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Cross‐correlation delay to quantify myocardial dyssynchrony from phase contrast magnetic resonance (PCMR) velocity data
Author(s) -
Delfino Jana G.,
Fornwalt Brandon K.,
Eisner Robert L.,
Leon Angel R.,
Oshinski John N.
Publication year - 2008
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.21566
Subject(s) - ventricular dyssynchrony , medicine , cardiac resynchronization therapy , cardiology , magnetic resonance imaging , receiver operating characteristic , cardiac magnetic resonance , heart failure , radiology , ejection fraction
Purpose To apply cross‐correlation delay (XCD) analysis to myocardial phase contrast magnetic resonance (PCMR) tissue velocity data and to compare XCD to three established “time‐to‐peak” dyssynchrony parameters. Materials and Methods Myocardial tissue velocity was acquired using PCMR in 10 healthy volunteers (negative controls) and 10 heart failure patients who met criteria for cardiac resynchronization therapy (positive controls). All dyssynchrony parameters were computed from PCMR velocity curves. Sensitivity, specificity, and receiver operator curve (ROC) analysis for separating positive and negative controls were computed for each dyssynchrony parameter. Results XCD had higher sensitivity (90%) and specificity (100%) for discriminating between normal and patient groups than any of the time‐to‐peak dyssynchrony parameters. ROC analysis showed that XCD was the best parameter for separating the positive and negative control groups. Conclusion XCD is superior to time‐to‐peak dyssynchrony parameters for discriminating between subjects with and without dyssynchrony and may aid in the selection of patients for cardiac resynchronization therapy. J. Magn. Reson. Imaging 2008;28:1086–1091. © 2008 Wiley‐Liss, Inc.