Comparison of strain imaging techniques in CRT candidates: CMR tagging, CMR feature tracking and speckle tracking echocardiography

Wouter M. van Everdingen, Alwin Zweerink, Robin Nijveldt, Odette A.E. Salden, Mathias Meine, Alexander H. Maass, Kevin Vernooy, Frederik J. de Lange, Albert C. van Rossum, Pierre Croisille, Patrick Clarysse, Bastiaan Geelhoed, Michiel Rienstra, Isabelle C. van Gelder, Marc A. Vos, Cornelis P. Allaart, Maarten J. Cramer

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Parameters using myocardial strain analysis may predict response to cardiac resynchronization therapy (CRT). As the agreement between currently available strain imaging modalities is unknown, three different modalities were compared. Twenty-seven CRT-candidates, prospectively included in the MARC study, underwent cardiac magnetic resonance (CMR) imaging and echocardiographic examination. Left ventricular (LV) circumferential strain was analysed with CMR tagging (CMR-TAG), CMR feature tracking (CMR-FT), and speckle tracking echocardiography (STE). Basic strain values and parameters of dyssynchrony and discoordination obtained with CMR-FT and STE were compared to CMR-TAG. Agreement of CMR-FT and CMR-TAG was overall fair, while agreement between STE and CMR-TAG was often poor. For both comparisons, agreement on discoordination parameters was highest, followed by dyssynchrony and basic strain parameters. For discoordination parameters, agreement on systolic stretch index was highest, with fair intra-class correlation coefficients (ICC) (CMR-FT: 0.58, STE: 0.55). ICC of septal systolic rebound stretch (SRSsept) was poor (CMR-FT: 0.41, STE: 0.30). Internal stretch factor of septal and lateral wall (ISFsep–lat) showed fair ICC values (CMR-FT: 0.53, STE: 0.46), while the ICC of the total LV (ISFLV) was fair for CMR-FT (0.55) and poor for STE (ICC: 0.32). The CURE index had a fair ICC for both comparisons (CMR-FT: 0.49, STE 0.41). Although comparison of STE to CMR-TAG was limited by methodological differences, agreement between CMR-FT and CMR-TAG was overall higher compared to STE and CMR-TAG. CMR-FT is a potential clinical alternative for CMR-TAG and STE, especially in the detection of discoordination in CRT-candidates.

LanguageEnglish
Pages443-456
Number of pages14
JournalInternational Journal of Cardiovascular Imaging
Volume34
Issue number3
DOIs
Publication statusPublished - 1 Mar 2018

Cite this

van Everdingen, Wouter M. ; Zweerink, Alwin ; Nijveldt, Robin ; Salden, Odette A.E. ; Meine, Mathias ; Maass, Alexander H. ; Vernooy, Kevin ; de Lange, Frederik J. ; van Rossum, Albert C. ; Croisille, Pierre ; Clarysse, Patrick ; Geelhoed, Bastiaan ; Rienstra, Michiel ; van Gelder, Isabelle C. ; Vos, Marc A. ; Allaart, Cornelis P. ; Cramer, Maarten J. / Comparison of strain imaging techniques in CRT candidates : CMR tagging, CMR feature tracking and speckle tracking echocardiography. In: International Journal of Cardiovascular Imaging. 2018 ; Vol. 34, No. 3. pp. 443-456.
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abstract = "Parameters using myocardial strain analysis may predict response to cardiac resynchronization therapy (CRT). As the agreement between currently available strain imaging modalities is unknown, three different modalities were compared. Twenty-seven CRT-candidates, prospectively included in the MARC study, underwent cardiac magnetic resonance (CMR) imaging and echocardiographic examination. Left ventricular (LV) circumferential strain was analysed with CMR tagging (CMR-TAG), CMR feature tracking (CMR-FT), and speckle tracking echocardiography (STE). Basic strain values and parameters of dyssynchrony and discoordination obtained with CMR-FT and STE were compared to CMR-TAG. Agreement of CMR-FT and CMR-TAG was overall fair, while agreement between STE and CMR-TAG was often poor. For both comparisons, agreement on discoordination parameters was highest, followed by dyssynchrony and basic strain parameters. For discoordination parameters, agreement on systolic stretch index was highest, with fair intra-class correlation coefficients (ICC) (CMR-FT: 0.58, STE: 0.55). ICC of septal systolic rebound stretch (SRSsept) was poor (CMR-FT: 0.41, STE: 0.30). Internal stretch factor of septal and lateral wall (ISFsep–lat) showed fair ICC values (CMR-FT: 0.53, STE: 0.46), while the ICC of the total LV (ISFLV) was fair for CMR-FT (0.55) and poor for STE (ICC: 0.32). The CURE index had a fair ICC for both comparisons (CMR-FT: 0.49, STE 0.41). Although comparison of STE to CMR-TAG was limited by methodological differences, agreement between CMR-FT and CMR-TAG was overall higher compared to STE and CMR-TAG. CMR-FT is a potential clinical alternative for CMR-TAG and STE, especially in the detection of discoordination in CRT-candidates.",
keywords = "Cardiac resynchronization therapy, Discoordination, Dyssynchrony, Feature tracking, Myocardial tagging, Speckle tracking echocardiography, Strain",
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van Everdingen, WM, Zweerink, A, Nijveldt, R, Salden, OAE, Meine, M, Maass, AH, Vernooy, K, de Lange, FJ, van Rossum, AC, Croisille, P, Clarysse, P, Geelhoed, B, Rienstra, M, van Gelder, IC, Vos, MA, Allaart, CP & Cramer, MJ 2018, 'Comparison of strain imaging techniques in CRT candidates: CMR tagging, CMR feature tracking and speckle tracking echocardiography', International Journal of Cardiovascular Imaging, vol. 34, no. 3, pp. 443-456. https://doi.org/10.1007/s10554-017-1253-5

