TY - JOUR
T1 - Segment length in cine (SLICE) strain analysis
T2 - a practical approach to estimate potential benefit from cardiac resynchronization therapy
AU - Zweerink, Alwin
AU - Nijveldt, Robin
AU - Braams, Natalia J
AU - Maass, Alexander H
AU - Vernooy, Kevin
AU - de Lange, Frederik J
AU - Meine, Mathias
AU - Geelhoed, Bastiaan
AU - Rienstra, Michiel
AU - van Gelder, Isabelle C
AU - Vos, Marc A
AU - van Rossum, Albert C
AU - Allaart, Cornelis P
N1 - Funding Information:
This research was funded within the framework of CTMM, the Centre for Translational Molecular Medicine ( www.ctmm.nl ), project COHFAR (Grant 01C-203), and supported by the Dutch Heart Foundation.
Funding Information:
Dr. Vernooy received consultancy fee from Medtronic; research grants from Medtronic; speaker fees from St. Jude Medical. Dr. Maass received lecture fees from Medtronic and LivaNova. Dr. Vos received funding from CTMM COHFAR, CVON Predict, EU TrigTreat, EU CERT-ICD and GiLead to perform (pre)clinical studies. Dr. Allaart received speaker fees from Biotronik. All remaining authors declare that they have no conflict of interests.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/1/11
Y1 - 2021/1/11
N2 - BACKGROUND: Segment length in cine (SLICE) strain analysis on standard cardiovascular magnetic resonance (CMR) cine images was recently validated against gold standard myocardial tagging. The present study aims to explore predictive value of SLICE for cardiac resynchronization therapy (CRT) response.METHODS AND RESULTS: Fifty-seven patients with heart failure and left bundle branch block (LBBB) were prospectively enrolled in this multi-center study and underwent CMR examination before CRT implantation. Circumferential strains of the septal and lateral wall were measured by SLICE on short-axis cine images. In addition, timing and strain pattern parameters were assessed. After twelve months, CRT response was quantified by the echocardiographic change in left ventricular (LV) end-systolic volume (LVESV). In contrast to timing parameters, strain pattern parameters being systolic rebound stretch of the septum (SRSsep), systolic stretch index (SSIsep-lat), and internal stretch factor (ISFsep-lat) all correlated significantly with LVESV change (R - 0.56; R - 0.53; and R - 0.58, respectively). Of all strain parameters, end-systolic septal strain (ESSsep) showed strongest correlation with LVESV change (R - 0.63). Multivariable analysis showed ESSsep to be independently related to LVESV change together with age and QRSAREA.CONCLUSION: The practicable SLICE strain technique may help the clinician to estimate potential benefit from CRT by analyzing standard CMR cine images without the need for commercial software. Of all strain parameters, end-systolic septal strain (ESSsep) demonstrates the strongest correlation with reverse remodeling after CRT. This parameter may be of special interest in patients with non-strict LBBB morphology for whom CRT benefit is doubted.
AB - BACKGROUND: Segment length in cine (SLICE) strain analysis on standard cardiovascular magnetic resonance (CMR) cine images was recently validated against gold standard myocardial tagging. The present study aims to explore predictive value of SLICE for cardiac resynchronization therapy (CRT) response.METHODS AND RESULTS: Fifty-seven patients with heart failure and left bundle branch block (LBBB) were prospectively enrolled in this multi-center study and underwent CMR examination before CRT implantation. Circumferential strains of the septal and lateral wall were measured by SLICE on short-axis cine images. In addition, timing and strain pattern parameters were assessed. After twelve months, CRT response was quantified by the echocardiographic change in left ventricular (LV) end-systolic volume (LVESV). In contrast to timing parameters, strain pattern parameters being systolic rebound stretch of the septum (SRSsep), systolic stretch index (SSIsep-lat), and internal stretch factor (ISFsep-lat) all correlated significantly with LVESV change (R - 0.56; R - 0.53; and R - 0.58, respectively). Of all strain parameters, end-systolic septal strain (ESSsep) showed strongest correlation with LVESV change (R - 0.63). Multivariable analysis showed ESSsep to be independently related to LVESV change together with age and QRSAREA.CONCLUSION: The practicable SLICE strain technique may help the clinician to estimate potential benefit from CRT by analyzing standard CMR cine images without the need for commercial software. Of all strain parameters, end-systolic septal strain (ESSsep) demonstrates the strongest correlation with reverse remodeling after CRT. This parameter may be of special interest in patients with non-strict LBBB morphology for whom CRT benefit is doubted.
KW - Cardiac resynchronization therapy (CRT)
KW - Cardiovascular magnetic resonance (CMR)
KW - Myocardial strain
KW - Segment length in cine (SLICE)
UR - http://www.scopus.com/inward/record.url?scp=85099021144&partnerID=8YFLogxK
U2 - 10.1186/s12968-020-00701-4
DO - 10.1186/s12968-020-00701-4
M3 - Article
C2 - 33423681
SN - 1097-6647
VL - 23
SP - 1
EP - 12
JO - Journal of Cardiovascular Magnetic Resonance
JF - Journal of Cardiovascular Magnetic Resonance
IS - 1
M1 - 4
ER -