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A New modified anthropometric haller index obtained without radiological exposure

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Abstract

To validate a new modified method for measuring the anthropometric Haller index (HI), obtained without radiological exposure. This new method was based on the use of a rigid ruler and of a 2.5 MHz ultrasound transducer for the assessment of latero-lateral and antero-posterior chest diameters, respectively. We enrolled 100 consecutive patients (mean age 67.9 ± 14.5 years, 55% males), who underwent a two-plane CXR, for any clinical indication, over a four-month period. In all patients, the same radiologist calculated the conventional radiological HI (mean value 1.93 ± 0.35) and the same cardiologist used the above described new technique to measure the modified HI (mean value 1.99 ± 0.26). The Bland–Altman analysis showed tight limits of agreement (+ 0.37; − 0.51) between the two measurement methods, with a mild systematic overestimation of the new method as compared to the standard radiological HI. The Pearson’s correlation analysis highlighted a strong correlation between the two methods (r = 0.81, p < 0.0001), while the Student’s t test demonstrated a not statistically difference between the means (p = 0.12). The modified HI might allow a quick description of the chest conformation without radiological exposure and a more immediate comprehension of its possible influence on the cardiac kinetics and function, as assessed by echocardiography or other imaging modalities.

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Authors and Affiliations

  1. Unità Operativa di Cardiologia, Ospedale San Giuseppe Multimedica IRCCS, Via San Vittore 12, 20123, Milan, Italy

    Andrea Sonaglioni, Massimo Baravelli, Antonio Vincenti & Michele Lombardo

  2. Istituto di Radiologia, Ospedale San Giuseppe Multimedica IRCCS, Via San Vittore 12, 20123, Milan, Italy

    Roberta Trevisan & Maurizio Zompatori

  3. Unità Operativa di Cardiologia, Policlinico San Giorgio, Via Agostino Gemelli 10, 33170, Pordenone, Italy

    Gian Luigi Nicolosi

  4. Dipartimento Cardiovascolare, Multimedica IRCCS, Via Milanese 300, 20099, Sesto San Giovanni, MI, Italy

    Claudio Anzà

Authors
  1. Andrea Sonaglioni
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  2. Massimo Baravelli
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  3. Antonio Vincenti
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  4. Roberta Trevisan
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  5. Maurizio Zompatori
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  6. Gian Luigi Nicolosi
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  7. Michele Lombardo
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  8. Claudio Anzà
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Corresponding author

Correspondence to Andrea Sonaglioni.

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Conflict of interest

We wish to confirm that there are no conflicts of interest associated with this publication. Andrea Sonaglioni declares that he has no conflict of interest. Massimo Baravelli declares that he has no conflict of interest. Antonio Vincenti declares that he has no conflict of interest. Roberta Trevisan declares that she has no conflict of interest. Maurizio Zompatori declares that he has no conflict of interest. Gian Luigi Nicolosi declares that he has no conflict of interest. Michele Lombardo declares that he has no conflict of interest. Claudio Anzà declares that he has no conflict of interest.

Ethical standard

All procedures performed in the present study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Sonaglioni, A., Baravelli, M., Vincenti, A. et al. A New modified anthropometric haller index obtained without radiological exposure. Int J Cardiovasc Imaging 34, 1505–1509 (2018). https://doi.org/10.1007/s10554-018-1366-5

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  • DOI: https://doi.org/10.1007/s10554-018-1366-5

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