Strain-encoded cardiac magnetic resonance imaging: a new approach for fast estimation of left ventricular function.


Journal

BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539

Informations de publication

Date de publication:
05 03 2019
Historique:
received: 12 08 2018
accepted: 21 02 2019
entrez: 7 3 2019
pubmed: 7 3 2019
medline: 18 12 2019
Statut: epublish

Résumé

Recently introduced fast strain-encoded (SENC) cardiac magnetic resonance (CMR) imaging (fast-SENC) provides real-time acquisition of myocardial performance in a single heartbeat. We aimed to test the ability and accuracy of real-time strain-encoded CMR imaging to estimate left ventricular volumes, ejection fraction and mass. Thirty-five subjects (12 healthy volunteers and 23 patients with known or suspected coronary artery disease) were investigated. All study participants were imaged at 1.5 Tesla MRI scanner (Achieva, Philips) using an advanced CMR study protocol which included conventional cine and fast-SENC imaging. A newly developed real-time free-breathing SENC imaging technique based on the acquisition of two images with different frequency modulation was employed. All parameters were successfully derived from fast-SENC images with total study time of 105 s (a 15 s scan time and a 90 s post-processing time). There was no significant difference between fast-SENC and cine imaging in the estimation of LV volumes and EF, whereas fast-SENC underestimated LV end-diastolic mass by 7%. The single heartbeat fast-SENC technique can be used as a good alternative to cine imaging for the precise calculation of LV volumes and ejection fraction while the technique significantly underestimates LV end-diastolic mass.

Sections du résumé

BACKGROUND
Recently introduced fast strain-encoded (SENC) cardiac magnetic resonance (CMR) imaging (fast-SENC) provides real-time acquisition of myocardial performance in a single heartbeat. We aimed to test the ability and accuracy of real-time strain-encoded CMR imaging to estimate left ventricular volumes, ejection fraction and mass.
METHODS
Thirty-five subjects (12 healthy volunteers and 23 patients with known or suspected coronary artery disease) were investigated. All study participants were imaged at 1.5 Tesla MRI scanner (Achieva, Philips) using an advanced CMR study protocol which included conventional cine and fast-SENC imaging. A newly developed real-time free-breathing SENC imaging technique based on the acquisition of two images with different frequency modulation was employed.
RESULTS
All parameters were successfully derived from fast-SENC images with total study time of 105 s (a 15 s scan time and a 90 s post-processing time). There was no significant difference between fast-SENC and cine imaging in the estimation of LV volumes and EF, whereas fast-SENC underestimated LV end-diastolic mass by 7%.
CONCLUSION
The single heartbeat fast-SENC technique can be used as a good alternative to cine imaging for the precise calculation of LV volumes and ejection fraction while the technique significantly underestimates LV end-diastolic mass.

Identifiants

pubmed: 30836942
doi: 10.1186/s12872-019-1031-5
pii: 10.1186/s12872-019-1031-5
pmc: PMC6402124
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

52

Références

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Auteurs

Tomas Lapinskas (T)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. lapinskas@dhzb.de.
Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania. lapinskas@dhzb.de.
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany. lapinskas@dhzb.de.

Victoria Zieschang (V)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Jennifer Erley (J)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Lukas Stoiber (L)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Bernhard Schnackenburg (B)

Philips Healthcare, Hamburg, Germany.

Christian Stehning (C)

Philips Healthcare, Hamburg, Germany.

Rolf Gebker (R)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.

Amit R Patel (AR)

Department of Medicine, University of Chicago, Chicago, IL, USA.

Keigo Kawaji (K)

Department of Medicine, University of Chicago, Chicago, IL, USA.

Henning Steen (H)

Department of Internal Medicine / Cardiology, Marienkrankenhaus Hamburg, Hamburg, Germany.

Remigijus Zaliunas (R)

Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Sören J Backhaus (SJ)

Department of Cardiology and Pneumology, University Medical Center, Georg-August University, Göttingen, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.

Andreas Schuster (A)

Department of Cardiology and Pneumology, University Medical Center, Georg-August University, Göttingen, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Department of Cardiology, Royal North Shore Hospital, The Kolling Institute, Northern Clinical School, University of Sydney, Sydney, Australia.

Marcus Makowski (M)

Department of Radiology, Charité Campus Virchow Clinic, Berlin, Germany.

Sorin Giusca (S)

Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Weinheim, Germany.

Grigorious Korosoglou (G)

Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Weinheim, Germany.

Burkert Pieske (B)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.

Sebastian Kelle (S)

Department of Internal Medicine / Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. kelle@dhzb.de.
Department of Internal Medicine / Cardiology, Charité Campus Virchow Clinic, Berlin, Germany. kelle@dhzb.de.
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany. kelle@dhzb.de.

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