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Published in: Journal of Cardiovascular Magnetic Resonance 1/2008

Open Access 01-12-2008 | Research

Regional assessment of left ventricular torsion by CMR tagging

Authors: Iris K Rüssel, Marco J Götte, Joost P Kuijer, J Tim Marcus

Published in: Journal of Cardiovascular Magnetic Resonance | Issue 1/2008

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Abstract

Purpose

To introduce a standardized method for calculation of left ventricular torsion by CMR tagging and to determine the accuracy of torsion analysis in regions using an analytical model.

Methods

Torsion between base and apex, base and mid, and mid and apex levels was calculated using CSPAMM tagging and Harmonic Phase tracking. The accuracy of torsion analysis on a regional basis (circumferential segments and transmural layers) was analyzed using an analytical model of a deforming cylinder with a displaced axis of rotation (AoR). Regional peak torsion values from twelve healthy volunteers calculated by the described method were compared to literature.

Results

The deviation from the analytical torsion per % AoR-displacement (of the radius) was 0.90 ± 0.44% for the circumferential segments and only 0.05% for the transmural layers. In the subjects, circumferentially, anterolateral torsion was larger than inferior (12.4 ± 3.9° vs. 5.0 ± 3.3°, N.S.). Transmurally, endocardial torsion was smaller than epicardial (7.5 ± 1.3° vs. 8.0 ± 1.5°, p < 0.001).

