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Correction with blood T1 is essential when measuring post-contrast myocardial T1 value in patients with acute myocardial infarction

Authors
 Eui-Young Choi  ;  Sung Ho Hwang  ;  Young Won Yoon  ;  Chul Hwan Park  ;  Mun Young Paek  ;  Andreas Greiser  ;  Hyemoon Chung  ;  Ji-Hyun Yoon  ;  Jong-Youn Kim  ;  Pil-Ki Min  ;  Byoung Kwon Lee  ;  Bum-Kee Hong  ;  Se-Joong Rim  ;  Hyuck Moon Kwon  ;  Tae Hoon Kim 
Citation
 JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, Vol.15(1) : 11, 2013 
Journal Title
 JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE 
ISSN
 1097-6647 
Issue Date
2013
MeSH
Adult ; Analysis of Variance ; Cardiomyopathies/diagnosis ; Cardiomyopathies/pathology ; Case-Control Studies ; Contrast Media* ; Female ; Fibrosis ; Humans ; Magnetic Resonance Imaging, Cine* ; Male ; Meglumine* ; Middle Aged ; Myocardial Infarction/diagnosis* ; Myocardial Infarction/pathology ; Myocardial Infarction/physiopathology ; Myocardium/pathology* ; Organometallic Compounds* ; Predictive Value of Tests ; Time Factors ; Ventricular Function, Left
Keywords
Cardiovascular magnetic resonance ; T1 mapping ; Myocardium
Abstract
BACKGROUND: The aim of this study is to determine the test-retest reliability of the measurement of regional myocardial function by cardiovascular magnetic resonance (CMR) tagging using spatial modulation of magnetization. METHODS: Twenty-five participants underwent CMR tagging twice over 12 +/- 7 days. To assess the role of slice orientation on strain measurement, two healthy volunteers had a first exam, followed by image acquisition repeated with slices rotated +/-15 degrees out of true short axis, followed by a second exam in the true short axis plane. To assess the role of slice location, two healthy volunteers had whole heart tagging. The harmonic phase (HARP) method was used to analyze the tagged images. Peak midwall circumferential strain (Ecc), radial strain (Err), Lambda 1, Lambda 2, and Angle alpha were determined in basal, mid and apical slices. LV torsion, systolic and early diastolic circumferential strain and torsion rates were also determined. RESULTS: LV Ecc and torsion had excellent intra-, interobserver, and inter-study intra-class correlation coefficients (ICC range, 0.7 to 0.9). Err, Lambda 1, Lambda 2 and angle had excellent intra- and interobserver ICC than inter-study ICC. Angle had least inter-study reproducibility. Torsion rates had superior intra-, interobserver, and inter-study reproducibility to strain rates. The measurements of LV Ecc were comparable in all three slices with different short axis orientations (standard deviation of mean Ecc was 0.09, 0.18 and 0.16 at basal, mid and apical slices, respectively). The mean difference in LV Ecc between slices was more pronounced in most of the basal slices compared to the rest of the heart. CONCLUSIONS: Intraobserver and interobserver reproducibility of all strain and torsion parameters was excellent. Inter-study reproducibility of CMR tagging by SPAMM varied between different parameters as described in the results above and was superior for Ecc and LV torsion. The variation in LV Ecc measurement due to altered slice orientation is negligible compared to the variation due to slice location.Trial registration: This trial is registered as NCT00005487 at National Heart, Lung and Blood institute.
Files in This Item:
T201300194.pdf Download
DOI
10.1186/1532-429X-15-11
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hyuck Moon(권혁문) ORCID logo https://orcid.org/0000-0001-9901-5015
Kim, Jong Youn(김종윤) ORCID logo https://orcid.org/0000-0001-7040-8771
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3598-2529
Min, Pil Ki(민필기) ORCID logo https://orcid.org/0000-0001-7033-7651
Park, Chul Hwan(박철환) ORCID logo https://orcid.org/0000-0002-0004-9475
Yoon, Young Won(윤영원) ORCID logo https://orcid.org/0000-0002-0907-0350
Yoon, Ji Hyun(윤지현)
Lee, Byoung Kwon(이병권) ORCID logo https://orcid.org/0000-0001-9259-2776
Rim, Se Joong(임세중) ORCID logo https://orcid.org/0000-0002-7631-5581
Choi, Eui Young(최의영) ORCID logo https://orcid.org/0000-0003-3732-0190
Hong, Bum Kee(홍범기) ORCID logo https://orcid.org/0000-0002-6456-0184
Hwang, Sung Ho(황성호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86202
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