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Better imaging methods are needed to identify optimal cardiac resynchronization therapy (CRT) candidates. High-resolution magnetic resonance (MR) cine DENSE (displacement encoding with stimulated echoes) provides accurate assessment of cardiac strain, but prior experience with this technique has been based largely on circumferential and radial rather than longitudinal strain. Based on a recent multicenter echocardiography study, the role of longitudinal dyssynchrony measurements in heart failure is unclear.

journal of cardiovascular magnetic resonance

MR cine DENSE imaging demonstrates more effective identification of dyssynchrony in heart failure with circumferential and longitudinal strain versus radial strain