Conclusion

Variability in the position of the AoR causes a large variability in torsion in circumferential segments. This effect was negligible for global torsion, and torsion calculated in transmural layers. Results were documented for the healthy human heart and are in agreement with data from literature.
Appendix
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Literature
1.
go back to reference Wu Y, Kovács SJ: Frequency-based analysis of the early rapid filling pressure-flow relation elucidates diastolic efficiency mechanisms. Am J Physiol Heart Circ Physiol. 2006, 291 (6): 2942-2949. 10.1152/ajpheart.00259.2006.CrossRef Wu Y, Kovács SJ: Frequency-based analysis of the early rapid filling pressure-flow relation elucidates diastolic efficiency mechanisms. Am J Physiol Heart Circ Physiol. 2006, 291 (6): 2942-2949. 10.1152/ajpheart.00259.2006.CrossRef
2.
go back to reference Helm PA, Tseng HJ, Younes L, McVeigh ER, Winslow RL: Ex vivo 3D diffusion tensor imaging and quantification of cardiac laminar structure. Magn Reson Med. 2005, 54 (4): 850-859. 10.1002/mrm.20622.PubMedCentralCrossRefPubMed Helm PA, Tseng HJ, Younes L, McVeigh ER, Winslow RL: Ex vivo 3D diffusion tensor imaging and quantification of cardiac laminar structure. Magn Reson Med. 2005, 54 (4): 850-859. 10.1002/mrm.20622.PubMedCentralCrossRefPubMed
3.
go back to reference Götte MJW, Germans T, Rüssel IK, Zwanenburg JJM, Marcus JT, van Rossum AC, van Veldhuisen DJ: Myocardial strain and torsion quantified by cardiovascular magnetic resonance tissue tagging studies in normal and impaired left ventricular function. J Am Coll Cardiol. 2006, 48: 2002-2011. 10.1016/j.jacc.2006.07.048.CrossRefPubMed Götte MJW, Germans T, Rüssel IK, Zwanenburg JJM, Marcus JT, van Rossum AC, van Veldhuisen DJ: Myocardial strain and torsion quantified by cardiovascular magnetic resonance tissue tagging studies in normal and impaired left ventricular function. J Am Coll Cardiol. 2006, 48: 2002-2011. 10.1016/j.jacc.2006.07.048.CrossRefPubMed
4.
go back to reference Paetsch I, Föll D, Kaluza A, Luechinger R, Stuber M, Bornstedt A, Wahl A, Fleck E, Nagel E: Magnetic resonance stress tagging in ischemic heart disease. Am J Physiol Heart Circ Physiol. 2005, 288 (6): 2708-2714. 10.1152/ajpheart.01017.2003.CrossRef Paetsch I, Föll D, Kaluza A, Luechinger R, Stuber M, Bornstedt A, Wahl A, Fleck E, Nagel E: Magnetic resonance stress tagging in ischemic heart disease. Am J Physiol Heart Circ Physiol. 2005, 288 (6): 2708-2714. 10.1152/ajpheart.01017.2003.CrossRef
5.
go back to reference Sandstede JJW, Johnson T, Harre K, Beer M, Hofmann S, Pabst T, Kenn W, Voelker W, Neubauer S, Hahn D: Cardiac systolic rotation and contraction before and after valve replacement for aortic stenosis: A myocardial tagging study using MR imaging. Am J Roentgenol. 2002, 178 (4): 953-958.CrossRef Sandstede JJW, Johnson T, Harre K, Beer M, Hofmann S, Pabst T, Kenn W, Voelker W, Neubauer S, Hahn D: Cardiac systolic rotation and contraction before and after valve replacement for aortic stenosis: A myocardial tagging study using MR imaging. Am J Roentgenol. 2002, 178 (4): 953-958.CrossRef
6.
go back to reference Nagel E, Stuber M, Burkhard B, Fischer SE, Scheidegger MB, Boesiger P, Hess OM: Cardiac rotation and relaxation in patients with aortic valve stenosis. Eur Heart J. 2000, 21: 582-589. 10.1053/euhj.1999.1736.CrossRefPubMed Nagel E, Stuber M, Burkhard B, Fischer SE, Scheidegger MB, Boesiger P, Hess OM: Cardiac rotation and relaxation in patients with aortic valve stenosis. Eur Heart J. 2000, 21: 582-589. 10.1053/euhj.1999.1736.CrossRefPubMed
7.
go back to reference Nagel E, Stuber M, Lakatos M, Scheidegger MB, Boesiger P, Hess OM: Cardiac rotation and relaxation after anterolateral myocardial infarction. Coron Artery Dis. 2000, 11: 261-267. 10.1097/00019501-200005000-00009.CrossRefPubMed Nagel E, Stuber M, Lakatos M, Scheidegger MB, Boesiger P, Hess OM: Cardiac rotation and relaxation after anterolateral myocardial infarction. Coron Artery Dis. 2000, 11: 261-267. 10.1097/00019501-200005000-00009.CrossRefPubMed
8.
