Reproducibility of 4D cardiac computed tomography feature tracking myocardial strain and comparison against speckle-tracking echocardiography in patients with severe aortic stenosis

被引：28

作者：

Bernhard, Benedikt ^{[1
]}

Grogg, Hanna ^{[1
]}

Zurkirchen, Jan ^{[1
]}

Demirel, Caglayan ^{[1
]}

Hagemeyer, Daniel ^{[1
]}

Okuno, Taishi ^{[1
]}

Brugger, Nicolas ^{[1
]}

De Marchi, Stefano ^{[1
]}

Huber, Adrian T. ^{[2
]}

Berto, Martina Boscolo ^{[1
]}

Spano, Giancarlo ^{[1
]}

Stortecky, Stefan ^{[1
]}

Windecker, Stephan ^{[1
]}

Pilgrim, Thomas ^{[1
]}

Grani, Christoph ^{[1
]}

机构：

[1] Univ Bern, Bern Univ Hosp, Dept Cardiol, Inselspital, Bern, Switzerland

[2] Univ Bern, Bern Univ Hosp, Dept Diagnost Intervent & Paediat Radiol, Inselspital, Bern, Switzerland

来源：

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY | 2022年 / 16卷 / 04期

关键词：

4D cardiac computed tomography; Feature tracking; Speckle -tracking echocardiography; Myocardial strain; Deformation imaging; Global longitudinal strain; GLOBAL LONGITUDINAL STRAIN; LEFT-VENTRICULAR FUNCTION; CORRELATION-COEFFICIENTS; HEART-FAILURE; VALIDATION; PREDICTOR; MORTALITY;

D O I：

10.1016/j.jcct.2022.01.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Myocardial strain is an established parameter for the assessment of cardiac function and routinely derived from speckle tracking echocardiography (STE). Novel post-processing tools allow deformation imaging also by 4D cardiac computed tomography angiography (CCT). This retrospective study aims to analyze the reproducibility of CCT strain and compare it to that of STE. Methods: Left (LV) and right ventricular (RV), and left atrial (LA) ejection fraction (EF), dimensions, global longitudinal (GLS), circumferential (GCS) and radial strain (GRS) were determined by STE and CCT feature tracking in consecutive patients with severe aortic stenosis evaluated for transcatheter aortic valve implantation. Results: 106 patients (mean age 79.9 +/- 7.8, 44.3% females) underwent CCT at a median of 3 days (IQR 0-28 days) after STE. In CCT, strain measures showed good to excellent reproducibility (intra- and inter-reader intraclass correlation coefficient >= 0.75) consistently in the LV, RV and LA. In STE, only LV GLS and LA GLS yielded good reproducibility, whereas LV GCS and LV GRS showed moderate, and RV GLS and free wall longitudinal strain (FWLS) poor reproducibility. Agreement between CCT and STE was strong for LV GLS only, while other strain features displayed moderate (LV GCS, LA GLS) or weak (LV GRS, RV GLS and FWLS) inter-modality correlation. Conclusion: LV, RV and LA CCT strain assessments were highly reproducible. While a strong agreement to STE was found for LV GLS, inter-modality correlation was moderate or weak for LV GCS, LV GRS, and RV and LA longitudinal strain, possibly related to poor reproducibility of STE measurements.

引用

页码：309 / 318

页数：10

共 43 条

[1] Long-Term Outcomes After Aortic Valve Surgery in Patients With Asymptomatic Chronic Aortic Regurgitation and Preserved LVEF Impact of Baseline and Follow-Up Global Longitudinal Strain [J].