TY - JOUR
T1 - Quantitative comparison of 2D and 3D circumferential strain using MRI tagging in normal and LBBB hearts
AU - Tecelão, Sandra R.R.
AU - Zwanenburg, Jaco J.M.
AU - Kuijer, Joost P.A.
AU - De Cock, Carel C.
AU - Germans, Tjeerd
AU - Van Rossum, Albert C.
AU - Marcus, J. Tim
PY - 2007/3
Y1 - 2007/3
N2 - The response to cardiac resynchronization therapy (CRT), which is applied to patients with heart failure (HF) and left bundle-branch block (LBBB), can be predicted from the mechanical dyssynchrony measured on circumferential strain. Circumferential strain can be assessed by either 2D or 3D strain analysis. In this study was evaluated the difference between 2D and 3D circumferential strain using MR tagging with high temporal resolution (14 ms). Six healthy volunteers and five patients with LBBB were evaluated. We compared the 2D and 3D circumferential strains by computing the mechanical dyssynchrony and the cross correlation (r) between 2D and 3D strain curves, and by quantifying the differences in peak circumferential shortening, time to onset, and time to peak of shortening. The obtained maximum r2 values were 0.97 ± 0.03 and 0.87 ± 0.16 for the healthy and LBBB populations, respectively, and thus showed a good similarity between 2D and 3D strain curves. No significant difference was observed between 2D and 3D in time to onset, time to peak, or peak circumferential shortening. Thus, to measure dyssynchrony, 2D strain analysis will suffice. Since 2D analysis is easier to implement than 3D analysis, this finding brings the application of MRI tagging and strain analysis closer to the clinical routine.
AB - The response to cardiac resynchronization therapy (CRT), which is applied to patients with heart failure (HF) and left bundle-branch block (LBBB), can be predicted from the mechanical dyssynchrony measured on circumferential strain. Circumferential strain can be assessed by either 2D or 3D strain analysis. In this study was evaluated the difference between 2D and 3D circumferential strain using MR tagging with high temporal resolution (14 ms). Six healthy volunteers and five patients with LBBB were evaluated. We compared the 2D and 3D circumferential strains by computing the mechanical dyssynchrony and the cross correlation (r) between 2D and 3D strain curves, and by quantifying the differences in peak circumferential shortening, time to onset, and time to peak of shortening. The obtained maximum r2 values were 0.97 ± 0.03 and 0.87 ± 0.16 for the healthy and LBBB populations, respectively, and thus showed a good similarity between 2D and 3D strain curves. No significant difference was observed between 2D and 3D in time to onset, time to peak, or peak circumferential shortening. Thus, to measure dyssynchrony, 2D strain analysis will suffice. Since 2D analysis is easier to implement than 3D analysis, this finding brings the application of MRI tagging and strain analysis closer to the clinical routine.
KW - Cardiac resynchronization therapy
KW - Circumferential strain
KW - Harmonic phase
KW - Myocardial tagging
KW - Strain analysis
UR - http://www.scopus.com/inward/record.url?scp=33847718734&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/mrm.21142
DO - https://doi.org/10.1002/mrm.21142
M3 - Article
C2 - 17326172
SN - 0740-3194
VL - 57
SP - 485
EP - 493
JO - Magnetic resonance in medicine
JF - Magnetic resonance in medicine
IS - 3
ER -