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Myocardial Deformation in the Pediatric Age Group: Normal Values for Strain and Strain Rate Using 2D Magnetic Resonance Feature Tracking
Author(s) -
Voges Inga,
Negwer Inken,
Caliebe Amke,
Boroni Grazioli Simona,
Daubeney Piers E.F.,
Uebing Anselm,
Pennell Dudley J.,
Krupickova Sylvia
Publication year - 2022
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.28073
Subject(s) - feature tracking , strain (injury) , strain rate , magnetic resonance imaging , medicine , cardiology , deformation (meteorology) , cardiac magnetic resonance , cardiac magnetic resonance imaging , nuclear magnetic resonance , physics , radiology , quantum mechanics , meteorology , thermodynamics , harp
Background Myocardial deformation can be assessed from routine cardiac magnetic resonance (MR) images using two‐dimensional feature tracking (2D‐FT). Although reference values are essential for implementation of strain imaging in clinical practice, data for the healthy pediatric age group are limited. Purpose To provide pediatric MR reference values for strain and strain rate for all four heart chambers. Study Type Retrospective. Subjects One hundred and fifty‐seven healthy children from two institutions (102 male, age 4.7–18 years). Field Strength/Sequence 1.5 T; balanced steady‐state free precession sequence. Assessment Left ventricular (LV) global and regional longitudinal, circumferential, and radial strain and strain rate as well as right ventricular (RV) and atrial global and regional longitudinal strain and strain rate were measured in two‐, three‐, and four‐chamber views and the short axis stack. The relationships between strain parameters and age, height, weight, and gender were investigated. Age‐ and height‐specific centile curves and tables were created for LV strain and strain rate. For all other global strain parameters, the mean was calculated as a reference. Statistical Tests Lambda‐mu‐sigma (LMS)‐method of Cole and Green, univariable, and multivariable linear regression models. A P value <0.05 was considered to be statistically significant. Results Age, height and weight had a significant influence on LV global strain values. These parameters also showed an influence on RV strain but only in boys (girls P = 0.12) and none of the variables had a significant influence on atrial strain ( P = 0.19–0.49). Gender differences were only found for RV strain values. Data Conclusion Pediatric potential reference values for myocardial deformation parameters of both ventricles and atria are provided. The values may serve as a reference in future studies and clinical practice. Level of Evidence 3 Technical Efficacy Stage 5