author_facet Chouliaras, Giorgos L.
Kattamis, Antonis
Berdoukas, Vasilis
Gotsis, Efstathios D.
Mavrogeni, Sophie
Ladis, Vassilis
Chouliaras, Giorgos L.
Kattamis, Antonis
Berdoukas, Vasilis
Gotsis, Efstathios D.
Mavrogeni, Sophie
Ladis, Vassilis
author Chouliaras, Giorgos L.
Kattamis, Antonis
Berdoukas, Vasilis
Gotsis, Efstathios D.
Mavrogeni, Sophie
Ladis, Vassilis
spellingShingle Chouliaras, Giorgos L.
Kattamis, Antonis
Berdoukas, Vasilis
Gotsis, Efstathios D.
Mavrogeni, Sophie
Ladis, Vassilis
British Journal of Haematology
Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
Hematology
author_sort chouliaras, giorgos l.
spelling Chouliaras, Giorgos L. Kattamis, Antonis Berdoukas, Vasilis Gotsis, Efstathios D. Mavrogeni, Sophie Ladis, Vassilis 0007-1048 1365-2141 Wiley Hematology http://dx.doi.org/10.1111/j.1365-2141.2010.08365.x <jats:title>Summary</jats:title><jats:p>Cardiac Magnetic Resonance (CMR) has replaced all other surrogate measurements in the determination of transfusional cardiac iron overload in patients with thalassaemia major. We aimed to determine the diagnostic value of CMR T2* with respect to cardiac dysfunction (CD) as determined by CMR‐derived left ventricular ejection fraction (LVEF). Cardiac T2* values and LVEF measured by CMR were recorded in 303 patients with thalassaemia major, at the time of their first CMR. T2* was correlated with LVEF (regression coefficient: 0·57, <jats:italic>P</jats:italic> &lt; 0·001). The prevalence of CD was 32·9% in patients with T2* ≤ 8 ms, 12·5% in patients with T2* &gt; 8 ms and ≤14 ms and reduced to 9·1% in patients with T2* between 14–20 ms. As the probability of CD is progressively, and not suddenly, reduced with increasing values of T2*, CMR has a limited diagnostic value for CD (Receiver operating characteristic analysis, area under the curve = 0·68). Patients with cardiac T2* ≤ 8 ms require careful and intensive management. This risk decreases with increasing values of T2* but even in mildly loaded patients the probability of impaired LVEF is not negligible.</jats:p> Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction British Journal of Haematology
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series British Journal of Haematology
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title Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_unstemmed Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_full Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_fullStr Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_full_unstemmed Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_short Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_sort cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
topic Hematology
url http://dx.doi.org/10.1111/j.1365-2141.2010.08365.x
publishDate 2010
physical 397-401
description <jats:title>Summary</jats:title><jats:p>Cardiac Magnetic Resonance (CMR) has replaced all other surrogate measurements in the determination of transfusional cardiac iron overload in patients with thalassaemia major. We aimed to determine the diagnostic value of CMR T2* with respect to cardiac dysfunction (CD) as determined by CMR‐derived left ventricular ejection fraction (LVEF). Cardiac T2* values and LVEF measured by CMR were recorded in 303 patients with thalassaemia major, at the time of their first CMR. T2* was correlated with LVEF (regression coefficient: 0·57, <jats:italic>P</jats:italic> &lt; 0·001). The prevalence of CD was 32·9% in patients with T2* ≤ 8 ms, 12·5% in patients with T2* &gt; 8 ms and ≤14 ms and reduced to 9·1% in patients with T2* between 14–20 ms. As the probability of CD is progressively, and not suddenly, reduced with increasing values of T2*, CMR has a limited diagnostic value for CD (Receiver operating characteristic analysis, area under the curve = 0·68). Patients with cardiac T2* ≤ 8 ms require careful and intensive management. This risk decreases with increasing values of T2* but even in mildly loaded patients the probability of impaired LVEF is not negligible.</jats:p>
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author Chouliaras, Giorgos L., Kattamis, Antonis, Berdoukas, Vasilis, Gotsis, Efstathios D., Mavrogeni, Sophie, Ladis, Vassilis
author_facet Chouliaras, Giorgos L., Kattamis, Antonis, Berdoukas, Vasilis, Gotsis, Efstathios D., Mavrogeni, Sophie, Ladis, Vassilis, Chouliaras, Giorgos L., Kattamis, Antonis, Berdoukas, Vasilis, Gotsis, Efstathios D., Mavrogeni, Sophie, Ladis, Vassilis
author_sort chouliaras, giorgos l.
