Seyed Amir Mirmojarabian, Eveliina Lammentausta, Esa Liukkonen, Lauri Ahvenjärvi, Juhani Junttila, Miika T Nieminen, Timo Liimatainen
{"title":"通过沿虚构场松弛、细胞外体积、特征追踪和左心室肥厚的高血压患者的心肌应变进行心肌评估","authors":"Seyed Amir Mirmojarabian, Eveliina Lammentausta, Esa Liukkonen, Lauri Ahvenjärvi, Juhani Junttila, Miika T Nieminen, Timo Liimatainen","doi":"10.1155/2022/9198691","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Previous research has shown impaired global longitudinal strain (GLS) and slightly elevated extracellular volume fraction (ECV) in hypertensive patients with left ventricular hypertrophy (HTN LVH). Up to now, only little attention has been paid to interactions between macromolecules and free water in hypertrophied myocardium.</p><p><strong>Purpose: </strong>To evaluate the feasibility of relaxation along a fictitious field with rank 2 (RAFF2) in HTN LVH patients. <i>Study Type.</i> Single institutional case control.</p><p><strong>Subjects: </strong>9 HTN LVH (age, 69 ± 10 years) and 11 control subjects (age, 54 ± 12 years). <i>Field Strength/Sequence.</i> Relaxation time mapping (<i>T</i> <sub>1</sub>, <i>T</i> <sub>1<i>ρ</i></sub> , and <i>T</i> <sub>RAFF2</sub> with 11.8 <i>μ</i>T maximum radio frequency field amplitude) was performed at 1.5 T using a Siemens Aera (Erlangen, Germany) scanner equipped with an 18-channel body array coil. <i>Assessment.</i> ECV was calculated using pre- and postcontrast <i>T</i> <sub>1</sub>, and global strains parameters were assessed by Segment CMR (Medviso AB Co, Sweden). The parametric maps of <i>T</i> <sub>1<i>ρ</i></sub> and <i>T</i> <sub>RAFF2</sub> were computed using a monoexponential model, while the Bloch-McConnell equations were solved numerically to model effect of the chemical exchange during radio frequency pulses. <i>Statistical Tests.</i> Parametric maps were averaged over myocardium for each subject to be used in statistical analysis. Kolmogorov-Smirnov was used as the normality test followed by Student's t-test and Pearson's correlation to determine the difference between the HTN LVH patients and controls along with Hedges' <i>g</i> effect size and the association between variables, respectively.</p><p><strong>Results: </strong><i>T</i> <sub>RAFF2</sub> decreased statistically (83 ± 2 ms vs 88 ± 6 ms, <i>P</i> < 0.031), and global longitudinal strain was impaired (GLS, -14 ± 3 vs - 18 ± 2, <i>P</i> < 0.002) in HTN LVH patients compared to the controls, respectively. Also, significant negative correlation was found between <i>T</i> <sub>RAFF2</sub> and GLS (<i>r</i> = -0.53, <i>P</i> < 0.05). <i>Data Conclusion.</i> Our results suggest that <i>T</i> <sub>RAFF2</sub> decrease in HTN LVH patients may be explained by gradual collagen accumulation which can be reflected in GLS changes. Most likely, it increases the water proton interactions and consequently decreases <i>T</i> <sub>RAFF2</sub> before myocardial scarring.</p>","PeriodicalId":47063,"journal":{"name":"International Journal of Biomedical Imaging","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246602/pdf/","citationCount":"0","resultStr":"{\"title\":\"Myocardium Assessment by Relaxation along Fictitious Field, Extracellular Volume, Feature Tracking, and Myocardial Strain in Hypertensive Patients with Left Ventricular Hypertrophy.\",\"authors\":\"Seyed Amir Mirmojarabian, Eveliina Lammentausta, Esa Liukkonen, Lauri Ahvenjärvi, Juhani Junttila, Miika T Nieminen, Timo Liimatainen\",\"doi\":\"10.1155/2022/9198691\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Previous research has shown impaired global longitudinal strain (GLS) and slightly elevated extracellular volume fraction (ECV) in hypertensive patients with left ventricular hypertrophy (HTN LVH). Up to now, only little attention has been paid to interactions between macromolecules and free water in hypertrophied myocardium.</p><p><strong>Purpose: </strong>To evaluate the feasibility of relaxation along a fictitious field with rank 2 (RAFF2) in HTN LVH patients. <i>Study Type.</i> Single institutional case control.</p><p><strong>Subjects: </strong>9 HTN LVH (age, 69 ± 10 years) and 11 control subjects (age, 54 ± 12 years). <i>Field Strength/Sequence.</i> Relaxation time mapping (<i>T</i> <sub>1</sub>, <i>T</i> <sub>1<i>ρ</i></sub> , and <i>T</i> <sub>RAFF2</sub> with 11.8 <i>μ</i>T maximum radio frequency field amplitude) was performed at 1.5 T using a Siemens Aera (Erlangen, Germany) scanner equipped with an 18-channel body array coil. <i>Assessment.</i> ECV was calculated using pre- and postcontrast <i>T</i> <sub>1</sub>, and global strains parameters were assessed by Segment CMR (Medviso AB Co, Sweden). The parametric maps of <i>T</i> <sub>1<i>ρ</i></sub> and <i>T</i> <sub>RAFF2</sub> were computed using a monoexponential model, while the Bloch-McConnell equations were solved numerically to model effect of the chemical exchange during radio frequency pulses. <i>Statistical Tests.