Analysis of three-dimensional endocardial and epicardial strains from cardiac magnetic resonance in healthy subjects and patients with hypertrophic cardiomyopathy.

Hypertrophic cardiomyopathy (HCM) is a genetic disease that leads to left ventricle (LV) hypertrophy with or without the presence of LV outflow tract obstruction. The aim of this study was to find an easy and useful indicator based on cardiac magnetic resonance (CMR) images for control subjects and...

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Publicado en:Medical & Biological Engineering & Computing Vol. 56; no. 1; pp. 159 - 173
Autores principales: Zhao, Xiaodan, Tan, Ru San, Tang, Hak Chiaw, Leng, Shuang, Zhang, Jun-Mei, Zhong, Liang
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jan2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Analysis of three-dimensional endocardial and epicardial strains from cardiac magnetic resonance in healthy subjects and patients with hypertrophic cardiomyopathy.
      aug:
        au:
          Zhao, Xiaodan
          Tan, Ru San
          Tang, Hak Chiaw
          Leng, Shuang
          Zhang, Jun-Mei
          Zhong, Liang
        affil: National Heart Centre Singapore, Singapore, Singapore
      sug:
        subj:
          Pericardium Pathology
          Research Subjects
          Imaging, Three-Dimensional
          Endocardium Pathology
          Magnetic Resonance Imaging
          Cardiomyopathy, Hypertrophic Pathology
          Female
          Middle Age
          Male
          Demography
          Case Control Studies
          ROC Curve
          Human
          Funding Source
          Middle Aged: 45-64 years
          Female
          Male
      ab: Hypertrophic cardiomyopathy (HCM) is a genetic disease that leads to left ventricle (LV) hypertrophy with or without the presence of LV outflow tract obstruction. The aim of this study was to find an easy and useful indicator based on cardiac magnetic resonance (CMR) images for control subjects and patients with and without obstruction. CMR scans were performed for 19 control subjects and 19 HCM patients. Endocardial strain was defined as [Formula: see text], with [Formula: see text] being the length of endocardium at end-diastole (end-systole); similarly for epicardial strain ([Formula: see text]). The strains were evaluated in cine CMR two-, three- and four-chamber views. Six atrioventricular junction (AVJ) points from three CMR views were semi-automatically tracked. The peak systolic velocity (Sm1), peak early diastolic velocity and late diastolic velocity (Em, Am) were extracted and analysed. Compared with control subjects, HCM patients had significantly smaller three-dimensional strains and AVJ motion incorporating measurements from three long-axis views (all P < 0.05). Moreover, ROC analysis found that three-dimensional global epicardial strain <17.2% had the best sensitivity 94.4% and specificity 94.7% to differentiate HCM from control (AUC = 0.97). Therefore, three-dimensional endocardial and epicardial strains provide an easy and effective approach to manage and triage hypertrophic cardiomyopathy patients.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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