Visualization of multidirectional regional left ventricular dynamics by high-temporal-resolution tissue phase mapping

Purpose To apply high‐temporal‐resolution tissue phase mapping (TPM) to derive a detailed representation of normal regional myocardial motion in a large cohort of 58 normal subjects (three age groups) and one patient with dilated cardiomyopathy. Materials and Methods Analysis included transformation of the acquired myocardial velocities into radial, circumferential, and long‐axis motion components representing left ventricular (LV) function with a spatiotemporal resolution of 1.3 × 2.6 × 8 mm3 and 13.8 msec, respectively. To compare multidirectional regional myocardial velocities between groups of subjects, a multisegment and multislice visualization model was employed. Regional myocardial motion was mapped onto the visualization model to display the current status of myocardial motion from base to apex as in‐plane velocity vector fields in conjunction with color‐coded long‐axis plane motion. Moreover, correlation analysis was used to investigate regional differences in myocardial dynamics. Results Age‐related changes in LV myocardial velocities resulted in significant differences of peak and time‐to‐peak velocities in the radial and long‐axis directions. Correlation analysis revealed clearly visible regional differences in the temporal evolution of long‐axis and circumferential velocities, particularly between the youngest and oldest age groups. Comparison of pathological LV motion with age‐matched volunteers indicated marked regional alterations in myocardial velocities and dynamics. Conclusion High‐temporal‐resolution TPM in combination with a schematic visualization model and correlation analysis permits the identification of local changes in myocardial velocities associated with different age groups and a common LV pathology. J. Magn. Reson. Imaging 2009;29:1043–1052. © 2009 Wiley‐Liss, Inc.