Biventricular Tissue Tracking with Cardiovascular Magnetic Resonance: Reference Values of Left- and Right-Ventricular Strain
We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters...
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| Published in | Diagnostics (Basel) Vol. 13; no. 18; p. 2912 |
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| Main Authors | , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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Basel
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01.09.2023
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| Online Access | Get full text |
| ISSN | 2075-4418 2075-4418 |
| DOI | 10.3390/diagnostics13182912 |
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| Abstract | We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radialLAX strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was −16.7% ± 2.1%, LV radialSAX strain was 26.4% ± 5.1%, LV radialLAX strain was 31.1% ± 5.2%, LV GLS was −17.7% ± 1.9%, and RV GLS was −23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used. |
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| AbstractList | We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radial
SAX
strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radial
LAX
strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was −16.7% ± 2.1%, LV radial
SAX
strain was 26.4% ± 5.1%, LV radial
LAX
strain was 31.1% ± 5.2%, LV GLS was −17.7% ± 1.9%, and RV GLS was −23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used. We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radialLAX strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was -16.7% ± 2.1%, LV radialSAX strain was 26.4% ± 5.1%, LV radialLAX strain was 31.1% ± 5.2%, LV GLS was -17.7% ± 1.9%, and RV GLS was -23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used.We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radialLAX strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was -16.7% ± 2.1%, LV radialSAX strain was 26.4% ± 5.1%, LV radialLAX strain was 31.1% ± 5.2%, LV GLS was -17.7% ± 1.9%, and RV GLS was -23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used. We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radialLAX strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was −16.7% ± 2.1%, LV radialSAX strain was 26.4% ± 5.1%, LV radialLAX strain was 31.1% ± 5.2%, LV GLS was −17.7% ± 1.9%, and RV GLS was −23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used. We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radial[sub.SAX] strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radial[sub.LAX] strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was −16.7% ± 2.1%, LV radial[sub.SAX] strain was 26.4% ± 5.1%, LV radial[sub.LAX] strain was 31.1% ± 5.2%, LV GLS was −17.7% ± 1.9%, and RV GLS was −23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used. |
| Audience | Academic |
| Author | Positano, Vincenzo Emdin, Michele Ceolin, Roberto Palmieri, Alessandro Barison, Andrea Pepe, Alessia Pistoia, Laura Todiere, Giancarlo Tamborrino, Pietro Paolo Grigoratos, Chrysanthos Meloni, Antonella De Gori, Carmelo Gueli, Ignazio Alessio Clemente, Alberto Aquaro, Giovanni Donato Cademartiri, Filippo |
| AuthorAffiliation | 9 Academic Radiology Unit, Department of Surgical Medical and Molecular Pathology and Critical Area, University of Pisa, 56124 Pisa, Italy 6 Department of Radiology, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy 3 Cardiothoracovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), University of Trieste, 34128 Trieste, Italy 10 Department of Bioengineering, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy 4 Cardiothoracovascular Department, Careggi University Hospital, 50134 Florence, Italy 5 Cardiology Division, Cardiothoracic and Vascular Department, Pisa University Hospital, 56124 Pisa, Italy 2 Institute of Life Sciences, Scuola Superiore Sant’Anna, 56127 Pisa, Italy 8 Institute of Radiology, Department of Medicine, University of Padua, 35128 Padova, Italy 7 Clinical Research Unit, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy 1 Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy |
| AuthorAffiliation_xml | – name: 3 Cardiothoracovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), University of Trieste, 34128 Trieste, Italy – name: 9 Academic Radiology Unit, Department of Surgical Medical and Molecular Pathology and Critical Area, University of Pisa, 56124 Pisa, Italy – name: 8 Institute of Radiology, Department of Medicine, University of Padua, 35128 Padova, Italy – name: 2 Institute of Life Sciences, Scuola Superiore Sant’Anna, 56127 Pisa, Italy – name: 7 Clinical Research Unit, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy – name: 1 Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy – name: 4 Cardiothoracovascular Department, Careggi University Hospital, 50134 Florence, Italy – name: 5 Cardiology Division, Cardiothoracic and Vascular Department, Pisa University Hospital, 56124 Pisa, Italy – name: 10 Department of Bioengineering, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy – name: 6 Department of Radiology, Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy |
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| Cites_doi | 10.1186/1532-429X-16-10 10.1186/1532-429X-14-43 10.3390/jcdd10070278 10.3389/fcvm.2023.1199936 10.1007/s10741-022-10235-9 10.1016/j.jcmg.2017.10.024 10.1016/j.jcmg.2020.04.025 10.1016/j.mri.2017.01.007 10.1080/00015385.2023.2246202 10.1038/s41598-019-47775-4 10.1002/jmri.27169 10.1007/s10741-017-9621-8 10.1016/0952-8180(92)90111-D 10.1016/j.jcmg.2023.05.019 10.1016/j.jcmg.2009.11.006 10.1093/ehjci/jev006 10.1093/ehjci/jez041 10.1016/j.ijcard.2017.07.087 10.3390/diagnostics13030553 10.1186/1532-429X-15-8 10.1016/j.jcmg.2017.11.034 10.3389/fphys.2018.01181 10.1007/s11845-022-03210-8 10.3389/fcvm.2021.764496 10.1186/s12968-022-00881-1 10.1186/s12968-016-0310-x 10.1016/j.ijcha.2018.02.007 10.1007/s00330-022-08629-2 10.1161/hc0402.102975 10.1186/s12968-015-0123-3 10.1016/j.jcmg.2016.12.025 |
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| SubjectTerms | cine Deformation Ejection fraction Heart beat magnetic resonance imaging myocardial deformation Normal distribution Regression analysis Software Statistical analysis strain systolic function tissue tracking |
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| Title | Biventricular Tissue Tracking with Cardiovascular Magnetic Resonance: Reference Values of Left- and Right-Ventricular Strain |
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