Chee Cheen Yeong, Danielle L Harrop, Arnold C T Ng, William Y S Wang
{"title":"Global longitudinal strain manually measured from mid-myocardial lengths is a reliable alternative to speckle tracking global longitudinal strain.","authors":"Chee Cheen Yeong, Danielle L Harrop, Arnold C T Ng, William Y S Wang","doi":"10.1186/s44348-024-00038-x","DOIUrl":"10.1186/s44348-024-00038-x","url":null,"abstract":"<p><strong>Background: </strong>Global longitudinal strain (GLS) is a useful marker for the echocardiographic evaluation of left ventricular (LV) systolic dysfunction. Presently GLS is derived from speckle tracking of LV images, but speckle tracking software is not always available. We seek to determine if manually measured GLS (MM-GLS) by assessing mid-myocardial lengths can be a reliable alternative to speckle tracking GLS (ST-GLS).</p><p><strong>Methods: </strong>Transthoracic echocardiogram images of a tertiary hospital in Australia were retrospectively analyzed to study the relationships between ST-GLS, MM-GLS, and LV ejection fraction (LVEF). We further evaluated the impact of image quality and regional wall motion abnormalities on those relationships.</p><p><strong>Results: </strong>Echocardiography studies from 154 patients were included (female sex, 36%; mean age, 61.7 ± 14.8 years). The average LVEF was 51.3% ± 11.3% and the average ST-GLS was 16.7 ± 3.8. MM-GLS strongly correlated with ST-GLS (intraclass correlation coefficient, 0.986; P < 0.001) and with LVEF regardless of the presence of regional wall motion abnormalities. If using GLS cutoff of more than 18% as normal, 97.5% of studies with normal ST-GLS had normal MM-GLS. If using GLS cutoff as less than 16% as abnormal, 95.5% of studies with abnormal ST-GLS had abnormal MM-GLS. There was no case with ST-GLS > 18% and MM-GLS < 16%, nor were there any case in with ST-GLS < 16% and MM-GLS > 18%.</p><p><strong>Conclusions: </strong>MM-GLS correlates strongly with ST-GLS. If ST-GLS cannot be accurately assessed, MM-GLS may be a useful alternative to provide GLS values in both clinical and research studies.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sun Hwa Lee, Se Jung Yoon, Byung Joo Sun, Hyue Mee Kim, Hyung Yoon Kim, Sahmin Lee, Chi Young Shim, Eun Kyoung Kim, Dong Hyuk Cho, Jun Bean Park, Jeong Sook Seo, Jung Woo Son, In Cheol Kim, Sang Hyun Lee, Ran Heo, Hyun Jung Lee, Jae Hyeong Park, Jong Min Song, Sang Chol Lee, Hyungseop Kim, Duk Hyun Kang, Jong Won Ha, Kye Hun Kim
{"title":"Correction: 2023 Korean Society of Echocardiography position paper for diagnosis and management of valvular heart disease, part I: aortic valve disease.","authors":"Sun Hwa Lee, Se Jung Yoon, Byung Joo Sun, Hyue Mee Kim, Hyung Yoon Kim, Sahmin Lee, Chi Young Shim, Eun Kyoung Kim, Dong Hyuk Cho, Jun Bean Park, Jeong Sook Seo, Jung Woo Son, In Cheol Kim, Sang Hyun Lee, Ran Heo, Hyun Jung Lee, Jae Hyeong Park, Jong Min Song, Sang Chol Lee, Hyungseop Kim, Duk Hyun Kang, Jong Won Ha, Kye Hun Kim","doi":"10.1186/s44348-024-00039-w","DOIUrl":"10.1186/s44348-024-00039-w","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Usefulness and importance of echocardiography in the diagnosis of pediatric pulmonary hypertension.","authors":"Hee Joung Choi","doi":"10.1186/s44348-024-00022-5","DOIUrl":"https://doi.org/10.1186/s44348-024-00022-5","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To see those not to be seen: cardiac uptake on noncardiac imaging.","authors":"Sang-Geon Cho","doi":"10.1186/s44348-024-00024-3","DOIUrl":"https://doi.org/10.1186/s44348-024-00024-3","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Speckle tracking echocardiography: a reliable tool for right ventricle function evaluation in severe tricuspid regurgitation.","authors":"Ju-Hee Lee","doi":"10.1186/s44348-024-00034-1","DOIUrl":"https://doi.org/10.1186/s44348-024-00034-1","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chuluunbaatar Otgonbaatar, Hyunjung Kim, Pil-Hyun Jeon, Sang-Hyun Jeon, Sung-Jin Cha, Jae-Kyun Ryu, Won Beom Jung, Hackjoon Shim, Sung Min Ko
