Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis

ObjectiveTo investigate the feasibility of 3D left ventricular global and regional strain by using one breath-hold (BH) compressed sensing cine (CSC) protocol and determine the agreement between CSC and conventional cine (CC) protocols.MethodsA total of 30 volunteers were enrolled in this study. Car...

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Main Authors: Xiaorong Chen, Jiangfeng Pan, Yi Hu, Hongjie Hu, Yonghao Pan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.903203/full
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author Xiaorong Chen
Jiangfeng Pan
Yi Hu
Hongjie Hu
Yonghao Pan
author_facet Xiaorong Chen
Jiangfeng Pan
Yi Hu
Hongjie Hu
Yonghao Pan
author_sort Xiaorong Chen
collection DOAJ
description ObjectiveTo investigate the feasibility of 3D left ventricular global and regional strain by using one breath-hold (BH) compressed sensing cine (CSC) protocol and determine the agreement between CSC and conventional cine (CC) protocols.MethodsA total of 30 volunteers were enrolled in this study. Cardiovascular magnetic resonance (CMR) images were acquired using a 1.436 T magnetic resonance imaging (MRI) system. The CSC protocols included one BH CSC and the shortest BH CSC protocols with different parameters and were only performed in short-axis (SA) view following CC protocols. Left ventricular (LV) end-diastole volume (EDV), end-systole volume (ESV), stroke volume (SV), and ejection fraction (EF) global and regional strain were calculated by CC, one BH CSC, and shortest BH CSC protocols. The intraclass correlation coefficient (ICC) and coefficient of variance (CV) of these parameters were used to determine the agreement between different acquisitions.ResultsThe agreement of all volumetric variables and EF between the CC protocol and one BH CSC protocol was excellent (ICC > 0.9). EDV, ESV, and SV between CC and shortest BH CSC protocols also had a remarkable coherence (ICC > 0.9). The agreement of 3D LV global strain assessment between CC protocol and one BH CSC protocol was good (ICC > 0.8). Most CVs of variables were also good (CV < 15%). ICCs of all variables were lower than 0.8. CVs of all parameters were higher than 15% except global longitudinal strain (GLS) between CC and shortest BH CSC protocols. The agreement of regional strain between CC and BH CSC protocols was heterogeneous (-0.2 < ICC < 0.7). Many variables of CVs were poor.ConclusionNotably, one BH CSC protocol can be used for 3D global strain analysis, along with a good correlation with the CC protocol. The regional strain should continue to be computed by the CC protocol due to poor agreement and a remarkable variation between the protocols. The shortest BH CSC protocol was insufficient to replace the CC protocol for 3D global and regional strain.
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spelling doaj.art-8cc855995e7549e3a70aa23fcf69bb882022-12-22T01:35:23ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.903203903203Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysisXiaorong Chen0Jiangfeng Pan1Yi Hu2Hongjie Hu3Yonghao Pan4Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaAffiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaAffiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaSir Run Run Shaw Hospital, Hangzhou, ChinaAffiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaObjectiveTo investigate the feasibility of 3D left ventricular global and regional strain by using one breath-hold (BH) compressed sensing cine (CSC) protocol and determine the agreement between CSC and conventional cine (CC) protocols.MethodsA total of 30 volunteers were enrolled in this study. Cardiovascular magnetic resonance (CMR) images were acquired using a 1.436 T magnetic resonance imaging (MRI) system. The CSC protocols included one BH CSC and the shortest BH CSC protocols with different parameters and were only performed in short-axis (SA) view following CC protocols. Left ventricular (LV) end-diastole volume (EDV), end-systole volume (ESV), stroke volume (SV), and ejection fraction (EF) global and regional strain were calculated by CC, one BH CSC, and shortest BH CSC protocols. The intraclass correlation coefficient (ICC) and coefficient of variance (CV) of these parameters were used to determine the agreement between different acquisitions.ResultsThe agreement of all volumetric variables and EF between the CC protocol and one BH CSC protocol was excellent (ICC > 0.9). EDV, ESV, and SV between CC and shortest BH CSC protocols also had a remarkable coherence (ICC > 0.9). The agreement of 3D LV global strain assessment between CC protocol and one BH CSC protocol was good (ICC > 0.8). Most CVs of variables were also good (CV < 15%). ICCs of all variables were lower than 0.8. CVs of all parameters were higher than 15% except global longitudinal strain (GLS) between CC and shortest BH CSC protocols. The agreement of regional strain between CC and BH CSC protocols was heterogeneous (-0.2 < ICC < 0.7). Many variables of CVs were poor.ConclusionNotably, one BH CSC protocol can be used for 3D global strain analysis, along with a good correlation with the CC protocol. The regional strain should continue to be computed by the CC protocol due to poor agreement and a remarkable variation between the protocols. The shortest BH CSC protocol was insufficient to replace the CC protocol for 3D global and regional strain.https://www.frontiersin.org/articles/10.3389/fcvm.2022.903203/fullcompressed sensingcardiovascular magnetic resonancemyocardial strainventricular functionagreement assessment
spellingShingle Xiaorong Chen
Jiangfeng Pan
Yi Hu
Hongjie Hu
Yonghao Pan
Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
Frontiers in Cardiovascular Medicine
compressed sensing
cardiovascular magnetic resonance
myocardial strain
ventricular function
agreement assessment
title Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
title_full Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
title_fullStr Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
title_full_unstemmed Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
title_short Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
title_sort feasibility of one breath hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis
topic compressed sensing
cardiovascular magnetic resonance
myocardial strain
ventricular function
agreement assessment
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.903203/full
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AT jiangfengpan feasibilityofonebreathholdcardiovascularmagneticresonancecompressedsensingcineforleftventricularstrainanalysis
AT yihu feasibilityofonebreathholdcardiovascularmagneticresonancecompressedsensingcineforleftventricularstrainanalysis
AT hongjiehu feasibilityofonebreathholdcardiovascularmagneticresonancecompressedsensingcineforleftventricularstrainanalysis
AT yonghaopan feasibilityofonebreathholdcardiovascularmagneticresonancecompressedsensingcineforleftventricularstrainanalysis