PMID- 27418150 OWN - NLM STAT- MEDLINE DCOM- 20180212 LR - 20181104 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 45 IP - 2 DP - 2017 Feb TI - Assessment of infarct-specific cardiac motion dysfunction using modeling and multimodal magnetic resonance merging. PG - 525-534 LID - 10.1002/jmri.25390 [doi] AB - PURPOSE: To propose a cardiac motion tracking model that evaluates wall motion abnormality in postmyocardial infarction patients. Correlation between the motion parameter of the model and left ventricle (LV) function was also determined. MATERIALS AND METHODS: Twelve male patients with post-ST elevation myocardial infarction (post-STEMI) and 10 healthy controls of the same gender were recruited to undergo cardiac magnetic resonance imaging (MRI) using a 1.5T scanner. Using an infarct-specific LV division approach, the late gadolinium enhancement (LGE) MRI images were used to divide the LV on the tagged MRI images into infarct, adjacent, and remote sectors. Motion tracking was performed using the infarct-specific two-parameter empirical deformable model (TPEDM). The match quality was defined as the position error computed using root-mean-square (RMS) distance between the estimated and expert-verified tag intersections. The position errors were compared with the ones from our previously published fixed-sector TPEDM. Cine MRI images were used to calculate regional ejection fraction (REF). Correlation between the end-systolic contraction parameter (alpha(ES) ) with REF was determined. RESULTS: The position errors in the proposed model were significantly lower than the fixed-sector model (P < 0.01). The median position errors were 0.82 mm versus 1.23 mm. The alpha(ES) correlates significantly with REF (r = 0.91, P < 0.01). CONCLUSION: The infarct-specific TPEDM combines the morphological and functional information from LGE and tagged MRI images. It was shown to outperform the fixed-sector model in assessing regional LV dysfunction. The significant correlation between alpha(ES) and REF added prognostic value because it indicated an impairment of cardiac function with the increase of infarct transmurality. LEVEL OF EVIDENCE: 3 J. Magn. Reson. Imaging 2017;45:525-534. CI - (c) 2016 International Society for Magnetic Resonance in Medicine. FAU - Leong, Chen Onn AU - Leong CO AD - Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia. FAU - Liew, Yih Miin AU - Liew YM AD - Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia. FAU - Bilgen, Mehmet AU - Bilgen M AD - Biophysics Department, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey. FAU - Abdul Aziz, Yang Faridah AU - Abdul Aziz YF AD - Department of Biomedical Imaging, University Malaya Research Imaging Centre, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Chee, Kok Han AU - Chee KH AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Chiam, Yin Kia AU - Chiam YK AD - Department of Software Engineering, Faculty of Computer Science & Information Technology, University of Malaya, Kuala Lumpur, Malaysia. FAU - Lim, Einly AU - Lim E AD - Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160715 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 SB - IM MH - Computer Simulation MH - Humans MH - Image Interpretation, Computer-Assisted/methods MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Middle Aged MH - *Models, Cardiovascular MH - Motion MH - Movement MH - Multimodal Imaging/methods MH - Myocardial Infarction/complications/*diagnostic imaging/*physiopathology MH - Reproducibility of Results MH - Sensitivity and Specificity MH - *Subtraction Technique MH - Ventricular Dysfunction, Left/*diagnostic imaging/etiology/*physiopathology OTO - NOTNLM OT - LV motion analysis OT - cardiac modeling OT - late gadolinium enhancement OT - myocardial infarction OT - tagged MRI EDAT- 2016/07/16 06:00 MHDA- 2018/02/13 06:00 CRDT- 2016/07/16 06:00 PHST- 2016/04/04 00:00 [received] PHST- 2016/06/30 00:00 [accepted] PHST- 2016/07/16 06:00 [pubmed] PHST- 2018/02/13 06:00 [medline] PHST- 2016/07/16 06:00 [entrez] AID - 10.1002/jmri.25390 [doi] PST - ppublish SO - J Magn Reson Imaging. 2017 Feb;45(2):525-534. doi: 10.1002/jmri.25390. Epub 2016 Jul 15.