Comparison of strain imaging techniques in CRT candidates : CMR tagging, CMR feature tracking and speckle tracking echocardiography. / van Everdingen, Wouter M.; Zweerink, Alwin; Nijveldt, Robin; Salden, Odette A.E.; Meine, Mathias; Maass, Alexander H.; Vernooy, Kevin; de Lange, Frederik J.; van Rossum, Albert C.; Croisille, Pierre; Clarysse, Patrick; Geelhoed, Bastiaan; Rienstra, Michiel; van Gelder, Isabelle C.; Vos, Marc A.; Allaart, Cornelis P.; Cramer, Maarten J.

In: International Journal of Cardiovascular Imaging, Vol. 34, No. 3, 01.03.2018, p. 443-456.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Comparison of strain imaging techniques in CRT candidates

T2 - International Journal of Cardiovascular Imaging

AU - van Everdingen, Wouter M.

AU - Zweerink, Alwin

AU - Nijveldt, Robin

AU - Salden, Odette A.E.

AU - Meine, Mathias

AU - Maass, Alexander H.

AU - Vernooy, Kevin

AU - de Lange, Frederik J.

AU - van Rossum, Albert C.

AU - Croisille, Pierre

AU - Clarysse, Patrick

AU - Geelhoed, Bastiaan

AU - Rienstra, Michiel

AU - van Gelder, Isabelle C.

AU - Vos, Marc A.

AU - Allaart, Cornelis P.

AU - Cramer, Maarten J.

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N2 - Parameters using myocardial strain analysis may predict response to cardiac resynchronization therapy (CRT). As the agreement between currently available strain imaging modalities is unknown, three different modalities were compared. Twenty-seven CRT-candidates, prospectively included in the MARC study, underwent cardiac magnetic resonance (CMR) imaging and echocardiographic examination. Left ventricular (LV) circumferential strain was analysed with CMR tagging (CMR-TAG), CMR feature tracking (CMR-FT), and speckle tracking echocardiography (STE). Basic strain values and parameters of dyssynchrony and discoordination obtained with CMR-FT and STE were compared to CMR-TAG. Agreement of CMR-FT and CMR-TAG was overall fair, while agreement between STE and CMR-TAG was often poor. For both comparisons, agreement on discoordination parameters was highest, followed by dyssynchrony and basic strain parameters. For discoordination parameters, agreement on systolic stretch index was highest, with fair intra-class correlation coefficients (ICC) (CMR-FT: 0.58, STE: 0.55). ICC of septal systolic rebound stretch (SRSsept) was poor (CMR-FT: 0.41, STE: 0.30). Internal stretch factor of septal and lateral wall (ISFsep–lat) showed fair ICC values (CMR-FT: 0.53, STE: 0.46), while the ICC of the total LV (ISFLV) was fair for CMR-FT (0.55) and poor for STE (ICC: 0.32). The CURE index had a fair ICC for both comparisons (CMR-FT: 0.49, STE 0.41). Although comparison of STE to CMR-TAG was limited by methodological differences, agreement between CMR-FT and CMR-TAG was overall higher compared to STE and CMR-TAG. CMR-FT is a potential clinical alternative for CMR-TAG and STE, especially in the detection of discoordination in CRT-candidates.

AB - Parameters using myocardial strain analysis may predict response to cardiac resynchronization therapy (CRT). As the agreement between currently available strain imaging modalities is unknown, three different modalities were compared. Twenty-seven CRT-candidates, prospectively included in the MARC study, underwent cardiac magnetic resonance (CMR) imaging and echocardiographic examination. Left ventricular (LV) circumferential strain was analysed with CMR tagging (CMR-TAG), CMR feature tracking (CMR-FT), and speckle tracking echocardiography (STE). Basic strain values and parameters of dyssynchrony and discoordination obtained with CMR-FT and STE were compared to CMR-TAG. Agreement of CMR-FT and CMR-TAG was overall fair, while agreement between STE and CMR-TAG was often poor. For both comparisons, agreement on discoordination parameters was highest, followed by dyssynchrony and basic strain parameters. For discoordination parameters, agreement on systolic stretch index was highest, with fair intra-class correlation coefficients (ICC) (CMR-FT: 0.58, STE: 0.55). ICC of septal systolic rebound stretch (SRSsept) was poor (CMR-FT: 0.41, STE: 0.30). Internal stretch factor of septal and lateral wall (ISFsep–lat) showed fair ICC values (CMR-FT: 0.53, STE: 0.46), while the ICC of the total LV (ISFLV) was fair for CMR-FT (0.55) and poor for STE (ICC: 0.32). The CURE index had a fair ICC for both comparisons (CMR-FT: 0.49, STE 0.41). Although comparison of STE to CMR-TAG was limited by methodological differences, agreement between CMR-FT and CMR-TAG was overall higher compared to STE and CMR-TAG. CMR-FT is a potential clinical alternative for CMR-TAG and STE, especially in the detection of discoordination in CRT-candidates.

KW - Cardiac resynchronization therapy

KW - Discoordination

KW - Dyssynchrony

KW - Feature tracking

KW - Myocardial tagging

KW - Speckle tracking echocardiography

KW - Strain

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