{"title":"Super-resolution deep learning image reconstruction: image quality and myocardial homogeneity in coronary computed tomography angiography.","authors":"Chuluunbaatar Otgonbaatar, Hyunjung Kim, Pil-Hyun Jeon, Sang-Hyun Jeon, Sung-Jin Cha, Jae-Kyun Ryu, Won Beom Jung, Hackjoon Shim, Sung Min Ko","doi":"10.1186/s44348-024-00031-4","DOIUrl":"https://doi.org/10.1186/s44348-024-00031-4","url":null,"abstract":"<p><strong>Background: </strong>The recently introduced super-resolution (SR) deep learning image reconstruction (DLR) is potentially effective in reducing noise level and enhancing the spatial resolution. We aimed to investigate whether SR-DLR has advantages in the overall image quality and intensity homogeneity on coronary computed tomography (CT) angiography with four different approaches: filtered-back projection (FBP), hybrid iterative reconstruction (IR), DLR, and SR-DLR.</p><p><strong>Methods: </strong>Sixty-three patients (mean age, 61 ± 11 years; range, 18-81 years; 40 men) who had undergone coronary CT angiography between June and October 2022 were retrospectively included. Image noise, signal to noise ratio, and contrast to noise ratio were quantified in both proximal and distal segments of the major coronary arteries. The left ventricle myocardium contrast homogeneity was analyzed. Two independent reviewers scored overall image quality, image noise, image sharpness, and myocardial homogeneity.</p><p><strong>Results: </strong>Image noise in Hounsfield units (HU) was significantly lower (P < 0.001) for the SR-DLR (11.2 ± 2.0 HU) compared to those associated with other image reconstruction methods including FBP (30.5 ± 10.5 HU), hybrid IR (20.0 ± 5.4 HU), and DLR (14.2 ± 2.5 HU) in both proximal and distal segments. SR-DLR significantly improved signal to noise ratio and contrast to noise ratio in both the proximal and distal segments of the major coronary arteries. No significant difference was observed in the myocardial CT attenuation with SR-DLR among different segments of the left ventricle myocardium (P = 0.345). Conversely, FBP and hybrid IR resulted in inhomogeneous myocardial CT attenuation (P < 0.001). Two reviewers graded subjective image quality with SR-DLR higher than other image reconstruction techniques (P < 0.001).</p><p><strong>Conclusions: </strong>SR-DLR improved image quality, demonstrated clearer delineation of distal segments of coronary arteries, and was seemingly accurate for quantifying CT attenuation in the myocardium.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11414070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joana Ferreira, Liliana Marta, João Presume, Pedro Freitas, Sara Guerreiro, João Abecasis, Carla Reis, Regina Ribeiras, Miguel Mendes, Maria João Andrade
{"title":"Regional impairment of left ventricular longitudinal strain in aortic regurgitation.","authors":"Joana Ferreira, Liliana Marta, João Presume, Pedro Freitas, Sara Guerreiro, João Abecasis, Carla Reis, Regina Ribeiras, Miguel Mendes, Maria João Andrade","doi":"10.1186/s44348-024-00028-z","DOIUrl":"10.1186/s44348-024-00028-z","url":null,"abstract":"<p><strong>Background: </strong>Aortic regurgitation (AR) has an important impact on myocardial mechanics and recent studies have proved the value of global longitudinal strain (GLS) in the assessment of its severity and prognosis. Our purpose was to assess if the direct impact of the regurgitant jet on the myocardial wall could affect regional longitudinal strain.</p><p><strong>Methods: </strong>Eighty patients with chronic moderate/severe AR were retrospectively studied. Patients were considered to have a jet-related longitudinal strain reduction when the myocardial segments directly impacted by the jet had their longitudinal strain reduced by at least 30% compared to nonaffected segments. AR severity, left ventricular (LV) size and function were compared according to the presence/absence of this regional pattern. For those who underwent surgery, postoperative regional and global LV function was also analyzed.