</i> Parametric maps were averaged over myocardium for each subject to be used in statistical analysis. Kolmogorov-Smirnov was used as the normality test followed by Student's t-test and Pearson's correlation to determine the difference between the HTN LVH patients and controls along with Hedges' <i>g</i> effect size and the association between variables, respectively.</p><p><strong>Results: </strong><i>T</i> <sub>RAFF2</sub> decreased statistically (83 ± 2 ms vs 88 ± 6 ms, <i>P</i> < 0.031), and global longitudinal strain was impaired (GLS, -14 ± 3 vs - 18 ± 2, <i>P</i> < 0.002) in HTN LVH patients compared to the controls, respectively. Also, significant negative correlation was found between <i>T</i> <sub>RAFF2</sub> and GLS (<i>r</i> = -0.53, <i>P</i> < 0.05). <i>Data Conclusion.</i> Our results suggest that <i>T</i> <sub>RAFF2</sub> decrease in HTN LVH patients may be explained by gradual collagen accumulation which can be reflected in GLS changes. 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引用次数: 0
摘要
背景:先前的研究表明,左心室肥厚(HTN LVH)的高血压患者总体纵向应变(GLS)受损,细胞外体积分数(ECV)略有升高。目的:评估高血压左心室肥厚患者沿秩2(RAFF2)虚构场松弛的可行性。研究类型。单一机构病例对照:9名高血压、心律失常患者(年龄为69 ± 10岁)和11名对照组受试者(年龄为54 ± 12岁)。场强/序列。弛豫时间图(T 1、T 1ρ 和 T RAFF2,最大射频场振幅为 11.8 μT)在 1.5 T 下使用配备 18 通道体阵线圈的西门子 Aera(德国埃尔兰根)扫描仪进行。评估。使用对比前和对比后的 T 1 计算心室容积,并通过 Segment CMR(瑞典 Medviso AB 公司)评估整体应变参数。T 1ρ 和 T RAFF2 的参数图使用单指数模型计算,而 Bloch-McConnell 方程则通过数值求解来模拟射频脉冲期间的化学交换效应。统计测试。对每个受试者的心肌参数图取平均值,用于统计分析。用 Kolmogorov-Smirnov 作为正态性检验,然后用 Student's t 检验和 Pearson's 相关性检验分别确定 HTN LVH 患者和对照组之间的差异以及 Hedges'g 效应大小和变量之间的关联:结果:与对照组相比,HTN LVH 患者的 T RAFF2 有统计学下降(83 ± 2 ms vs 88 ± 6 ms,P < 0.031),总体纵向应变受损(GLS,-14 ± 3 vs - 18 ± 2,P < 0.002)。此外,还发现T RAFF2与GLS之间存在明显的负相关(r = -0.53,P < 0.05)。数据结论。我们的研究结果表明,高血压左心室肥厚患者 T RAFF2 的降低可能是由于胶原蛋白的逐渐堆积,而胶原蛋白的堆积可以反映在 GLS 的变化上。最有可能的是,在心肌瘢痕形成之前,它增加了水质子的相互作用,从而降低了 T RAFF2。
Myocardium Assessment by Relaxation along Fictitious Field, Extracellular Volume, Feature Tracking, and Myocardial Strain in Hypertensive Patients with Left Ventricular Hypertrophy.
Background: Previous research has shown impaired global longitudinal strain (GLS) and slightly elevated extracellular volume fraction (ECV) in hypertensive patients with left ventricular hypertrophy (HTN LVH). Up to now, only little attention has been paid to interactions between macromolecules and free water in hypertrophied myocardium.
Purpose: To evaluate the feasibility of relaxation along a fictitious field with rank 2 (RAFF2) in HTN LVH patients. Study Type. Single institutional case control.
Subjects: 9 HTN LVH (age, 69 ± 10 years) and 11 control subjects (age, 54 ± 12 years). Field Strength/Sequence. Relaxation time mapping (T1, T1ρ , and TRAFF2 with 11.8 μT maximum radio frequency field amplitude) was performed at 1.5 T using a Siemens Aera (Erlangen, Germany) scanner equipped with an 18-channel body array coil. Assessment. ECV was calculated using pre- and postcontrast T1, and global strains parameters were assessed by Segment CMR (Medviso AB Co, Sweden). The parametric maps of T1ρ and TRAFF2 were computed using a monoexponential model, while the Bloch-McConnell equations were solved numerically to model effect of the chemical exchange during radio frequency pulses. Statistical Tests. Parametric maps were averaged over myocardium for each subject to be used in statistical analysis. Kolmogorov-Smirnov was used as the normality test followed by Student's t-test and Pearson's correlation to determine the difference between the HTN LVH patients and controls along with Hedges' g effect size and the association between variables, respectively.
Results: TRAFF2 decreased statistically (83 ± 2 ms vs 88 ± 6 ms, P < 0.031), and global longitudinal strain was impaired (GLS, -14 ± 3 vs - 18 ± 2, P < 0.002) in HTN LVH patients compared to the controls, respectively. Also, significant negative correlation was found between TRAFF2 and GLS (r = -0.53, P < 0.05). Data Conclusion. Our results suggest that TRAFF2 decrease in HTN LVH patients may be explained by gradual collagen accumulation which can be reflected in GLS changes. Most likely, it increases the water proton interactions and consequently decreases TRAFF2 before myocardial scarring.
期刊介绍:
The International Journal of Biomedical Imaging is managed by a board of editors comprising internationally renowned active researchers. The journal is freely accessible online and also offered for purchase in print format. It employs a web-based review system to ensure swift turnaround times while maintaining high standards. In addition to regular issues, special issues are organized by guest editors. The subject areas covered include (but are not limited to):
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