A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction
BackgroundMyocardial infarction (MI) is a major cause of heart failure. Left ventricular adverse remodeling is common post-MI. Several studies have demonstrated a correlation between reduced myocardial strain and the development of adverse remodeling. Cardiac magnetic resonance (CMR) with fast-strai...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.949440/full |
| _version_ | 1811173024825606144 |
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| author | Walid El-Saadi Walid El-Saadi Jan Edvin Engvall Jan Edvin Engvall Joakim Alfredsson Jan-Erik Karlsson Jan-Erik Karlsson Marcelo Martins Sofia Sederholm Shaikh Faisal Zaman Shaikh Faisal Zaman Tino Ebbers Tino Ebbers Johan Kihlberg Johan Kihlberg |
| author_facet | Walid El-Saadi Walid El-Saadi Jan Edvin Engvall Jan Edvin Engvall Joakim Alfredsson Jan-Erik Karlsson Jan-Erik Karlsson Marcelo Martins Sofia Sederholm Shaikh Faisal Zaman Shaikh Faisal Zaman Tino Ebbers Tino Ebbers Johan Kihlberg Johan Kihlberg |
| author_sort | Walid El-Saadi |
| collection | DOAJ |
| description | BackgroundMyocardial infarction (MI) is a major cause of heart failure. Left ventricular adverse remodeling is common post-MI. Several studies have demonstrated a correlation between reduced myocardial strain and the development of adverse remodeling. Cardiac magnetic resonance (CMR) with fast-strain encoding (fast-SENC) or feature tracking (FT) enables rapid assessment of myocardial deformation. The aim of this study was to establish a head-to-head comparison of fast-SENC and FT in post-ST-elevated myocardial infarction (STEMI) patients, with clinical 2D speckle tracking echocardiography (2DEcho) as a reference.MethodsThirty patients treated with primary percutaneous coronary intervention for STEMI were investigated. All participants underwent CMR examination with late gadolinium enhancement, cine-loop steady-state free precession, and fast-SENC imaging using a 1.5T scanner as well as a 2DEcho. Global longitudinal strain (GLS), segmental longitudinal strain (SLS), global circumferential strain (GCS), and segmental circumferential strain (SCS) were assessed along with the MI scar extent.ResultsThe GCS measurements from fast-SENC and FT were nearly identical: the mean difference was 0.01 (2.5)% (95% CI – 0.92 to 0.95). For GLS, fast-SENC values were higher than FT, with a mean difference of 1.8 (1.4)% (95% CI 1.31–2.35). Tests of significance for GLS did not show any differences between the MR methods and 2DEcho. Average strain in the infarct-related artery (IRA) segments compared to the remote myocardium was significantly lower for the left anterior descending artery and right coronary artery culprits but not for the left circumflex artery culprits. Fast-SENC displayed a higher area under the curve for detecting infarcted segments than FT for both SCS and SLS.ConclusionGLS and GCS did not significantly differ between fast-SENC and FT. Both showed acceptable agreement with 2DEcho for longitudinal strain. Segments perfused by the IRA showed significantly reduced strain values compared to the remote myocardium. Fast-SENC presented a higher sensitivity and specificity for detecting infarcted segments than FT. |
| first_indexed | 2024-04-10T17:40:06Z |
| format | Article |
| id | doaj.art-87c22183009e4f86b55a0ae441a892f3 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-10T17:40:06Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-87c22183009e4f86b55a0ae441a892f32023-02-03T14:43:18ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-07-01910.3389/fcvm.2022.949440949440A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarctionWalid El-Saadi0Walid El-Saadi1Jan Edvin Engvall2Jan Edvin Engvall3Joakim Alfredsson4Jan-Erik Karlsson5Jan-Erik Karlsson6Marcelo Martins7Sofia Sederholm8Shaikh Faisal Zaman9Shaikh Faisal Zaman10Tino Ebbers11Tino Ebbers12Johan Kihlberg13Johan Kihlberg14Department of Internal Medicine, Ryhov County Hospital, Region Jönköping County, Jönköping, SwedenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Clinical Physiology in Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenCenter for Medical Imaging Science and Visualization, Linköping University, Linköping, SwedenDepartment of Cardiology in Linköping and Department of Health Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Internal Medicine, Ryhov County Hospital, Region Jönköping County, Jönköping, SwedenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Radiology