Assessment of infarct-specific cardiac motion dysfunction using modeling and multimodal magnetic resonance merging.
J Magn Reson Imaging
; 45(2): 525-534, 2017 02.
Article
em En
| MEDLINE
| ID: mdl-27418150
ABSTRACT
PURPOSE:
To propose a cardiac motion tracking model that evaluates wall motion abnormality in postmyocardial infarction patients. Correlation between the motion parameter of the model and left ventricle (LV) function was also determined. MATERIALS ANDMETHODS:
Twelve male patients with post-ST elevation myocardial infarction (post-STEMI) and 10 healthy controls of the same gender were recruited to undergo cardiac magnetic resonance imaging (MRI) using a 1.5T scanner. Using an infarct-specific LV division approach, the late gadolinium enhancement (LGE) MRI images were used to divide the LV on the tagged MRI images into infarct, adjacent, and remote sectors. Motion tracking was performed using the infarct-specific two-parameter empirical deformable model (TPEDM). The match quality was defined as the position error computed using root-mean-square (RMS) distance between the estimated and expert-verified tag intersections. The position errors were compared with the ones from our previously published fixed-sector TPEDM. Cine MRI images were used to calculate regional ejection fraction (REF). Correlation between the end-systolic contraction parameter (αES ) with REF was determined.RESULTS:
The position errors in the proposed model were significantly lower than the fixed-sector model (P < 0.01). The median position errors were 0.82 mm versus 1.23 mm. The αES correlates significantly with REF (r = 0.91, P < 0.01).CONCLUSION:
The infarct-specific TPEDM combines the morphological and functional information from LGE and tagged MRI images. It was shown to outperform the fixed-sector model in assessing regional LV dysfunction. The significant correlation between αES and REF added prognostic value because it indicated an impairment of cardiac function with the increase of infarct transmurality. LEVEL OF EVIDENCE 3 J. Magn. Reson. Imaging 2017;45525-534.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Técnica de Subtração
/
Disfunção Ventricular Esquerda
/
Imagem Cinética por Ressonância Magnética
/
Modelos Cardiovasculares
/
Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Magn Reson Imaging
Assunto da revista:
DIAGNOSTICO POR IMAGEM
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Malásia