Cardiovascular magnetic resonance feature-tracking assessment of myocardial mechanics: Intervendor agreement and considerations regarding reproducibility

2015 | journal article; research paper. A publication with affiliation to the University of Göttingen.

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​Cardiovascular magnetic resonance feature-tracking assessment of myocardial mechanics: Intervendor agreement and considerations regarding reproducibility​
Schuster, A. ; Stahnke, V. -C. ; Unterberg-Buchwald, C. ; Kowallick, J. T. ; Lamata, P.; Steinmetz, M.   & Kutty, S. et al.​ (2015) 
Clinical Radiology70(9) pp. 989​-998​.​ DOI: https://doi.org/10.1016/j.crad.2015.05.006 

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Authors
Schuster, Andreas ; Stahnke, V. -C. ; Unterberg-Buchwald, Christina ; Kowallick, Johannes Tammo ; Lamata, Pablo; Steinmetz, Michael ; Kutty, Shelby; Faßhauer, M. ; Staab, Wieland ; Sohns, Jan Martin ; Bigalke, Boris; Ritter, Caroline; Hasenfuß, Gerd ; Beerbaum, P.; Lotz, Joachim 
Abstract
AIM: To assess intervendor agreement of cardiovascular magnetic resonance feature tracking (CMR-FT) and to study the impact of repeated measures on reproducibility. MATERIALS AND METHODS: Ten healthy volunteers underwent cine imaging in short-axis orientation at rest and with dobutamine stimulation (10 and 20 mu g/kg/min). All images were analysed three times using two types of software (TomTec, Unterschleissheim, Germany and Circle, cvi(42), Calgary, Canada) to assess global left ventricular circumferential (Ecc) and radial (Err) strains and torsion. Differences in intra-and interobserver variability within and between software types were assessed based on single and averaged measurements (two and three repetitions with subsequent averaging of results, respectively) as determined by Bland-Altman analysis, intraclass correlation coefficients (ICC), and coefficient of variation (CoV). RESULTS: Myocardial strains and torsion significantly increased on dobutamine stimulation with both types of software (p<0.05). Resting Ecc and torsion as well as Ecc values during dobutamine stimulation were lower measured with Circle (p<0.05). Intra-and interobserver variability between software types was lowest for Ecc (ICC 0.81 [0.63-0.91], 0.87 [0.72-0.94] and CoV 12.47% and 14.3%, respectively) irrespective of the number of analysis repetitions. Err and torsion showed higher variability that markedly improved for torsion with repeated analyses and to a lesser extent for Err. On an intravendor level TomTec showed better reproducibility for Ecc and torsion and Circle for Err. CONCLUSIONS: CMR-FT strain and torsion measurements are subject to considerable intervendor variability, which can be reduced using three analysis repetitions. For both vendors, Ecc qualifies as the most robust parameter with the best agreement, albeit lower Ecc values obtained using Circle, and warrants further investigation of incremental clinical merit. (C) 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Issue Date
2015
Journal
Clinical Radiology 
ISSN
0009-9260
eISSN
1365-229X

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