in Linköping and Department of Health Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Cardiology in Linköping and Department of Health Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenCenter for Medical Imaging Science and Visualization, Linköping University, Linköping, SwedenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenCenter for Medical Imaging Science and Visualization, Linköping University, Linköping, SwedenCenter for Medical Imaging Science and Visualization, Linköping University, Linköping, SwedenDepartment of Radiology in Linköping and Department of Health Medicine and Caring Sciences, Linköping University, Linköping, SwedenBackgroundMyocardial infarction (MI) is a major cause of heart failure. Left ventricular adverse remodeling is common post-MI. Several studies have demonstrated a correlation between reduced myocardial strain and the development of adverse remodeling. Cardiac magnetic resonance (CMR) with fast-strain encoding (fast-SENC) or feature tracking (FT) enables rapid assessment of myocardial deformation. The aim of this study was to establish a head-to-head comparison of fast-SENC and FT in post-ST-elevated myocardial infarction (STEMI) patients, with clinical 2D speckle tracking echocardiography (2DEcho) as a reference.MethodsThirty patients treated with primary percutaneous coronary intervention for STEMI were investigated. All participants underwent CMR examination with late gadolinium enhancement, cine-loop steady-state free precession, and fast-SENC imaging using a 1.5T scanner as well as a 2DEcho. Global longitudinal strain (GLS), segmental longitudinal strain (SLS), global circumferential strain (GCS), and segmental circumferential strain (SCS) were assessed along with the MI scar extent.ResultsThe GCS measurements from fast-SENC and FT were nearly identical: the mean difference was 0.01 (2.5)% (95% CI – 0.92 to 0.95). For GLS, fast-SENC values were higher than FT, with a mean difference of 1.8 (1.4)% (95% CI 1.31–2.35). Tests of significance for GLS did not show any differences between the MR methods and 2DEcho. Average strain in the infarct-related artery (IRA) segments compared to the remote myocardium was significantly lower for the left anterior descending artery and right coronary artery culprits but not for the left circumflex artery culprits. Fast-SENC displayed a higher area under the curve for detecting infarcted segments than FT for both SCS and SLS.ConclusionGLS and GCS did not significantly differ between fast-SENC and FT. Both showed acceptable agreement with 2DEcho for longitudinal strain. Segments perfused by the IRA showed significantly reduced strain values compared to the remote myocardium. Fast-SENC presented a higher sensitivity and specificity for detecting infarcted segments than FT.https://www.frontiersin.org/articles/10.3389/fcvm.2022.949440/fullcine magnetic resonance imagingmyocardial ischemiaST elevation myocardial infarctionmyocardial stunningleft ventricular dysfunctionleft ventricular remodeling |
| spellingShingle | Walid El-Saadi Walid El-Saadi Jan Edvin Engvall Jan Edvin Engvall Joakim Alfredsson Jan-Erik Karlsson Jan-Erik Karlsson Marcelo Martins Sofia Sederholm Shaikh Faisal Zaman Shaikh Faisal Zaman Tino Ebbers Tino Ebbers Johan Kihlberg Johan Kihlberg A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction Frontiers in Cardiovascular Medicine cine magnetic resonance imaging myocardial ischemia ST elevation myocardial infarction myocardial stunning left ventricular dysfunction left ventricular remodeling |
| title | A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction |
| title_full | A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction |
| title_fullStr | A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction |
| title_full_unstemmed | A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction |
| title_short | A head-to-head comparison of myocardial strain by fast-strain encoding and feature tracking imaging in acute myocardial infarction |
| title_sort | head to head comparison of myocardial strain by fast strain encoding and feature tracking imaging in acute myocardial infarction |
| topic | cine magnetic resonance imaging myocardial ischemia ST elevation myocardial infarction myocardial stunning left ventricular dysfunction left ventricular remodeling |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.949440/full |
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