Diagnostics (Sep 2023)

Biventricular Tissue Tracking with Cardiovascular Magnetic Resonance: Reference Values of Left- and Right-Ventricular Strain

  • Andrea Barison,
  • Roberto Ceolin,
  • Alessandro Palmieri,
  • Pietro Paolo Tamborrino,
  • Giancarlo Todiere,
  • Chrysanthos Grigoratos,
  • Ignazio Alessio Gueli,
  • Carmelo De Gori,
  • Alberto Clemente,
  • Laura Pistoia,
  • Alessia Pepe,
  • Giovanni Donato Aquaro,
  • Vincenzo Positano,
  • Michele Emdin,
  • Filippo Cademartiri,
  • Antonella Meloni

DOI
https://doi.org/10.3390/diagnostics13182912
Journal volume & issue
Vol. 13, no. 18
p. 2912

Abstract

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We derived reference values of left-ventricular (LV) and right-ventricular (RV) strain parameters in a cohort of 100 healthy subjects by feature tracking cardiac magnetic resonance (FT-CMR). Global and regional strain values were calculated for the LV; circumferential and radialSAX strain parameters were derived from the short-axis (SAX) stack, while longitudinal and radialLAX strain parameters were assessed in three long-axis (LAX) views. Only global longitudinal strain (GLS) was calculated for the RV. Peak global LV circumferential strain was −16.7% ± 2.1%, LV radialSAX strain was 26.4% ± 5.1%, LV radialLAX strain was 31.1% ± 5.2%, LV GLS was −17.7% ± 1.9%, and RV GLS was −23.9% ± 4.1%. Women presented higher global LV and RV strain values than men; all strain values presented a weak relationship with body surface area, while there was no association with age or heart rate. A significant association was detected between all LV global strain measures and LV ejection fraction, while RV GLS was correlated to RV end-diastolic volume. The intra- and inter-operator reproducibility was good for all global strain measures. In the regional analysis, circumferential and radial strain values resulted higher at the apical level, while longitudinal strain values were higher at the basal level. The assessment of cardiac deformation by FT-CMR is feasible and reproducible and gender-specific reference values should be used.

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