go back to reference Delhaas T, Kotte J, Van der Toorn A, Snoep G, Prinzen FW, Arts T: Increase in Left Ventricular Torsion-to-Shortening Ratio in Children With Valvular Aortic Stenosis. Magn Res Med. 2004, 51 (1): 135-139. 10.1002/mrm.10679.CrossRef Delhaas T, Kotte J, Van der Toorn A, Snoep G, Prinzen FW, Arts T: Increase in Left Ventricular Torsion-to-Shortening Ratio in Children With Valvular Aortic Stenosis. Magn Res Med. 2004, 51 (1): 135-139. 10.1002/mrm.10679.CrossRef
9.
go back to reference Van der Toorn A, Barenbrug P, Snoep G, Van der Veen H, Delhaas T, Prinzen FW, Maessen J, Arts T: Transmural gradients of cardiac myofiber shortening in aortic valve stenosis patients using MRI tagging. Am J Physiol Heart Circ Physiol. 2002, 283 (4): 1609-1615.CrossRef Van der Toorn A, Barenbrug P, Snoep G, Van der Veen H, Delhaas T, Prinzen FW, Maessen J, Arts T: Transmural gradients of cardiac myofiber shortening in aortic valve stenosis patients using MRI tagging. Am J Physiol Heart Circ Physiol. 2002, 283 (4): 1609-1615.CrossRef
10.
go back to reference Lumens J, Delhaas T, Arts T, Cowan BR, Young AA: Impaired subendocardial contractile myofiber function in asymptomatic aged humans, as detected using MRI. Circulation. 2006, 291 (4): 1573-1579. 10.1152/ajpheart.00074.2006. Lumens J, Delhaas T, Arts T, Cowan BR, Young AA: Impaired subendocardial contractile myofiber function in asymptomatic aged humans, as detected using MRI. Circulation. 2006, 291 (4): 1573-1579. 10.1152/ajpheart.00074.2006.
11.
go back to reference Buchalter MB, Weiss JL, Rogers WJ, Zerhouni EA, Weisfeldt ML, Beyar R, Shapiro EP: Noninvasive quantification of left ventricular rotational deformation in normal humans using magnetic resonance imaging myocardial tagging. Circ. 1990, 81: 1236-1244.CrossRef Buchalter MB, Weiss JL, Rogers WJ, Zerhouni EA, Weisfeldt ML, Beyar R, Shapiro EP: Noninvasive quantification of left ventricular rotational deformation in normal humans using magnetic resonance imaging myocardial tagging. Circ. 1990, 81: 1236-1244.CrossRef
12.
go back to reference Rademakers FE, Buchalter MB, Rogers WJ, Zerhouni EA, Weisfeldt ML, Weiss JL, Shapiro EP: Dissociation between left ventricular untwisting and filling - Accentuation by cathecholamines. Circulation. 1992, 85 (4): 1572-1581.CrossRefPubMed Rademakers FE, Buchalter MB, Rogers WJ, Zerhouni EA, Weisfeldt ML, Weiss JL, Shapiro EP: Dissociation between left ventricular untwisting and filling - Accentuation by cathecholamines. Circulation. 1992, 85 (4): 1572-1581.CrossRefPubMed
13.
go back to reference Sorger JM, Wyman BT, Faris OP, Hunter WC, McVeigh ER: Torsion of the left ventricle during pacing with MRI tagging. J Cardiovasc Magn Reson. 2003, 5 (4): 521-530. 10.1081/JCMR-120025227.PubMedCentralCrossRefPubMed Sorger JM, Wyman BT, Faris OP, Hunter WC, McVeigh ER: Torsion of the left ventricle during pacing with MRI tagging. J Cardiovasc Magn Reson. 2003, 5 (4): 521-530. 10.1081/JCMR-120025227.PubMedCentralCrossRefPubMed
14.
go back to reference Aelen FWL, Arts T, Sanders DGM, Thelissen GRP, Muijtjens AMM, Prinzen FW, Reneman RS: Relation between torsion and cross-sectional area change in the human left ventricle. J Biomech. 1997, 30 (3): 207-212. 10.1016/S0021-9290(96)00147-9.CrossRefPubMed Aelen FWL, Arts T, Sanders DGM, Thelissen GRP, Muijtjens AMM, Prinzen FW, Reneman RS: Relation between torsion and cross-sectional area change in the human left ventricle. J Biomech. 1997, 30 (3): 207-212. 10.1016/S0021-9290(96)00147-9.CrossRefPubMed
15.
go back to reference Buchalter MB, Rademakers FE, Weiss JL, Rogers WJ, Weisfeldt ML, Shapiro EP: Rotational deformation of the canine left ventricle measured by magnetic resonance tagging: effects of catecholamines, ischeamia, and pacing. Cardiovasc Res. 1994, 28: 629-635. 10.1093/cvr/28.5.629.CrossRefPubMed Buchalter MB, Rademakers FE, Weiss JL, Rogers WJ, Weisfeldt ML, Shapiro EP: Rotational deformation of the canine left ventricle measured by magnetic resonance tagging: effects of catecholamines, ischeamia, and pacing. Cardiovasc Res. 1994, 28: 629-635. 10.1093/cvr/28.5.629.CrossRefPubMed
16.
go back to reference Young AA, Imai H, Chang CN, Axel L: Two-dimensional left ventricular deformation during systole using magnetic resonance imaging with spatial modulation of magnetization. Circulation. 1994, 89 (2): 740-752.CrossRefPubMed Young AA, Imai H, Chang CN, Axel L: Two-dimensional left ventricular deformation during systole using magnetic resonance imaging with spatial modulation of magnetization. Circulation. 1994, 89 (2): 740-752.CrossRefPubMed
