Quantitative analysis of three-dimensional left ventricular global strain using coronary computed tomography angiography in patients with heart failure: Comparison with 3T cardiac MR
•CT feature tracking (FT) strain is a new technique to evaluate wall motion function.•Coronary CT angiography (CCTA) 3D- global strains are better than that of 2D- global strains in heart failure patients.•CCTA 3D- GLS can provide both reliable and interchangeable results for quantitative assessment...
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| Veröffentlicht in: | European journal of radiology 2021-02, Vol.135, p.109485-109485, Article 109485 |
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| container_title | European journal of radiology |
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| creator | Wang, Rui Fang, Zhe Wang, Hongwei Schoepf, U. Joseph Emrich, Tilman Giovagnoli, Dominic Biles, Evan Zhou, Zhen Du, Zhiqiang Liu, Tong Xu, Lei |
| description | •CT feature tracking (FT) strain is a new technique to evaluate wall motion function.•Coronary CT angiography (CCTA) 3D- global strains are better than that of 2D- global strains in heart failure patients.•CCTA 3D- GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes.
The objective of this study was to investigate whether three dimentional (3D)- Coronary CT angiography (CCTA)- feature tracking (FT) can measure global myocardial strain of the left ventricle (LV) in patients with heart failure using cardiac MR (CMR) as reference.
Consecutive patients (n = 44) with variable degrees of heart failure who underwent an ECG-gated CCTA and CMR within 24 h were included. Both modalities were compared for 2D/3D LV global radial strain (2D/3D-GRS), circumferential strain (2D/3D-GCS), longitudinal strain (2D/3D-GLS) and conventional functional parameters.
Compared to CMR, CCTA-derived 3D-GLS and LVEF showed no significant difference (p > 0.05). Bland-Altman plots showed a small bias (0.3 %) between CCTA-derived 3D-GLS and CMR 3D-GLS. Close correlations were observed between the two modalities regarding LV global strain (3D-GRS, r = 0.89; 3D-GCS, r = 0.86; 3D-GLS, r = 0.79, respectively, p |
| doi_str_mv | 10.1016/j.ejrad.2020.109485 |
| format | Article |
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The objective of this study was to investigate whether three dimentional (3D)- Coronary CT angiography (CCTA)- feature tracking (FT) can measure global myocardial strain of the left ventricle (LV) in patients with heart failure using cardiac MR (CMR) as reference.
Consecutive patients (n = 44) with variable degrees of heart failure who underwent an ECG-gated CCTA and CMR within 24 h were included. Both modalities were compared for 2D/3D LV global radial strain (2D/3D-GRS), circumferential strain (2D/3D-GCS), longitudinal strain (2D/3D-GLS) and conventional functional parameters.
Compared to CMR, CCTA-derived 3D-GLS and LVEF showed no significant difference (p > 0.05). Bland-Altman plots showed a small bias (0.3 %) between CCTA-derived 3D-GLS and CMR 3D-GLS. Close correlations were observed between the two modalities regarding LV global strain (3D-GRS, r = 0.89; 3D-GCS, r = 0.86; 3D-GLS, r = 0.79, respectively, p < 0.001 for all). However, CCTA-derived 3D-GRS and 3D-GCS were statistically different compared with CMR. CCTA-derived 3D-GLS had an inverse correlation with CCTA-LVEF(r=-0.75, p < 0.05). Intraobserver agreements for CCTA-derived 3D-global strain were good (ICC = 0.856 for 3D-GLS, ICC = 0.741 for 3D-GCS and ICC = 0.762 for 3D-GRS). 2D global strain showed statistical differences between the two modalities (p＜0.05 for all), but close correlations were observed regarding 2D LV global strain (2D-GRS, r = 0.80; 2D-GCS, r = 0.81; 2D-GLS, r = 0.81, respectively, p < 0.001 for all). The average radiation dose-long-product (DLP) of CCTA was 387.86 ± 89.3 mGy*cm.
CCTA-derived 3D-GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes in HF patients compared to CMR with good intra-observer agreement.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2020.109485</identifier><identifier>PMID: 33401113</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Cardiac CT ; Cardiac MR ; Computed Tomography Angiography ; Heart ; Heart failure ; Heart Failure - diagnostic imaging ; Heart Ventricles - diagnostic imaging ; Humans ; Myocardial deformation ; Predictive Value of Tests ; Reproducibility of Results ; Ventricular Function, Left</subject><ispartof>European journal of radiology, 2021-02, Vol.135, p.109485-109485, Article 109485</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-8ca492258c4d9cd5240ee5690f2771fb5a085ddd63f00da1c2bb1e1361270bbe3</citedby><cites>FETCH-LOGICAL-c359t-8ca492258c4d9cd5240ee5690f2771fb5a085ddd63f00da1c2bb1e1361270bbe3</cites><orcidid>0000-0002-5843-2178 ; 0000-0002-5806-5363 ; 0000-0002-6164-5641 ; 0000-0002-8499-0448</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejrad.2020.109485$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33401113$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Fang, Zhe</creatorcontrib><creatorcontrib>Wang, Hongwei</creatorcontrib><creatorcontrib>Schoepf, U. Joseph</creatorcontrib><creatorcontrib>Emrich, Tilman</creatorcontrib><creatorcontrib>Giovagnoli, Dominic</creatorcontrib><creatorcontrib>Biles, Evan</creatorcontrib><creatorcontrib>Zhou, Zhen</creatorcontrib><creatorcontrib>Du, Zhiqiang</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Xu, Lei</creatorcontrib><title>Quantitative analysis of three-dimensional left ventricular global strain using coronary computed tomography angiography in patients with heart failure: Comparison with 3T cardiac MR</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>•CT feature tracking (FT) strain is a new technique to evaluate wall motion function.•Coronary CT angiography (CCTA) 3D- global strains are better than that of 2D- global strains in heart failure patients.•CCTA 3D- GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes.
