Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction

Abstract Background Cardiovascular magnetic resonance (CMR) myocardial strain analysis using feature tracking (FT) is an increasingly popular method to assess cardiac function. However, different software packages produce different strain values from the same images and there is little guidance rega...

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Main Authors: Ying Zhang, David Mui, Julio A. Chirinos, Payman Zamani, Victor A. Ferrari, Yucheng Chen, Yuchi Han
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Journal of Cardiovascular Magnetic Resonance
Subjects:
Online Access:https://doi.org/10.1186/s12968-021-00747-y
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author Ying Zhang
David Mui
Julio A. Chirinos
Payman Zamani
Victor A. Ferrari
Yucheng Chen
Yuchi Han
author_facet Ying Zhang
David Mui
Julio A. Chirinos
Payman Zamani
Victor A. Ferrari
Yucheng Chen
Yuchi Han
author_sort Ying Zhang
collection DOAJ
description Abstract Background Cardiovascular magnetic resonance (CMR) myocardial strain analysis using feature tracking (FT) is an increasingly popular method to assess cardiac function. However, different software packages produce different strain values from the same images and there is little guidance regarding which software package would be the best to use. We explored a framework under which different software packages could be compared and used based on their abilities to differentiate disease from health and differentiate disease severity based on outcome. Method To illustrate this concept, we compared 4-chamber left ventricular (LV) peak longitudinal strain (GLS) analyzed from retrospective electrocardiogram gated cine imaging performed on 1.5 T CMR scanners using three CMR post-processing software packages in their abilities to discriminate a group of 45 patients with heart failure with preserved ejection fraction (HFpEF) from 26 controls without cardiovascular disease and to discriminate disease severity based on outcomes. The three different post-processing software used were SuiteHeart, cvi42, and DRA-Trufistrain. Results All three software packages were able to distinguish HFpEF patients from controls. 4-chamber peak GLS by SuiteHeart was shown to be a better discriminator of adverse outcomes in HFpEF patients than 4-chamber GLS derived from cvi42 or DRA-Trufistrain. Conclusion We illustrated a framework to compare feature tracking GLS derived from different post-processing software packages. Publicly available imaging data sets with outcomes would be important to validate the growing number of CMR-FT software packages.
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spelling doaj.art-7d85424e0be948bca15c693e86fd7f452024-04-16T12:14:37ZengElsevierJournal of Cardiovascular Magnetic Resonance1532-429X2021-05-0123111010.1186/s12968-021-00747-yComparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fractionYing Zhang0David Mui1Julio A. Chirinos2Payman Zamani3Victor A. Ferrari4Yucheng Chen5Yuchi Han6Cardiovascular Division, Department of Medicine, Perelman School of Medicine, University of PennsylvaniaPerelman School of Medicine, University of PennsylvaniaCardiovascular Division, Department of Medicine, Perelman School of Medicine, University of PennsylvaniaCardiovascular Division, Department of Medicine, Perelman School of Medicine, University of PennsylvaniaCardiovascular Division, Department of Medicine, Perelman School of Medicine, University of PennsylvaniaDepartment of Cardiology, West China HospitalCardiovascular Division, Department of Medicine, Perelman School of Medicine, University of PennsylvaniaAbstract Background Cardiovascular magnetic resonance (CMR) myocardial strain analysis using feature tracking (FT) is an increasingly popular method to assess cardiac function. However, different software packages produce different strain values from the same images and there is little guidance regarding which software package would be the best to use. We explored a framework under which different software packages could be compared and used based on their abilities to differentiate disease from health and differentiate disease severity based on outcome. Method To illustrate this concept, we compared 4-chamber left ventricular (LV) peak longitudinal strain (GLS) analyzed from retrospective electrocardiogram gated cine imaging performed on 1.5 T CMR scanners using three CMR post-processing software packages in their abilities to discriminate a group of 45 patients with heart failure with preserved ejection fraction (HFpEF) from 26 controls without cardiovascular disease and to discriminate disease severity based on outcomes. The three different post-processing software used were SuiteHeart, cvi42, and DRA-Trufistrain. Results All three software packages were able to distinguish HFpEF patients from controls. 4-chamber peak GLS by SuiteHeart was shown to be a better discriminator of adverse outcomes in HFpEF patients than 4-chamber GLS derived from cvi42 or DRA-Trufistrain. Conclusion We illustrated a framework to compare feature tracking GLS derived from different post-processing software packages. Publicly available imaging data sets with outcomes would be important to validate the growing number of CMR-FT software packages.https://doi.org/10.1186/s12968-021-00747-yFeature trackingPost-processingCMRHFpEFStrainSoftware package comparison
spellingShingle Ying Zhang
David Mui
Julio A. Chirinos
Payman Zamani
Victor A. Ferrari
Yucheng Chen
Yuchi Han
Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
Journal of Cardiovascular Magnetic Resonance
Feature tracking
Post-processing
CMR
HFpEF
Strain
Software package comparison
title Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
title_full Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
title_fullStr Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
title_full_unstemmed Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
title_short Comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
title_sort comparing cardiovascular magnetic resonance strain software packages by their abilities to discriminate outcomes in patients with heart failure with preserved ejection fraction
topic Feature tracking
Post-processing
CMR
HFpEF
Strain
Software package comparison
url https://doi.org/10.1186/s12968-021-00747-y
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