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10.1186/s12968-020-00647-7

http://scihub22266oqcxt.onion/10.1186/s12968-020-00647-7
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suck abstract from ncbi


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pmid32698811      J+Cardiovasc+Magn+Reson 2020 ; 22 (1): 51
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  • Myocardial strain analysis of the right ventricle: comparison of different cardiovascular magnetic resonance and echocardiographic techniques #MMPMID32698811
  • Erley J; Tanacli R; Genovese D; Tapaskar N; Rashedi N; Bucius P; Kawaji K; Karagodin I; Lang RM; Kelle S; Mor-Avi V; Patel AR
  • J Cardiovasc Magn Reson 2020[Jul]; 22 (1): 51 PMID32698811show ga
  • BACKGROUND: Right ventricular (RV) strain is a useful predictor of prognosis in various cardiovascular diseases, including those traditionally believed to impact only the left ventricle. We aimed to determine inter-modality and inter-technique agreement in RV longitudinal strain (LS) measurements between currently available cardiovascular magnetic resonance (CMR) and echocardiographic techniques, as well as their reproducibility and the impact of layer-specific strain measurements. METHODS: RV-LS was determined in 62 patients using 2D speckle tracking echocardiography (STE, Epsilon) and two CMR techniques: feature tracking (FT) and strain-encoding (SENC), and in 17 healthy subjects using FT and SENC only. Measurements included global and free-wall LS (GLS, FWLS). Inter-technique agreement was assessed using linear regression and Bland-Altman analysis. Reproducibility was quantified using intraclass correlation (ICC) and coefficients of variation (CoV). RESULTS: We found similar moderate agreement between both CMR techniques and STE in patients: r = 0.57-0.63 for SENC; r = 0.50-0.62 for FT. The correlation between SENC and STE was better for GLS (r = 0.63) than for FWLS (r = 0.57). Conversely, the correlation between FT and STE was higher for FWLS (r = 0.60-0.62) than GLS (r = 0.50-0.54). FT-midmyocardial strain correlated better with SENC and STE than FT-subendocardial strain. The agreement between SENC and FT was fair (r = 0.36-0.41, bias: - 6.4 to - 10.4%) in the entire study group. All techniques except FT showed excellent reproducibility (ICC: 0.62-0.96, CoV: 0.04-0.30). CONCLUSIONS: We found only moderate inter-modality agreement with STE in RV-LS for both FT and SENC and poor agreement when comparing between the CMR techniques. Different modalities and techniques should not be used interchangeably to determine and monitor RV strain.
  • |Adult[MESH]
  • |Echocardiography/*methods[MESH]
  • |Female[MESH]
  • |Heart Ventricles/diagnostic imaging/physiopathology[MESH]
  • |Humans[MESH]
  • |Magnetic Resonance Imaging/*methods[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Predictive Value of Tests[MESH]
  • |Reproducibility of Results[MESH]
  • |Ventricular Dysfunction, Right/*diagnostic imaging/*physiopathology[MESH]


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