The objective of this study was to investigate whether three dimentional (3D)- Coronary CT angiography (CCTA)- feature tracking (FT) can measure global myocardial strain of the left ventricle (LV) in patients with heart failure using cardiac MR (CMR) as reference.
Consecutive patients (n = 44) with variable degrees of heart failure who underwent an ECG-gated CCTA and CMR within 24 h were included. Both modalities were compared for 2D/3D LV global radial strain (2D/3D-GRS), circumferential strain (2D/3D-GCS), longitudinal strain (2D/3D-GLS) and conventional functional parameters.
Compared to CMR, CCTA-derived 3D-GLS and LVEF showed no significant difference (p > 0.05). Bland-Altman plots showed a small bias (0.3 %) between CCTA-derived 3D-GLS and CMR 3D-GLS. Close correlations were observed between the two modalities regarding LV global strain (3D-GRS, r = 0.89; 3D-GCS, r = 0.86; 3D-GLS, r = 0.79, respectively, p < 0.001 for all). However, CCTA-derived 3D-GRS and 3D-GCS were statistically different compared with CMR. CCTA-derived 3D-GLS had an inverse correlation with CCTA-LVEF(r=-0.75, p < 0.05). Intraobserver agreements for CCTA-derived 3D-global strain were good (ICC = 0.856 for 3D-GLS, ICC = 0.741 for 3D-GCS and ICC = 0.762 for 3D-GRS). 2D global strain showed statistical differences between the two modalities (p＜0.05 for all), but close correlations were observed regarding 2D LV global strain (2D-GRS, r = 0.80; 2D-GCS, r = 0.81; 2D-GLS, r = 0.81, respectively, p < 0.001 for all). The average radiation dose-long-product (DLP) of CCTA was 387.86 ± 89.3 mGy*cm.
CCTA-derived 3D-GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes in HF patients compared to CMR with good intra-observer agreement.</description><subject>Cardiac CT</subject><subject>Cardiac MR</subject><subject>Computed Tomography Angiography</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Heart Failure - diagnostic imaging</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Myocardial deformation</subject><subject>Predictive Value of Tests</subject><subject>Reproducibility of Results</subject><subject>Ventricular Function, Left</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UUuP0zAQthCILQu_AAn5yCXFj7hOkDigipe0CIEWiZvl2JPWVRKXsVPUP8bvwyW7HDnNaOZ7aOYj5Dlna8745tVhDQe0fi2YuEzaulEPyIo3WlRaC_2QrJgWrGJ18-OKPEnpwBhTdSsekyspa8Y5lyvy--tspxyyzeEE1E52OKeQaOxp3iNA5cMIUwqxLOgAfaYnmDIGNw8W6W6IXZmnjDZMdE5h2lEXsYDxXJrxOGfwNMcx7tAe9-eivwv3fWEci2uRS_RXyHu6B4uZ9jYMM8Jrui18iyHFaVnLW-os-mAd_fztKXnU2yHBs7t6Tb6_f3e7_VjdfPnwafv2pnJStblqnC0HC9W42rfOK1EzALVpWS-05n2nLGuU934je8a85U50HQcuN1xo1nUgr8nLRfeI8ecMKZsxJAfDYCeIczKi1kpJLoQuULlAHcaUEHpzxDCWTxjOzCUwczB_AzOXwMwSWGG9uDOYuxH8P859QgXwZgFAOfMUAE1y5WkOfEBw2fgY_mvwBwbmrQw</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Wang, Rui</creator><creator>Fang, Zhe</creator><creator>Wang, Hongwei</creator><creator>Schoepf, U. Joseph</creator><creator>Emrich, Tilman</creator><creator>Giovagnoli, Dominic</creator><creator>Biles, Evan</creator><creator>Zhou, Zhen</creator><creator>Du, Zhiqiang</creator><creator>Liu, Tong</creator><creator>Xu, Lei</creator><general>Elsevier B.V</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><orcidid>https://orcid.org/0000-0002-5843-2178</orcidid><orcidid>https://orcid.org/0000-0002-5806-5363</orcidid><orcidid>https://orcid.org/0000-0002-6164-5641</orcidid><orcidid>https://orcid.org/0000-0002-8499-0448</orcidid></search><sort><creationdate>202102</creationdate><title>Quantitative analysis of three-dimensional left ventricular global strain using coronary computed tomography angiography in patients with heart failure: Comparison with 3T cardiac MR</title><author>Wang, Rui ; Fang, Zhe ; Wang, Hongwei ; Schoepf, U. Joseph ; Emrich, Tilman ; Giovagnoli, Dominic ; Biles, Evan ; Zhou, Zhen ; Du, Zhiqiang ; Liu, Tong ; Xu, Lei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-8ca492258c4d9cd5240ee5690f2771fb5a085ddd63f00da1c2bb1e1361270bbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac CT</topic><topic>Cardiac MR</topic><topic>Computed Tomography Angiography</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Heart Failure - diagnostic imaging</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Myocardial deformation</topic><topic>Predictive Value of Tests</topic><topic>Reproducibility of