PMID- 28677054 OWN - NLM STAT- MEDLINE DCOM- 20180620 LR - 20200330 IS - 1432-1084 (Electronic) IS - 0938-7994 (Linking) VI - 28 IP - 1 DP - 2018 Jan TI - Left ventricular regional myocardial motion and twist function in repaired tetralogy of Fallot evaluated by magnetic resonance tissue phase mapping. PG - 104-114 LID - 10.1007/s00330-017-4908-7 [doi] AB - OBJECTIVES: We aimed to characterise regional myocardial motion and twist function in the left ventricles (LV) in patients with repaired tetralogy of Fallot (rTOF) and preserved LV global function. METHODS: We recruited 47 rTOF patients and 38 age-matched normal volunteers. Tissue phase mapping (TPM) was performed for evaluating the LV myocardial velocity in longitudinal, radial, and circumferential (Vz, Vr, and VO) directions in basal, middle, and apical slices. The VO peak-to-peak (PTP) during systolic phases, the rotation angle of each slice, and VO inconsistency were computed for evaluating LV twist function and VO dyssynchrony. RESULTS: As compared to the controls, the rTOF patients presented decreased RV ejection fraction (RVEF) (p = 0.002) and preserved global LV ejection fraction (LVEF). They also demonstrated decreased systolic and diastolic Vz in several LV segments and higher diastolic Vr in the septum (all p < 0.05). A lower VO PTP, higher VO inconsistency, and reduced peak net rotation angle (all p < 0.05) were observed. The aforementioned indices demonstrated an altered LV twist function in rTOF patients in an early disease stage. CONCLUSIONS: MR TPM could provide information about early abnormalities of LV regional motion and twist function in rTOF patients with preserved LV global function. KEY POINTS: * Patients with rTOF presented significantly reduced systolic and diastolic Vz in the LV. * rTOF patients demonstrated significantly increased diastolic Vr in the septum. * Abnormal characteristics of the segmental dynamic velocity evolution were shown in rTOF. * rTOF patients presented altered circumferential rotation and velocity inconsistency in early stage. FAU - Chang, Meng-Chu AU - Chang MC AD - Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, No.101, Sec. 2, Kuang-Fu Rd., BMES Building, R415, Hsinchu, 300, Taiwan. FAU - Wu, Ming-Ting AU - Wu MT AD - Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. AD - Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Weng, Ken-Pen AU - Weng KP AD - Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan. AD - Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. AD - Department of Physical Therapy, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan. FAU - Su, Mao-Yuan AU - Su MY AD - Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan. FAU - Menza, Marius AU - Menza M AD - Department of Radiology, Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. FAU - Huang, Hung-Chieh AU - Huang HC AD - Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. FAU - Peng, Hsu-Hsia AU - Peng HH AUID- ORCID: 0000-0002-6318-1377 AD - Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, No.101, Sec. 2, Kuang-Fu Rd., BMES Building, R415, Hsinchu, 300, Taiwan. hhpeng@mx.nthu.edu.tw. LA - eng GR - VGHUST104-G7-7-2/Veterans General Hospitals and University System of Taiwan Joint Research Program/ GR - VGHUST104-G7-7-3/Veterans General Hospitals and University System of Taiwan Joint Research Program/ GR - NSC 102-2320-B-007-003-MY3/Ministry of Science and Technology in Taiwan/ PT - Journal Article DEP - 20170704 PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 SB - IM MH - Adult MH - Diastole MH - Female MH - Heart Ventricles/diagnostic imaging/physiopathology MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Motion MH - Postoperative Complications/*diagnostic imaging/*physiopathology MH - Prospective Studies MH - Tetralogy of Fallot/physiopathology/*surgery MH - Ventricular Dysfunction, Left/*diagnostic imaging/*physiopathology MH - Young Adult OTO - NOTNLM OT - Myocardial motion OT - Tetralogy of Fallot OT - Tissue phase mapping OT - Twist OT - Ventricular function EDAT- 2017/07/06 06:00 MHDA- 2018/06/21 06:00 CRDT- 2017/07/06 06:00 PHST- 2017/01/26 00:00 [received] PHST- 2017/05/23 00:00 [accepted] PHST- 2017/03/20 00:00 [revised] PHST- 2017/07/06 06:00 [pubmed] PHST- 2018/06/21 06:00 [medline] PHST- 2017/07/06 06:00 [entrez] AID - 10.1007/s00330-017-4908-7 [pii] AID - 10.1007/s00330-017-4908-7 [doi] PST - ppublish SO - Eur Radiol. 2018 Jan;28(1):104-114. doi: 10.1007/s00330-017-4908-7. Epub 2017 Jul 4.