Relationship between the cardiac magnetic resonance derived extracellular volume fraction and feature tracking myocardial strain in patients with non-ischemic dilated cardiomyopathy

Feature tracking (FT) has emerged as a promising method to quantify myocardial strain using conventional cine magnetic resonance imaging (MRI). Extracellular volume fraction (ECV) by T1 mapping enables quantification of myocardial fibrosis. To date, the correlation between FT-derived left ventricula...

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Veröffentlicht in:Magnetic resonance imaging 2020-12, Vol.74, p.14-20
Hauptverfasser: Azuma, Mai, Kato, Shingo, Kodama, Sho, Hayakawa, Keigo, Kagimoto, Minako, Iguchi, Kohei, Fukuoka, Masahiro, Fukui, Kazuki, Iwasawa, Tae, Utsunomiya, Daisuke, Kimura, Kazuo, Tamura, Kouichi
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container_title Magnetic resonance imaging
container_volume 74
creator Azuma, Mai
Kato, Shingo
Kodama, Sho
Hayakawa, Keigo
Kagimoto, Minako
Iguchi, Kohei
Fukuoka, Masahiro
Fukui, Kazuki
Iwasawa, Tae
Utsunomiya, Daisuke
Kimura, Kazuo
Tamura, Kouichi
description Feature tracking (FT) has emerged as a promising method to quantify myocardial strain using conventional cine magnetic resonance imaging (MRI). Extracellular volume fraction (ECV) by T1 mapping enables quantification of myocardial fibrosis. To date, the correlation between FT-derived left ventricular strain and ECV has not been elucidated yet. The aim of this study was to evaluate the relationship between myocardial strain by FT and ECV by T1 mapping in patients with non-ischemic dilated cardiomyopathy (NIDCM). A total of 57 patients with NIDCM (61 ± 12 years; 46 (81%) male)) and 15 controls (62 ± 11 years; 11 (73%) male)) were studied. Using a 1.5 T magnetic resonance scanner, pre- and post- T1 mapping images of the LV wall at the mid-ventricular level were acquired to calculate the ECV by a modified Look-Locker inversion recovery (MOLLI) sequence. The radial strain (RS), circumferential strain (CS), and longitudinal strain (LS) were assessed by the FT technique. The ECV and myocardial strain were compared using a 6-segment model at the mid-ventricular level. The ECV and myocardial strain were evaluable in all 432 segments in 72 subjects. On a patient-based analysis, NIDCM patients had a significantly higher ECV (0.30 ± 0.07 vs. 0.28 ± 0.06, p = .007) and impaired myocardial strain than the control subjects (RS, 22.7 ± 10.3 vs. 30.3 ± 18.2, p 
doi_str_mv 10.1016/j.mri.2020.09.004
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Extracellular volume fraction (ECV) by T1 mapping enables quantification of myocardial fibrosis. To date, the correlation between FT-derived left ventricular strain and ECV has not been elucidated yet. The aim of this study was to evaluate the relationship between myocardial strain by FT and ECV by T1 mapping in patients with non-ischemic dilated cardiomyopathy (NIDCM). A total of 57 patients with NIDCM (61 ± 12 years; 46 (81%) male)) and 15 controls (62 ± 11 years; 11 (73%) male)) were studied. Using a 1.5 T magnetic resonance scanner, pre- and post- T1 mapping images of the LV wall at the mid-ventricular level were acquired to calculate the ECV by a modified Look-Locker inversion recovery (MOLLI) sequence. The radial strain (RS), circumferential strain (CS), and longitudinal strain (LS) were assessed by the FT technique. The ECV and myocardial strain were compared using a 6-segment model at the mid-ventricular level. The ECV and myocardial strain were evaluable in all 432 segments in 72 subjects. On a patient-based analysis, NIDCM patients had a significantly higher ECV (0.30 ± 0.07 vs. 0.28 ± 0.06, p = .007) and impaired myocardial strain than the control subjects (RS, 22.7 ± 10.3 vs. 30.3 ± 18.2, p < .01; CS, −6.47 ± 1.89 vs. −9.52 ± 5.15, p < .001; LS −10.2 ± 3.78 vs. −19.8 ± 4.30, p < .001, respectively). A significant linear correlation was found between the RS and ECV (r = −0.38, p < .001) and CS and ECV, (r = 0.38, p < .001). LS and ECV also correlated (r = 0.31, p < 0.001). On a segment-based analysis, there was a significant correlation between the ECV and RS and ECV and CS (all p values < .05). The intraclass correlation coefficient was good for the strain measurement (>0.80). 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Extracellular volume fraction (ECV) by T1 mapping enables quantification of myocardial fibrosis. To date, the correlation between FT-derived left ventricular strain and ECV has not been elucidated yet. The aim of this study was to evaluate the relationship between myocardial strain by FT and ECV by T1 mapping in patients with non-ischemic dilated cardiomyopathy (NIDCM). A total of 57 patients with NIDCM (61 ± 12 years; 46 (81%) male)) and 15 controls (62 ± 11 years; 11 (73%) male)) were studied. Using a 1.5 T magnetic resonance scanner, pre- and post- T1 mapping images of the LV wall at the mid-ventricular level were acquired to calculate the ECV by a modified Look-Locker inversion recovery (MOLLI) sequence. The radial strain (RS), circumferential strain (CS), and longitudinal strain (LS) were assessed by the FT technique. The ECV and myocardial strain were compared using a 6-segment model at the mid-ventricular level. 