{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T19:46:24Z","timestamp":1780343184839,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T00:00:00Z","timestamp":1442534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>There are different clinical cardiac applications of dual source computed tomography (<jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content>). Here, we aimed to compare the <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> with the transthoracic echocardiography (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>) for evaluating the Wilkins score and planimetric mitral valve area (<jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content>) of a rheumatic stenotic mitral valve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We prospectively evaluated mitral valvular structure and function in 31 patients with known mitral stenosis undergoing electrocardiogram\u2010gated, second\u2010generation <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content>, in our heart center for different indications. Mitral valve was evaluated using Wilkins score, and also, the planimetric <jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content> was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a significant difference between <jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content>s determined by <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> (average 1.42 \u00b1 0.44 cm<jats:sup>2<\/jats:sup>) and <jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content>s determined by <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> (average 1.35 \u00b1 0.43 cm<jats:sup>2<\/jats:sup>; difference 0.07 \u00b1 0.16 cm<jats:sup>2<\/jats:sup>; P = 0.018). Linear regression analysis revealed a good correlation between the two techniques (r = 0.934; P &lt; 0.0001). The limits of agreement for <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> in the Bland\u2013Altman analysis were \u00b10.31 cm<jats:sup>2<\/jats:sup>. <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> using <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> as the reference enabled good discrimination between mild and moderate\u2010to\u2010severe stenosis and had an area under the <jats:styled-content style=\"fixed-case\">ROC<\/jats:styled-content> curve of 0.967 (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.912\u20131.023; P &lt; 0.0001). Wilkins scores obtained by <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> (7.51 \u00b1 1.17, range 5\u201310) and <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> (8.16 \u00b1 1.27, range 6\u201310) had a moderate correlation (r = 0.686; P &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found that planimetric <jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content> measurements assessed by <jats:styled-content style=\"fixed-case\">DSCT<\/jats:styled-content> were closely correlated with <jats:styled-content style=\"fixed-case\">MVA<\/jats:styled-content> calculations by <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>. The moderate correlation was observed for the Wilkins score.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.13076","type":"journal-article","created":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T13:11:49Z","timestamp":1442581909000},"page":"346-352","source":"Crossref","is-referenced-by-count":10,"title":["Cardiac Computed Tomography versus Echocardiography in the Assessment of Stenotic Rheumatic Mitral Valve"],"prefix":"10.1111","volume":"33","author":[{"given":"Hale","family":"Unal Aksu","sequence":"first","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevket","family":"Gorgulu","sequence":"additional","affiliation":[{"name":"Cardiology Department Acibadem University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Diker","sequence":"additional","affiliation":[{"name":"Radiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Celik","sequence":"additional","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huseyin","family":"Aksu","sequence":"additional","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"K\u0131r\u0131s","sequence":"additional","affiliation":[{"name":"Radiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Kemal","family":"Kalkan","sequence":"additional","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Erturk","sequence":"additional","affiliation":[{"name":"Cardiology Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130hsan","family":"Bak\u0131r","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm095"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0b013e318250eaaa"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs109"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.60.4.299"},{"key":"e_1_2_6_6_1","first-page":"13","article-title":"Assessment of planimetric mitral valve area using 16\u2010row multidetector computed tomography in patients with rheumatic mitral stenosis","volume":"20","author":"U\u00e7ar O","year":"2011","journal-title":"J Heart Valve Dis"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.04.035"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.5132"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00326-9"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2008.11.029"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(90)90592-D"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2005.05.015"},{"key":"e_1_2_6_13_1","first-page":"204","article-title":"Influence of different echocardiographic imaging modes on the assessment of anterior mitral leaflet thickness","volume":"14","author":"Gorgulu S","year":"2005","journal-title":"J Heart Valve 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