa, Patricia. No especifíca;
Fil: Vallejos, Javier. No especifíca;
Fil: Bellia Munzon, Gaston. No especifíca;
Fil: Vina, Natalia. No especifíca;
Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; Argentina
Fil: Martínez Ferro, Marcelo. No especifíca; - Materia
-
CARDIAC MAGNETIC RESONANCE
CHEST WALL INDEXES
COMPUTED TOMOGRAPHY
PECTUS EXCAVATUM
RIGHT VENTRICLE COMPRESSION - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/160746
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Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatumDeviggiano, AlejandroCarrascosa, PatriciaVallejos, JavierBellia Munzon, GastonVina, NataliaRodriguez Granillo, Gaston AlfredoMartínez Ferro, MarceloCARDIAC MAGNETIC RESONANCECHEST WALL INDEXESCOMPUTED TOMOGRAPHYPECTUS EXCAVATUMRIGHT VENTRICLE COMPRESSIONhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.Fil: Deviggiano, Alejandro. No especifíca;Fil: Carrascosa, Patricia. No especifíca;Fil: Vallejos, Javier. No especifíca;Fil: Bellia Munzon, Gaston. No especifíca;Fil: Vina, Natalia. No especifíca;Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; ArgentinaFil: Martínez Ferro, Marcelo. No especifíca;W B Saunders Co-Elsevier Inc2018-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/160746Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-22980022-3468CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0022346818303634info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jpedsurg.2018.05.015info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:32:43Zoai:ri.conicet.gov.ar:11336/160746instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:32:43.967CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
title |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
spellingShingle |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum Deviggiano, Alejandro CARDIAC MAGNETIC RESONANCE CHEST WALL INDEXES COMPUTED TOMOGRAPHY PECTUS EXCAVATUM RIGHT VENTRICLE COMPRESSION |
title_short |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
title_full |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
title_fullStr |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
title_full_unstemmed |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
title_sort |
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum |
dc.creator.none.fl_str_mv |
Deviggiano, Alejandro Carrascosa, Patricia Vallejos, Javier Bellia Munzon, Gaston Vina, Natalia Rodriguez Granillo, Gaston Alfredo Martínez Ferro, Marcelo |
author |
Deviggiano, Alejandro |
author_facet |
Deviggiano, Alejandro Carrascosa, Patricia Vallejos, Javier Bellia Munzon, Gaston Vina, Natalia Rodriguez Granillo, Gaston Alfredo Martínez Ferro, Marcelo |
author_role |
author |
author2 |
Carrascosa, Patricia Vallejos, Javier Bellia Munzon, Gaston Vina, Natalia Rodriguez Granillo, Gaston Alfredo Martínez Ferro, Marcelo |
author2_role |
author author author author author author |
dc.subject.none.fl_str_mv |
CARDIAC MAGNETIC RESONANCE CHEST WALL INDEXES COMPUTED TOMOGRAPHY PECTUS EXCAVATUM RIGHT VENTRICLE COMPRESSION |
topic |
CARDIAC MAGNETIC RESONANCE CHEST WALL INDEXES COMPUTED TOMOGRAPHY PECTUS EXCAVATUM RIGHT VENTRICLE COMPRESSION |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes. Fil: Deviggiano, Alejandro. No especifíca; Fil: Carrascosa, Patricia. No especifíca; Fil: Vallejos, Javier. No especifíca; Fil: Bellia Munzon, Gaston. No especifíca; Fil: Vina, Natalia. No especifíca; Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; Argentina Fil: Martínez Ferro, Marcelo. No especifíca; |
description |
Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/160746 Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-2298 0022-3468 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/160746 |
identifier_str_mv |
Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-2298 0022-3468 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0022346818303634 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jpedsurg.2018.05.015 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
W B Saunders Co-Elsevier Inc |
publisher.none.fl_str_mv |
W B Saunders Co-Elsevier Inc |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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1844613000154054656 |
score |
13.070432 |