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Extent of myocardial noncompaction: comparison between MRI and echocardiographic evaluation

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Abstract

Background: Noncompaction of the left ventricular myocardium is an important cause of cardiomyopathy. There is no clear consensus about its diagnostic criteria or the diagnostic test of choice. MRI is increasingly used in the pediatric cardiac field because of its superior and objective image quality. Objective: To compare the echocardiographic and MRI findings in four patients with recently diagnosed ventricular noncompaction. Materials and methods: We compared the extent of myocardial involvement shown at MRI and echocardiography in four individuals, two patients with echocardiographic diagnosis of left ventricular noncompaction, and two family members of one of the patients. Results: In all patients, MRI showed wider area of involvement than echocardiography. A definite diagnosis was entertained in only two patients by echocardiography but in all by MRI. Cine imaging was diagnostic of the disease in all patients. Black-blood pool imaging with double-inversion recovery sequence also helped to visualize the abnormal areas by showing slow flow artifacts in the four- and two-chamber images. Conclusion: MRI provided better delineation of the extent of the abnormal trabeculation in patients with noncompaction of the left ventricular myocardium. It was particularly useful when the myocardial involvement was subtle, as in the asymptomatic family members.

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References

  1. Chin TK, Perloff JK, Williams RG, et al (1990) Isolated noncompaction of left ventricular myocardium. A study of eight cases. Circulation 82:507–513

    PubMed  Google Scholar 

  2. Ritter M, Oechslin E, Sutsch G, et al (1997) Isolated noncompaction of the myocardium in adults. Mayo Clin Proc 72:26–31

    PubMed  Google Scholar 

  3. Oechslin EN, Attenhofer Jost CH, Rojas JR, et al (2000) Long-term follow-up of 34 adults with isolated left ventricular noncompaction: a distinct cardiomyopathy with poor prognosis. J Am Coll Cardiol 36:493–500

    Article  PubMed  Google Scholar 

  4. Ichida F, Hamamichi Y, Miyawaki T, et al (1999) Clinical features of isolated noncompaction of the ventricular myocardium: long-term clinical course, hemodynamic properties, and genetic background. J Am Coll Cardiol 34:233–240

    Article  PubMed  Google Scholar 

  5. Pignatelli RH, McMahon CJ, Dreyer WJ, et al (2003) Clinical characterization of left ventricular noncompaction in children: a relatively common form of cardiomyopathy. Circulation 108:2672–2678

    Article  PubMed  Google Scholar 

  6. Stollberger C, Finsterer J (2004) Left ventricular hypertrabeculation/noncompaction. J Am Soc Echocardiogr 17:91–100

    Article  PubMed  Google Scholar 

  7. Richardson P, McKenna W, Bristow M, et al (1996) Report of the 1995 World Health Organization/International Society and Federation of Cardiology Task Force on the Definition and Classification of cardiomyopathies. Circulation 93:841–842

    PubMed  Google Scholar 

  8. Jenni R, Oechslin E, Schneider J, et al (2001) Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart 86:666–671

    Article  PubMed  Google Scholar 

  9. Sengupta PP, Mohan JC, Mehta V, et al (2004) Comparison of echocardiographic features of noncompaction of the left ventricle in adults versus idiopathic dilated cardiomyopathy in adults. Am J Cardiol 94:389–391

    Article  PubMed  Google Scholar 

  10. McCrohon JA, Richmond DR, Pennell DJ, et al (2002) Images in cardiovascular medicine. Isolated noncompaction of the myocardium: a rarity or missed diagnosis? Circulation 106:e22–23

    Article  PubMed  Google Scholar 

  11. Daimon Y, Watanabe S, Takeda S, et al (2002) Two-layered appearance of noncompaction of the ventricular myocardium on magnetic resonance imaging. Circ J 66:619–621

    Article  PubMed  Google Scholar 

  12. Borreguero LJ, Corti R, de Soria RF, et al (2002) Images in cardiovascular medicine. Diagnosis of isolated noncompaction of the myocardium by magnetic resonance imaging. Circulation 105:E177–178

    PubMed  Google Scholar 

  13. Korcyk D, Edwards CC, Armstrong G, et al (2004) Contrast-enhanced cardiac magnetic resonance in a patient with familial isolated ventricular non-compaction. J Cardiovasc Magn Reson 6:569–576

    Article  PubMed  Google Scholar 

  14. Baumhakel M, Janzen I, Kindermann M, et al (2002) Images in cardiovascular medicine. Cardiac imaging in isolated noncompaction of ventricular myocardium. Circulation 106:e16–17

    Article  PubMed  Google Scholar 

  15. Koo BK, Choi D, Ha JW, et al (2002) Isolated noncompaction of the ventricular myocardium: contrast echocardiographic findings and review of the literature. Echocardiography 19:153–156

    Article  PubMed  Google Scholar 

  16. Lowery MH, Martel JA, Zambrano JP, et al (2003) Noncompaction of the ventricular myocardium: the use of contrast-enhanced echocardiography in diagnosis. J Am Soc Echocardiogr 16:94–96

    PubMed  Google Scholar 

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Correspondence to Shi-Joon Yoo.

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Alhabshan, F., Smallhorn, J.F., Golding, F. et al. Extent of myocardial noncompaction: comparison between MRI and echocardiographic evaluation. Pediatr Radiol 35, 1147–1151 (2005). https://doi.org/10.1007/s00247-005-1551-2

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  • DOI: https://doi.org/10.1007/s00247-005-1551-2

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