Results</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Fang, Zhe</creatorcontrib><creatorcontrib>Wang, Hongwei</creatorcontrib><creatorcontrib>Schoepf, U. Joseph</creatorcontrib><creatorcontrib>Emrich, Tilman</creatorcontrib><creatorcontrib>Giovagnoli, Dominic</creatorcontrib><creatorcontrib>Biles, Evan</creatorcontrib><creatorcontrib>Zhou, Zhen</creatorcontrib><creatorcontrib>Du, Zhiqiang</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Xu, Lei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Rui</au><au>Fang, Zhe</au><au>Wang, Hongwei</au><au>Schoepf, U. Joseph</au><au>Emrich, Tilman</au><au>Giovagnoli, Dominic</au><au>Biles, Evan</au><au>Zhou, Zhen</au><au>Du, Zhiqiang</au><au>Liu, Tong</au><au>Xu, Lei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantitative analysis of three-dimensional left ventricular global strain using coronary computed tomography angiography in patients with heart failure: Comparison with 3T cardiac MR</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2021-02</date><risdate>2021</risdate><volume>135</volume><spage>109485</spage><epage>109485</epage><pages>109485-109485</pages><artnum>109485</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>•CT feature tracking (FT) strain is a new technique to evaluate wall motion function.•Coronary CT angiography (CCTA) 3D- global strains are better than that of 2D- global strains in heart failure patients.•CCTA 3D- GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes.
The objective of this study was to investigate whether three dimentional (3D)- Coronary CT angiography (CCTA)- feature tracking (FT) can measure global myocardial strain of the left ventricle (LV) in patients with heart failure using cardiac MR (CMR) as reference.
Consecutive patients (n = 44) with variable degrees of heart failure who underwent an ECG-gated CCTA and CMR within 24 h were included. Both modalities were compared for 2D/3D LV global radial strain (2D/3D-GRS), circumferential strain (2D/3D-GCS), longitudinal strain (2D/3D-GLS) and conventional functional parameters.
Compared to CMR, CCTA-derived 3D-GLS and LVEF showed no significant difference (p > 0.05). Bland-Altman plots showed a small bias (0.3 %) between CCTA-derived 3D-GLS and CMR 3D-GLS. Close correlations were observed between the two modalities regarding LV global strain (3D-GRS, r = 0.89; 3D-GCS, r = 0.86; 3D-GLS, r = 0.79, respectively, p < 0.001 for all). However, CCTA-derived 3D-GRS and 3D-GCS were statistically different compared with CMR. CCTA-derived 3D-GLS had an inverse correlation with CCTA-LVEF(r=-0.75, p < 0.05). Intraobserver agreements for CCTA-derived 3D-global strain were good (ICC = 0.856 for 3D-GLS, ICC = 0.741 for 3D-GCS and ICC = 0.762 for 3D-GRS). 2D global strain showed statistical differences between the two modalities (p＜0.05 for all), but close correlations were observed regarding 2D LV global strain (2D-GRS, r = 0.80; 2D-GCS, r = 0.81; 2D-GLS, r = 0.81, respectively, p < 0.001 for all). The average radiation dose-long-product (DLP) of CCTA was 387.86 ± 89.3 mGy*cm.
CCTA-derived 3D-GLS can provide both reliable and interchangeable results for quantitative assessment of myocardial mechanical changes in HF patients compared to CMR with good intra-observer agreement.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33401113</pmid><doi>10.1016/j.ejrad.2020.109485</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-5843-2178</orcidid><orcidid>https://orcid.org/0000-0002-5806-5363</orcidid><orcidid>https://orcid.org/0000-0002-6164-5641</orcidid><orcidid>https://orcid.org/0000-0002-8499-0448</orcidid></addata></record> |
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| ispartof | European journal of radiology, 2021-02, Vol.135, p.109485-109485, Article 109485 |
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| source | MEDLINE; ScienceDirect Freedom Collection (Elsevier) |
| subjects | Cardiac CT Cardiac MR Computed Tomography Angiography Heart Heart failure Heart Failure - diagnostic imaging Heart Ventricles - diagnostic imaging Humans Myocardial deformation Predictive Value of Tests Reproducibility of Results Ventricular Function, Left |
| title | Quantitative analysis of three-dimensional left ventricular global strain using coronary computed tomography angiography in patients with heart failure: Comparison with 3T cardiac MR |
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