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Erschienen in: The International Journal of Cardiovascular Imaging 6/2019

04.02.2019 | Original Paper

Impact of age and cardiac disease on regional left and right ventricular myocardial motion in healthy controls and patients with repaired tetralogy of fallot

verfasst von: Alexander Ruh, Roberto Sarnari, Haben Berhane, Kenny Sidoryk, Kai Lin, Ryan Dolan, Arleen Li, Michael J. Rose, Joshua D. Robinson, James C. Carr, Cynthia K. Rigsby, Michael Markl

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 6/2019

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Abstract

The assessment of both left (LV) and right ventricular (RV) motion is important to understand the impact of heart disease on cardiac function. The MRI technique of tissue phase mapping (TPM) allows for the quantification of regional biventricular three-directional myocardial velocities. The goal of this study was to establish normal LV and RV velocity parameters across a wide range of pediatric to adult ages and to investigate the feasibility of TPM for detecting impaired regional biventricular function in patients with repaired tetralogy of Fallot (TOF). Thirty-six healthy controls (age = 1–75 years) and 12 TOF patients (age = 5–23 years) underwent cardiac MRI including TPM in short-axis locations (base, mid, apex). For ten adults, a second TPM scan was used to assess test–retest reproducibility. Data analysis included the calculation of biventricular radial, circumferential, and long-axis velocity components, quantification of systolic and diastolic peak velocities in an extended 16 + 10 LV + RV segment model, and assessment of inter-ventricular dyssynchrony. Biventricular velocities showed good test–retest reproducibility (mean bias ≤ 0.23 cm/s). Diastolic radial and long-axis peak velocities for LV and RV were significantly reduced in adults compared to children (19–61%, p < 0.001–0.02). In TOF patients, TPM identified significantly reduced systolic and diastolic LV and RV long-axis peak velocities (20–50%, p < 0.001–0.05) compared to age-matched controls. In conclusion, tissue phase mapping enables comprehensive analysis of global and regional biventricular myocardial motion. Changes in myocardial velocities associated with age underline the importance of age-matched controls. This pilot study in TOF patients shows the feasibility to detect regionally abnormal LV and RV motion.
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Metadaten
Titel
Impact of age and cardiac disease on regional left and right ventricular myocardial motion in healthy controls and patients with repaired tetralogy of fallot
verfasst von
Alexander Ruh
Roberto Sarnari
Haben Berhane
Kenny Sidoryk
Kai Lin
Ryan Dolan
Arleen Li
Michael J. Rose
Joshua D. Robinson
James C. Carr
Cynthia K. Rigsby
Michael Markl
Publikationsdatum
04.02.2019
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 6/2019
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-019-01544-6

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