PMID- 32232791 OWN - NLM STAT- MEDLINE DCOM- 20201231 LR - 20210503 IS - 1432-1084 (Electronic) IS - 0938-7994 (Linking) VI - 30 IP - 8 DP - 2020 Aug TI - Cardiovascular magnetic resonance-derived myocardial strain in asymptomatic heart transplanted patients and its correlation with late gadolinium enhancement. PG - 4337-4346 LID - 10.1007/s00330-020-06763-3 [doi] AB - OBJECTIVES: To investigate whether cardiovascular magnetic resonance (CMR)-derived myocardial strains were abnormal in asymptomatic heart transplant (HT) patients with normal left ventricular ejection fraction (LVEF) and to detect the relationship between CMR-derived myocardial strain parameters and late gadolinium enhancement (LGE) in asymptomatic HT patients. METHODS: A total of 72 HT patients and 35 healthy volunteers underwent 1.5-T MR scanning. The examination protocol included basic cine imaging and LGE. The deformation registration algorithm (DRA) and feature tracking (FT) software were used for the strain analyses. Myocardial strain measurements included left ventricular global longitudinal strain (LVGLS), LV global circumferential strain (LVGCS), LV global radial strain (LVGRS) and right ventricular longitudinal strain (RVLS). RESULTS: Compared with healthy volunteers, HT patients had significantly decreased DRA- and FT- derived myocardial strain measurements (all p < 0.05). There was a significant correlation and high reproducibility between the DRA- and FT-derived strain parameters. Both CMR-derived LVGLS and LVGRS were significantly related to the presence of LGE, and multivariate logistic regression analyses showed that the LVGLS measurement obtained from both techniques was independently associated with the presence of LGE. The odds ratios (ORs) for DRA- and FT-LVGLS were 1.340 and 1.342, respectively. CONCLUSIONS: Asymptomatic HT patients with preserved LVEF exhibited reduced myocardial strain parameters. The CMR-derived LVGLS was independently related to the presence of LGE in HT patients. KEY POINTS: * Reduced myocardial strain parameters were found in asymptomatic heart transplanted (HT) patients with normal left ventricular ejection fraction (LVEF). * The deformation registration algorithm (DRA) and feature tracking (FT)-derived strains in asymptomatic HT patients had high reproducibility. * DRA- and FT-derived LVGLS had an independent relationship with late gadolinium enhancement (LGE) in asymptomatic HT patients. FAU - Shen, Xuehua AU - Shen X AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Yuan, Yating AU - Yuan Y AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Yang, Ming AU - Yang M AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Wang, Jing AU - Wang J AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Sun, Wei AU - Sun W AD - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Xie, Mingxing AU - Xie M AD - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Zhang, Li AU - Zhang L AD - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Zhou, Xiaoyue AU - Zhou X AD - MR Collaboration, Siemens Healthineers Ltd., Shanghai, 200000, China. FAU - Liang, Bo AU - Liang B AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. xiehelb@sina.com. LA - eng GR - Grant No. 81701653/National Natural Science Foundation of China/ PT - Journal Article DEP - 20200331 PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 RN - 0 (Contrast Media) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Adult MH - Asymptomatic Diseases MH - Case-Control Studies MH - Contrast Media MH - Female MH - Gadolinium MH - Heart MH - *Heart Transplantation MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Logic MH - Magnetic Resonance Imaging, Cine/methods MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Myocardium MH - Reproducibility of Results MH - Stroke Volume MH - Ventricular Dysfunction, Left/*diagnostic imaging/physiopathology MH - Ventricular Dysfunction, Right/*diagnostic imaging/physiopathology MH - Ventricular Function, Left OTO - NOTNLM OT - Fibrosis OT - Heart transplantation OT - Magnetic resonance imaging OT - Myocardial contraction EDAT- 2020/04/02 06:00 MHDA- 2021/01/01 06:00 CRDT- 2020/04/02 06:00 PHST- 2019/11/09 00:00 [received] PHST- 2020/02/19 00:00 [accepted] PHST- 2020/02/16 00:00 [revised] PHST- 2020/04/02 06:00 [pubmed] PHST- 2021/01/01 06:00 [medline] PHST- 2020/04/02 06:00 [entrez] AID - 10.1007/s00330-020-06763-3 [pii] AID - 10.1007/s00330-020-06763-3 [doi] PST - ppublish SO - Eur Radiol. 2020 Aug;30(8):4337-4346. doi: 10.1007/s00330-020-06763-3. Epub 2020 Mar 31.