3D-Encoded DENSE MRI with Zonal Excitation for Quantifying Biventricular Myocardial Strain During a Breath-Hold

© 2021. Biomedical Engineering Society..

PURPOSE: Right ventricular (RV) function is increasingly recognized for its prognostic value in many disease states. As with the left ventricle (LV), strain-based measurements may have better prognostic value than typical chamber volumes or ejection fraction. Complete functional characterization of the RV requires high-resolution, 3D displacement tracking methods, which have been prohibitively challenging to implement. Zonal excitation during Displacement ENcoding with Stimulated Echoes (DENSE) magnetic resonance imaging (MRI) has helped reduce scan time for 2D LV strain quantification. We hypothesized that zonal excitation could alternatively be used to reproducibly acquire higher resolution, 3D-encoded DENSE images for quantification of bi-ventricular strain within a single breath-hold.

METHODS: We modified sequence parameters for a 3D zonal excitation DENSE sequence to achieve in-plane resolution < 2 mm and acquired two sets of images in eight healthy adult male volunteers with median (IQR) age 32.5 (32.0-33.8) years. We assessed the inter-test reproducibility of this technique, and compared computed strains and torsion with previously published data.

RESULTS: Data for one subject was excluded based on image artifacts. Reproducibility for LV (CoV: 6.1-9.0%) and RV normal strains (CoV: 6.3-8.2%) and LV torsion (CoV = 7.1%) were all very good. Reproducibility of RV torsion was lower (CoV = 16.7%), but still within acceptable limits. Computed global strains and torsion were within reasonable agreement with published data, but further studies in larger cohorts are needed to confirm.

CONCLUSION: Reproducible acquisition of 3D-encoded biventricular myocardial strain data in a breath-hold is feasible using DENSE with zonal excitation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Cardiovascular engineering and technology - 12(2021), 6 vom: 09. Dez., Seite 589-597

Sprache:

Englisch

Beteiligte Personen:

Carruth, Eric D [VerfasserIn]
Fielden, Samuel W [VerfasserIn]
Nevius, Christopher D [VerfasserIn]
Fornwalt, Brandon K [VerfasserIn]
Haggerty, Christopher M [VerfasserIn]

Links:

Volltext

Themen:

DENSE
Journal Article
Myocardial mechanics
Research Support, N.I.H., Extramural
Right ventricle
Zonal excitation

Anmerkungen:

Date Completed 31.12.2021

Date Revised 02.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s13239-021-00561-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327907533