</p><p><strong>Results: </strong>A pattern of regional longitudinal strain impairment was identified in 43% of patients, with a regional reduction (in median) of 10 percentage points in absolute strain values in the segments impacted by the jet, compared to nonaffected segments. In the subgroup who underwent surgery, this pattern became attenuated after surgery. Patients with regional longitudinal strain impairment were less likely to improve GLS after surgery (10% vs. 38% improved GLS by at least 2.5%, P = 0.049).</p><p><strong>Conclusions: </strong>To our knowledge, this study identifies for the first time, a link between the location of the impact of the regurgitant jet in AR and regional longitudinal strain impairment. The presence of this regional pattern might be associated with worse postoperative LV recovery.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agata Niedźwiedzka, Agnieszka Pawlak, Piotr Suwalski, Robert Gil
{"title":"Images in cardiovascular disease: a rare case of perforated abscess of mitral valve after Infective Endocarditis (IE).","authors":"Agata Niedźwiedzka, Agnieszka Pawlak, Piotr Suwalski, Robert Gil","doi":"10.1186/s44348-024-00006-5","DOIUrl":"10.1186/s44348-024-00006-5","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bing Wei Thaddeus Soh, Carlos Sebastian Gracias, Wee Han Sim, Michael Killip, Max Waters, Kevin P Millar, Julie M O'Brien, Thomas J Kiernan, Samer Arnous
{"title":"Preprocedural cardiac computed tomography versus transesophageal echocardiography for planning left atrial appendage occlusion procedures.","authors":"Bing Wei Thaddeus Soh, Carlos Sebastian Gracias, Wee Han Sim, Michael Killip, Max Waters, Kevin P Millar, Julie M O'Brien, Thomas J Kiernan, Samer Arnous","doi":"10.1186/s44348-024-00029-y","DOIUrl":"10.1186/s44348-024-00029-y","url":null,"abstract":"<p><p>The heterogeneous anatomy of the left atrial appendage (LAA) necessitates preprocedural imaging essential for planning of percutaneous LAA occlusion (LAAO) procedures. While transoesophageal echocardiography (TOE) remains the gold standard, cardiac computed tomography (CT) is becoming increasingly popular. To address the lack of consensus on the optimal imaging modality, we compared the outcomes of preprocedural TOE versus CT for LAAO procedure planning. A retrospective single-center cohort study of all LAAO procedures was performed to compare the outcomes of patients receiving preprocedural TOE versus those receiving CT. The primary outcome was procedural success and rate of major adverse events. The secondary outcomes were total procedure time, rate of device size change, and maximum landing zone diameter. A total of 64 patients was included. Of these, 25 (39.1%) underwent TOE and 39 (60.9%) underwent CT. There was no significant difference in the procedural success rate (96.0% vs. 100%, P = 0.39) or major adverse event rate (4.0% vs. 5.1%, P > 0.99) between TOE and CT patients. Compared with TOE, CT was associated with significantly shorter median procedure time (103 min vs. 124 min, P = 0.02) and a lower rate of device size change (7.7% vs. 28.0%, P = 0.04). Compared to CT, TOE was associated with a significantly smaller mean maximum landing zone diameter (20.8 mm vs. 25.8 mm, P < 0.01) and a higher rate of device upsizing (24.0% vs. 2.6%, P = 0.01). No significant difference in detected residual leak rates was found between TOE and CT (50.0% vs. 52.2%, P > 0.99). Planning of LAAO procedures with CT is associated with a shorter total procedure time and a lower rate of device size change and is less likely to underestimate the maximum landing zone diameter.</p>","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11373293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of myocardial strain using cardiovascular magnetic resonance imaging in patients with β-thalassemia major.","authors":"Sung Min Ko","doi":"10.1186/s44348-024-00033-2","DOIUrl":"https://doi.org/10.1186/s44348-024-00033-2","url":null,"abstract":"","PeriodicalId":15229,"journal":{"name":"Journal of Cardiovascular Imaging","volume":"32 1","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}