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In patients with NIDCM, significant correlation was found between myocardial strain and ECV, suggesting the FT-derived myocardial strain might be useful as a non-invasive imaging marker for the detection of myocardial fibrosis without any contrast media.]]></description><subject>Adult</subject><subject>Biomechanical Phenomena</subject><subject>Cardiomyopathy, Dilated - diagnostic imaging</subject><subject>Cardiomyopathy, Dilated - pathology</subject><subject>Extracellular Space - metabolism</subject><subject>Extracellular volume fraction</subject><subject>Feature tracking</subject><subject>Female</subject><subject>Heart - physiopathology</subject><subject>Humans</subject><subject>Magnetic resonance</subject><subject>Magnetic Resonance Imaging, Cine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardium - pathology</subject><subject>Non-ischemic dilated cardiomyopathy</subject><subject>Predictive Value of Tests</subject><subject>Stress, Mechanical</subject><subject>T1 mapping</subject><issn>0730-725X</issn><issn>1873-5894</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU2LFDEUDKK4s6s_wIvk6KXbfE538CSLHwsLgih4C-nk9XbG7mRM0rPOD_P_mXFWj0Ig8KiqV_UKoReUtJTQ7etduyTfMsJIS1RLiHiENrTveCN7JR6jDek4aTomv12gy5x3hBDJuHyKLjjrVb-VdIN-fYbZFB9DnvweD1DuAQIuE2BrkvPG4sXcBSje4gQ5BhMsYAfJH8Bh-FmSsTDP62wSPsR5XQCPdXQSxCY4PIIpawJ8wn334Q4vx3gWnnGuQx9wffvqAELJ-N6XCYcYGp_tBEtd6ny1V1f9IcXKrtjp-Aw9Gc2c4fnDf4W-vn_35fpjc_vpw83129vGcslLo1Q3AtuaGpWNbhCKUOmUUq5nbODCMsPsKHpLLe2E3Q7DIBkd-85xLoUxkl-hV2fdfYo_VshFL9VZDWwCxDVrJgRlvRBSVCg9Q22KOScY9T75xaSjpkSf2tI7XdvSp7Y0Ubq2VTkvH-TXYQH3j_G3ngp4cwZADXnwkHS29VIWnE9gi3bR_0f-N2yTq04</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Azuma, Mai</creator><creator>Kato, Shingo</creator><creator>Kodama, Sho</creator><creator>Hayakawa, Keigo</creator><creator>Kagimoto, Minako</creator><creator>Iguchi, Kohei</creator><creator>Fukuoka, Masahiro</creator><creator>Fukui, Kazuki</creator><creator>Iwasawa, Tae</creator><creator>Utsunomiya, Daisuke</creator><creator>Kimura, Kazuo</creator><creator>Tamura, Kouichi</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>Relationship between the cardiac magnetic resonance derived extracellular volume fraction and feature tracking myocardial strain in patients with non-ischemic dilated cardiomyopathy</title><author>Azuma, Mai ; 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Extracellular volume fraction (ECV) by T1 mapping enables quantification of myocardial fibrosis. To date, the correlation between FT-derived left ventricular strain and ECV has not been elucidated yet. The aim of this study was to evaluate the relationship between myocardial strain by FT and ECV by T1 mapping in patients with non-ischemic dilated cardiomyopathy (NIDCM). A total of 57 patients with NIDCM (61 ± 12 years; 46 (81%) male)) and 15 controls (62 ± 11 years; 11 (73%) male)) were studied. Using a 1.5 T magnetic resonance scanner, pre- and post- T1 mapping images of the LV wall at the mid-ventricular level were acquired to calculate the ECV by a modified Look-Locker inversion recovery (MOLLI) sequence. The radial strain (RS), circumferential strain (CS), and longitudinal strain (LS) were assessed by the FT technique. The ECV and myocardial strain were compared using a 6-segment model at the mid-ventricular level. The ECV and myocardial strain were evaluable in all 432 segments in 72 subjects. On a patient-based analysis, NIDCM patients had a significantly higher ECV (0.30 ± 0.07 vs. 0.28 ± 0.06, p = .007) and impaired myocardial strain than the control subjects (RS, 22.7 ± 10.3 vs. 30.3 ± 18.2, p < .01; CS, −6.47 ± 1.89 vs. −9.52 ± 5.15, p < .001; LS −10.2 ± 3.78 vs. −19.8 ± 4.30, p < .001, respectively). A significant linear correlation was found between the RS and ECV (r = −0.38, p < .001) and CS and ECV, (r = 0.38, p < .001). LS and ECV also correlated (r = 0.31, p < 0.001). On a segment-based analysis, there was a significant correlation between the ECV and RS and ECV and CS (all p values < .05). The intraclass correlation coefficient was good for the strain measurement (>0.80). In patients with NIDCM, significant correlation was found between myocardial strain and ECV, suggesting the FT-derived myocardial strain might be useful as a non-invasive imaging marker for the detection of myocardial fibrosis without any contrast media.]]></abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>32898651</pmid><doi>10.1016/j.mri.2020.09.004</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biomechanical Phenomena
Cardiomyopathy, Dilated - diagnostic imaging
Cardiomyopathy, Dilated - pathology
Extracellular Space - metabolism
Extracellular volume fraction
Feature tracking
Female
Heart - physiopathology
Humans
Magnetic resonance
Magnetic Resonance Imaging, Cine
Male
Middle Aged
Myocardium - pathology
Non-ischemic dilated cardiomyopathy
Predictive Value of Tests
Stress, Mechanical
T1 mapping
title Relationship between the cardiac magnetic resonance derived extracellular volume fraction and feature tracking myocardial strain in patients with non-ischemic dilated cardiomyopathy
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