PMID- 23934037 OWN - NLM STAT- MEDLINE DCOM- 20140716 LR - 20220330 IS - 1875-8312 (Electronic) IS - 1569-5794 (Linking) VI - 29 IP - 8 DP - 2013 Dec TI - Quantitative assessment of myocardial strain with displacement encoding with stimulated echoes MRI in patients with coronary artery disease. PG - 1779-86 LID - 10.1007/s10554-013-0274-y [doi] AB - To determine the diagnostic performance and reproducibility of strain assessment with displacement encoding with stimulated echoes (DENSE) cardiovascular magnetic resonance (CMR) in identifying contractile abnormalities in myocardial segments with late gadolinium enhancement (LGE). DENSE CMR was obtained on short-axis planes of the left ventricle (LV) in 24 patients with suspected coronary artery disease. e1 and e2 strains of LV wall were quantified. Cine MRI was acquired to determine percent systolic wall thickening (%SWT), followed by (LGE) CMR. The diagnostic performance of e1, e2 and %SWT for predicting the presence of LGE was evaluated by receiver operating characteristics (ROC) analysis. Myocardial scar on LGE CMR was observed in 91 (24 %) of 384 segments. The area under ROC curve for predicting the segments with LGE was 0.874 by e1, 0.916 by e2 and 0.828 by %SWT (p = 0.001 between e2 and %SWT). Excellent inter-observer reproducibility was found for strain [Intraclass correlation coefficient (ICC) = 0.962 for e1, 0.955 for e2] as compared with %SWT (ICC = 0.790). DENSE CMR can be performed as a part of routine CMR study and allows for quantification of myocardial strain with high inter-observer reproducibility. Myocardial strain, especially e2 is useful in detecting altered abnormal systolic contraction in the segments with myocardial scar. FAU - Miyagi, Hideki AU - Miyagi H AD - Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. FAU - Nagata, Motonori AU - Nagata M FAU - Kitagawa, Kakuya AU - Kitagawa K FAU - Kato, Shingo AU - Kato S FAU - Takase, Shinichi AU - Takase S FAU - Sigfridsson, Andreas AU - Sigfridsson A FAU - Ishida, Masaki AU - Ishida M FAU - Dohi, Kaoru AU - Dohi K FAU - Ito, Masaaki AU - Ito M FAU - Sakuma, Hajime AU - Sakuma H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130810 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 RN - 0 (Contrast Media) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Area Under Curve MH - Biomechanical Phenomena MH - Contrast Media MH - Coronary Artery Disease/complications/*diagnosis/physiopathology MH - Female MH - Gadolinium DTPA MH - Humans MH - *Magnetic Resonance Imaging, Cine MH - Male MH - Middle Aged MH - *Myocardial Contraction MH - Myocardial Infarction/*diagnosis/etiology/physiopathology MH - Myocardium/pathology MH - Observer Variation MH - Predictive Value of Tests MH - Prospective Studies MH - ROC Curve MH - Reproducibility of Results MH - Ventricular Dysfunction, Left/*diagnosis/etiology/physiopathology MH - *Ventricular Function, Left EDAT- 2013/08/13 06:00 MHDA- 2014/07/17 06:00 CRDT- 2013/08/13 06:00 PHST- 2013/05/23 00:00 [received] PHST- 2013/08/03 00:00 [accepted] PHST- 2013/08/13 06:00 [entrez] PHST- 2013/08/13 06:00 [pubmed] PHST- 2014/07/17 06:00 [medline] AID - 10.1007/s10554-013-0274-y [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2013 Dec;29(8):1779-86. doi: 10.1007/s10554-013-0274-y. Epub 2013 Aug 10.