17.
go back to reference Lorenz CH, Pastorek JS, Bundy JM: Delineation of normal human left ventricular twist throughout systole by tagged cine magnetic resonance imaging. J Cardiovasc Magn Reson. 2000, 2 (2): 97-108. 10.3109/10976640009148678.CrossRefPubMed Lorenz CH, Pastorek JS, Bundy JM: Delineation of normal human left ventricular twist throughout systole by tagged cine magnetic resonance imaging. J Cardiovasc Magn Reson. 2000, 2 (2): 97-108. 10.3109/10976640009148678.CrossRefPubMed
18.
go back to reference Tecelao SR, Zwanenburg JJM, Kuijer JPA, Marcus JT: Extended harmonic phase tracking of myocardial motion: improved coverage of myocardium and its effects on strain results. J Magn Res Im. 2006, 23: 682-690. 10.1002/jmri.20571.CrossRef Tecelao SR, Zwanenburg JJM, Kuijer JPA, Marcus JT: Extended harmonic phase tracking of myocardial motion: improved coverage of myocardium and its effects on strain results. J Magn Res Im. 2006, 23: 682-690. 10.1002/jmri.20571.CrossRef
19.
go back to reference Fischer SE, McKinnon GC, Maier SE, Boesiger P: Improved myocardial tagging contrast. Magn Reson Med. 1993, 30 (2): 191-200. 10.1002/mrm.1910300207.CrossRefPubMed Fischer SE, McKinnon GC, Maier SE, Boesiger P: Improved myocardial tagging contrast. Magn Reson Med. 1993, 30 (2): 191-200. 10.1002/mrm.1910300207.CrossRefPubMed
20.
go back to reference Axel L, Dougherty L: MR imaging of motion with spatial modulation of magnetization. Radiology. 1989, 171: 841-845.CrossRefPubMed Axel L, Dougherty L: MR imaging of motion with spatial modulation of magnetization. Radiology. 1989, 171: 841-845.CrossRefPubMed
21.
go back to reference Axel L, Dougherty L: Heart wall motion: improved method of spatial modulation of magnetization for MR imaging. Radiology. 1989, 172: 349-350.CrossRefPubMed Axel L, Dougherty L: Heart wall motion: improved method of spatial modulation of magnetization for MR imaging. Radiology. 1989, 172: 349-350.CrossRefPubMed
22.
go back to reference Zwanenburg JJM, Kuijer JPA, Marcus JT, Heethaar RM: Steady state free precession with myocardial tagging: CSPAMM in a single breathhold. Magn Reson Med. 2003, 49 (4): 722-730. 10.1002/mrm.10422.CrossRefPubMed Zwanenburg JJM, Kuijer JPA, Marcus JT, Heethaar RM: Steady state free precession with myocardial tagging: CSPAMM in a single breathhold. Magn Reson Med. 2003, 49 (4): 722-730. 10.1002/mrm.10422.CrossRefPubMed
23.
go back to reference Oppelt A, Graumann R, Barfuss H, Fischer H, Hartl W, Schajor W: FISP - a new fast MRI sequence. Electromedica (Engl Ed). 1986, 54: 15-18. Oppelt A, Graumann R, Barfuss H, Fischer H, Hartl W, Schajor W: FISP - a new fast MRI sequence. Electromedica (Engl Ed). 1986, 54: 15-18.
24.
go back to reference Osman NF, Kerwin WS, McVeigh ER, Prince JL: Cardiac motion tracking using CINE harmonic phase (HARP) magnetic resonance imaging. Magn Reson Med. 1999, 42 (4): 1048-1060. 10.1002/(SICI)1522-2594(199912)42:6<1048::AID-MRM9>3.0.CO;2-M.PubMedCentralCrossRefPubMed Osman NF, Kerwin WS, McVeigh ER, Prince JL: Cardiac motion tracking using CINE harmonic phase (HARP) magnetic resonance imaging. Magn Reson Med. 1999, 42 (4): 1048-1060. 10.1002/(SICI)1522-2594(199912)42:6<1048::AID-MRM9>3.0.CO;2-M.PubMedCentralCrossRefPubMed
25.
go back to reference Ingels NB, Hansen DE, Daughters GT, Stinson EB, Alderman EL, Miller DC: Relation between Longitudinal, Circumferential, and Oblique Shortening and Torsional Deformation in the Left Ventricle of the Transplanted Human Heart. Circ Res. 1989, 64: 915-927.CrossRefPubMed Ingels NB, Hansen DE, Daughters GT, Stinson EB, Alderman EL, Miller DC: Relation between Longitudinal, Circumferential, and Oblique Shortening and Torsional Deformation in the Left Ventricle of the Transplanted Human Heart. Circ Res. 1989, 64: 915-927.CrossRefPubMed
26.
go back to reference Stuber M, Scheidegger MB, Fischer SE, Nagel E, Steinemann F, Hess OM, Boesiger P: Alterations in the local myocardial motion pattern in patients suffering from pressure overload due to aortic stenosis. Circulation. 1999, 100 (4): 361-368.CrossRefPubMed Stuber M, Scheidegger MB, Fischer SE, Nagel E, Steinemann F, Hess OM, Boesiger P: Alterations in the local myocardial motion pattern in patients suffering from pressure overload due to aortic stenosis. Circulation. 1999, 100 (4): 361-368.CrossRefPubMed
