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Quantitative comparison of 2D and 3D circumferential strain using MRI tagging in normal and LBBB hearts
Author(s) -
Tecelão Sandra R.R.,
Zwanenburg Jaco J.M.,
Kuijer Joost P.A.,
de Cock Carel C.,
Germans Tjeerd,
van Rossum Albert C.,
Marcus J. Tim
Publication year - 2007
Publication title -
magnetic resonance in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.696
H-Index - 225
eISSN - 1522-2594
pISSN - 0740-3194
DOI - 10.1002/mrm.21142
Subject(s) - strain (injury) , left bundle branch block , cardiac resynchronization therapy , cardiology , heart failure , medicine , significant difference , nuclear medicine , biomedical engineering , ejection fraction
Abstract The response to cardiac resynchronization therapy (CRT), which is applied to patients with heart failure (HF) and left bundle‐branch block (LBBB), can be predicted from the mechanical dyssynchrony measured on circumferential strain. Circumferential strain can be assessed by either 2D or 3D strain analysis. In this study was evaluated the difference between 2D and 3D circumferential strain using MR tagging with high temporal resolution (14 ms). Six healthy volunteers and five patients with LBBB were evaluated. We compared the 2D and 3D circumferential strains by computing the mechanical dyssynchrony and the cross correlation ( r ) between 2D and 3D strain curves, and by quantifying the differences in peak circumferential shortening, time to onset, and time to peak of shortening. The obtained maximum r 2 values were 0.97 ± 0.03 and 0.87 ± 0.16 for the healthy and LBBB populations, respectively, and thus showed a good similarity between 2D and 3D strain curves. No significant difference was observed between 2D and 3D in time to onset, time to peak, or peak circumferential shortening. Thus, to measure dyssynchrony, 2D strain analysis will suffice. Since 2D analysis is easier to implement than 3D analysis, this finding brings the application of MRI tagging and strain analysis closer to the clinical routine. Magn Reson Med 57:485–493, 2007. © 2007 Wiley‐Liss, Inc.