Measurement of Ventricular Torsion by Two-Dimensional Ultrasound Speckle Tracking Imaging

We sought to examine the accuracy/consistency of a novel ultrasound speckle tracking imaging (STI) method for left ventricular torsion (LVtor) measurement in comparison with tagged magnetic resonance imaging (MRI) (a time-domain method similar to STI) and Doppler tissue imaging (DTI) (a velocity-bas...

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Veröffentlicht in:Journal of the American College of Cardiology 2005-06, Vol.45 (12), p.2034-2041
Hauptverfasser: Notomi, Yuichi, Shiota, Takahiro, Popović, Zoran B., Weaver, Joan A., Oryszak, Stephanie J., Greenberg, Neil L., White, Richard D., Thomas, James D., Setser, Randolph M., Lysyansky, Peter, Martin-Miklovic, Maureen G.
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container_end_page 2041
container_issue 12
container_start_page 2034
container_title Journal of the American College of Cardiology
container_volume 45
creator Notomi, Yuichi
Shiota, Takahiro
Popović, Zoran B.
Weaver, Joan A.
Oryszak, Stephanie J.
Greenberg, Neil L.
White, Richard D.
Thomas, James D.
Setser, Randolph M.
White, Richard D.
Lysyansky, Peter
Martin-Miklovic, Maureen G.
description We sought to examine the accuracy/consistency of a novel ultrasound speckle tracking imaging (STI) method for left ventricular torsion (LVtor) measurement in comparison with tagged magnetic resonance imaging (MRI) (a time-domain method similar to STI) and Doppler tissue imaging (DTI) (a velocity-based approach). Left ventricular torsion from helically oriented myofibers is a key parameter of cardiac performance but is difficult to measure. Ultrasound STI is potentially suitable for measurement of angular motion because of its angle-independence. We acquired basal and apical short-axis left ventricular (LV) images in 15 patients to estimate LVtor by STI and compare it with tagged MRI and DTI. Left ventricular torsion was defined as the net difference of LV rotation at the basal and apical planes. For the STI analysis, we used high-frame (104 ± 12 frames/s) second harmonic two-dimensional images. Data on 13 of 15 patients were usable for STI analysis, and LVtor profile estimated by STI strongly correlated with those by tagged MRI (y = 0.95x + 0.19, r = 0.93, p < 0.0001, analyzed by repeated-measures regression models). The STI torsional velocity profile also correlated well with that by the DTI method (y = 0.79x + 2.4, r = 0.76, p < 0.0001, by repeated-measures regression models) with acceptable bias. The STI estimation of LVtor is concordant with those analyzed by tagged MRI (data derived from tissue displacement) and also showed good agreement with those by DTI (data derived from tissue velocity). Ultrasound STI is a promising new method to assess LV torsional deformation and may make the assessment more available in clinical and research cardiology.
doi_str_mv 10.1016/j.jacc.2005.02.082
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Left ventricular torsion from helically oriented myofibers is a key parameter of cardiac performance but is difficult to measure. Ultrasound STI is potentially suitable for measurement of angular motion because of its angle-independence. We acquired basal and apical short-axis left ventricular (LV) images in 15 patients to estimate LVtor by STI and compare it with tagged MRI and DTI. Left ventricular torsion was defined as the net difference of LV rotation at the basal and apical planes. For the STI analysis, we used high-frame (104 ± 12 frames/s) second harmonic two-dimensional images. Data on 13 of 15 patients were usable for STI analysis, and LVtor profile estimated by STI strongly correlated with those by tagged MRI (y = 0.95x + 0.19, r = 0.93, p &lt; 0.0001, analyzed by repeated-measures regression models). 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Left ventricular torsion from helically oriented myofibers is a key parameter of cardiac performance but is difficult to measure. Ultrasound STI is potentially suitable for measurement of angular motion because of its angle-independence. We acquired basal and apical short-axis left ventricular (LV) images in 15 patients to estimate LVtor by STI and compare it with tagged MRI and DTI. Left ventricular torsion was defined as the net difference of LV rotation at the basal and apical planes. For the STI analysis, we used high-frame (104 ± 12 frames/s) second harmonic two-dimensional images. Data on 13 of 15 patients were usable for STI analysis, and LVtor profile estimated by STI strongly correlated with those by tagged MRI (y = 0.95x + 0.19, r = 0.93, p &lt; 0.0001, analyzed by repeated-measures regression models). The STI torsional velocity profile also correlated well with that by the DTI method (y = 0.79x + 2.4, r = 0.76, p &lt; 0.0001, by repeated-measures regression models) with acceptable bias. The STI estimation of LVtor is concordant with those analyzed by tagged MRI (data derived from tissue displacement) and also showed good agreement with those by DTI (data derived from tissue velocity). Ultrasound STI is a promising new method to assess LV torsional deformation and may make the assessment more available in clinical and research cardiology.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15963406</pmid><doi>10.1016/j.jacc.2005.02.082</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Echocardiography - methods
Humans
Image Processing, Computer-Assisted
Medical sciences
Myocardial Contraction - physiology
NMR
Nuclear magnetic resonance
Reproducibility of Results
Software
Studies
Torsion Abnormality - diagnostic imaging
Torsion Abnormality - pathology
Torsion Abnormality - physiopathology
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - pathology
Ventricular Dysfunction, Left - physiopathology
Work stations
title Measurement of Ventricular Torsion by Two-Dimensional Ultrasound Speckle Tracking Imaging
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