27.
go back to reference Garot J, Pascal O, Diébold B, Derumeaux G, Gerber BL, Dubois-Randé JL, Lima JAC, Guéret P: Alterations of systolic left ventricular twist after acute myocardial infarction. Am J Physiol: Heart Circ Physiol. 2002, 282: 357-362. Garot J, Pascal O, Diébold B, Derumeaux G, Gerber BL, Dubois-Randé JL, Lima JAC, Guéret P: Alterations of systolic left ventricular twist after acute myocardial infarction. Am J Physiol: Heart Circ Physiol. 2002, 282: 357-362.
28.
go back to reference Fonseca CG, Dissanayake AM, Doughty RN, Whalley GA, Gamble GD, Cowan BR, Occleshaw CJ, Young AA: Three-Dimensional assessment of left ventricular systolic strain in patients with type 2 diabetes mellitus, diastolic dysfunction, and normal ejection fraction. Am J Cardiol. 2004, 94: 1391-1395. 10.1016/j.amjcard.2004.07.143.CrossRefPubMed Fonseca CG, Dissanayake AM, Doughty RN, Whalley GA, Gamble GD, Cowan BR, Occleshaw CJ, Young AA: Three-Dimensional assessment of left ventricular systolic strain in patients with type 2 diabetes mellitus, diastolic dysfunction, and normal ejection fraction. Am J Cardiol. 2004, 94: 1391-1395. 10.1016/j.amjcard.2004.07.143.CrossRefPubMed
29.
go back to reference Torrent-Guasp F, Kocica MJ, Corno AF, Komeda M, Carreras-Costa F, Flotats A, Cosin-Aguillar J, Wen H: Towards new understanding of the heart structure and function. Eur J Cardiothorac Surg. 2005, 27: 191-201. 10.1016/j.ejcts.2004.11.026.CrossRefPubMed Torrent-Guasp F, Kocica MJ, Corno AF, Komeda M, Carreras-Costa F, Flotats A, Cosin-Aguillar J, Wen H: Towards new understanding of the heart structure and function. Eur J Cardiothorac Surg. 2005, 27: 191-201. 10.1016/j.ejcts.2004.11.026.CrossRefPubMed
30.
go back to reference Helm P, Beg MF, Miller MI, Winslow RL: Measuring and mapping cardiac fiber and laminar architecture using diffusion tensor MR imaging. Ann N Y Acad Sci. 2005, 1047: 296-307. 10.1196/annals.1341.026.CrossRefPubMed Helm P, Beg MF, Miller MI, Winslow RL: Measuring and mapping cardiac fiber and laminar architecture using diffusion tensor MR imaging. Ann N Y Acad Sci. 2005, 1047: 296-307. 10.1196/annals.1341.026.CrossRefPubMed
31.
go back to reference Buckberg GD, Mahajan A, Jung B, Markl M, Hennig J, Ballester-Rodes M: MRI myocardial motion and fiber tracking: a confirmation of knowledge from different imaging modalities. Eur J Cardiothorac Surg. 2006, 29: S165-177. 10.1016/j.ejcts.2006.02.064.CrossRefPubMed Buckberg GD, Mahajan A, Jung B, Markl M, Hennig J, Ballester-Rodes M: MRI myocardial motion and fiber tracking: a confirmation of knowledge from different imaging modalities. Eur J Cardiothorac Surg. 2006, 29: S165-177. 10.1016/j.ejcts.2006.02.064.CrossRefPubMed
32.
go back to reference Prinzen FW, Arts T, van der Vusse GJ, Reneman RS: Fiber Shortening in the inner layers of the left ventricular wall as assessed from epicardial deformation during normoxia and ischemia. J Biomech. 1984, 17 (10): 801-811. 10.1016/0021-9290(84)90111-8.CrossRefPubMed Prinzen FW, Arts T, van der Vusse GJ, Reneman RS: Fiber Shortening in the inner layers of the left ventricular wall as assessed from epicardial deformation during normoxia and ischemia. J Biomech. 1984, 17 (10): 801-811. 10.1016/0021-9290(84)90111-8.CrossRefPubMed
33.
go back to reference Kuijer JPA, Marcus JT, Götte MJW, van Rossum AC, Heethaar RM: Three-dimensional myocardial strains at end-systole and during diastole in the left ventricle of normal humans. J Cardiovasc Magn Reson. 2002, 4 (3): 341-351. 10.1081/JCMR-120013299.CrossRefPubMed Kuijer JPA, Marcus JT, Götte MJW, van Rossum AC, Heethaar RM: Three-dimensional myocardial strains at end-systole and during diastole in the left ventricle of normal humans. J Cardiovasc Magn Reson. 2002, 4 (3): 341-351. 10.1081/JCMR-120013299.CrossRefPubMed
Metadata
Title
Regional assessment of left ventricular torsion by CMR tagging
Authors
Iris K Rüssel
Marco J Götte
Joost P Kuijer
J Tim Marcus
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Cardiovascular Magnetic Resonance / Issue 1/2008
Electronic ISSN: 1532-429X
DOI
https://doi.org/10.1186/1532-429X-10-26

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