Global and regional left ventricular myocardial deformation measures by magnetic resonance feature tracking in healthy volunteers: comparison with tagging and relevance of gender

Autor: Harald Becher, Daniel Augustine, Steffen E. Petersen, Paul Leeson, Merzaka Lazdam, Aitzaz Bin Sultan Rai, Saul G. Myerson, Adam J. Lewandowski, A. Noble, Stefan Neubauer, Jane M Francis
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
Coefficient of variation
Magnetic Resonance Imaging
Cine

030204 cardiovascular system & hematology
Deformation (meteorology)
Myocardial velocity
Ventricular Function
Left

030218 nuclear medicine & medical imaging
Strain
03 medical and health sciences
Young Adult
0302 clinical medicine
Nuclear magnetic resonance
Sex Factors
Tagging
Predictive Value of Tests
Healthy volunteers
Image Interpretation
Computer-Assisted

medicine
Humans
Radiology
Nuclear Medicine and imaging

Medicine(all)
Observer Variation
Reproducibility
Analysis of Variance
Radiological and Ultrasound Technology
medicine.diagnostic_test
business.industry
Research
Myocardial displacement
Reproducibility of Results
Magnetic resonance imaging
Steady-state free precession imaging
Myocardial Contraction
Biomechanical Phenomena
Feature tracking
Cardiovascular magnetic resonance
Female
Cardiology and Cardiovascular Medicine
business
Nuclear medicine
Radial stress
Software
Zdroj: Journal of Cardiovascular Magnetic Resonance
DOI: 10.1186/1532-429x-15-8
Popis: Background Feature Tracking software offers measurements of myocardial strain, velocities and displacement from cine cardiovascular magnetic resonance (CMR) images. We used it to record deformation parameters in healthy adults and compared values to those obtained by tagging. Methods We used TomTec 2D Cardiac Performance Analysis software to derive global, regional and segmental myocardial deformation parameters in 145 healthy volunteers who had steady state free precession (SSFP) cine left ventricular short (basal, mid and apical levels) and long axis views (horizontal long axis, vertical long axis and left ventricular out flow tract) obtained on a 1.5 T Siemens Sonata scanner. 20 subjects also had tagged acquisitions and we compared global and regional deformation values obtained from these with those from Feature Tracking. Results For globally averaged measurements of strain, only those measured circumferentially in short axis slices showed reasonably good levels of agreement between FT and tagging (limits of agreement −0.06 to 0.04). Longitudinal strain showed wide limits of agreement (−0.16 to 0.03) with evidence of overestimation of strain by FT relative to tagging as the mean of both measures increased. Radial strain was systematically overestimated by FT relative to tagging with very wide limits of agreement extending to as much as 100% of the mean value (−0.01 to 0.23). Reproducibility showed similar relative trends with acceptable global inter-observer variability for circumferential measures (coefficient of variation 4.9%) but poor reproducibility in the radial direction (coefficient of variation 32.3%). Ranges for deformation parameters varied between basal, mid and apical LV levels with higher levels at base compared to apex, and between genders by both FT and tagging. Conclusions FT measurements of circumferential but not longitudinally or radially directed global strain showed reasonable agreement with tagging and acceptable inter-observer reproducibility. We record provisional ranges of FT deformation parameters at global, regional and segmental levels. They show evidence of variation with gender and myocardial region in the volunteers studied, but have yet to be compared with tagging measurements at the segmental level.
Databáze: OpenAIRE