container_issue 4
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container_volume 151
description <jats:title>Summary</jats:title><jats:p>Cardiac Magnetic Resonance (CMR) has replaced all other surrogate measurements in the determination of transfusional cardiac iron overload in patients with thalassaemia major. We aimed to determine the diagnostic value of CMR T2* with respect to cardiac dysfunction (CD) as determined by CMR‐derived left ventricular ejection fraction (LVEF). Cardiac T2* values and LVEF measured by CMR were recorded in 303 patients with thalassaemia major, at the time of their first CMR. T2* was correlated with LVEF (regression coefficient: 0·57, <jats:italic>P</jats:italic> &lt; 0·001). The prevalence of CD was 32·9% in patients with T2* ≤ 8 ms, 12·5% in patients with T2* &gt; 8 ms and ≤14 ms and reduced to 9·1% in patients with T2* between 14–20 ms. As the probability of CD is progressively, and not suddenly, reduced with increasing values of T2*, CMR has a limited diagnostic value for CD (Receiver operating characteristic analysis, area under the curve = 0·68). Patients with cardiac T2* ≤ 8 ms require careful and intensive management. This risk decreases with increasing values of T2* but even in mildly loaded patients the probability of impaired LVEF is not negligible.</jats:p>
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spelling Chouliaras, Giorgos L. Kattamis, Antonis Berdoukas, Vasilis Gotsis, Efstathios D. Mavrogeni, Sophie Ladis, Vassilis 0007-1048 1365-2141 Wiley Hematology http://dx.doi.org/10.1111/j.1365-2141.2010.08365.x <jats:title>Summary</jats:title><jats:p>Cardiac Magnetic Resonance (CMR) has replaced all other surrogate measurements in the determination of transfusional cardiac iron overload in patients with thalassaemia major. We aimed to determine the diagnostic value of CMR T2* with respect to cardiac dysfunction (CD) as determined by CMR‐derived left ventricular ejection fraction (LVEF). Cardiac T2* values and LVEF measured by CMR were recorded in 303 patients with thalassaemia major, at the time of their first CMR. T2* was correlated with LVEF (regression coefficient: 0·57, <jats:italic>P</jats:italic> &lt; 0·001). The prevalence of CD was 32·9% in patients with T2* ≤ 8 ms, 12·5% in patients with T2* &gt; 8 ms and ≤14 ms and reduced to 9·1% in patients with T2* between 14–20 ms. As the probability of CD is progressively, and not suddenly, reduced with increasing values of T2*, CMR has a limited diagnostic value for CD (Receiver operating characteristic analysis, area under the curve = 0·68). Patients with cardiac T2* ≤ 8 ms require careful and intensive management. This risk decreases with increasing values of T2* but even in mildly loaded patients the probability of impaired LVEF is not negligible.</jats:p> Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction British Journal of Haematology
spellingShingle Chouliaras, Giorgos L., Kattamis, Antonis, Berdoukas, Vasilis, Gotsis, Efstathios D., Mavrogeni, Sophie, Ladis, Vassilis, British Journal of Haematology, Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction, Hematology
title Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_full Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_fullStr Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_full_unstemmed Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_short Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_sort cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
title_unstemmed Cardiac magnetic resonance in transfusion dependent thalassaemia: assessment of iron load and relationship to left ventricular ejection fraction
topic Hematology
url http://dx.doi.org/10.1111/j.1365-2141.2010.08365.x