Three-dimensional myocardial strains at end-systole and during diastole in the left ventricle of normal humans

J Cardiovasc Magn Reson. 2002;4(3):341-51. doi: 10.1081/jcmr-120013299.

Abstract

This paper presents the three-dimensional strains in the normal human left ventricle (LV) at end-systole and during diastole. Magnetic resonance tissue tagging was used to measure strain in the left-ventricular heart wall in 10 healthy volunteers aged between 28 and 61 years. The three-dimensional motion was calculated from the displacement of marker points in short- and long-axis cine images, with a time resolution of 30 msec. Homogeneous strain analysis of small tetrahedrons was used to calculate deformation in 18 regions of the LV over a time span of 300 msec starting at end systole. End-systolic radial strain was largest near the heart base, and circumferential and longitudinal strains were largest near the apex. During diastole, the circumferential-longitudinal shear strain (associated with LV torsion) was found to recover earlier than the axial strains. Assessment of three-dimensional diastolic strain is possible with MR tagging. Comparison of patient strain against normal strain may permit early detection of regional diastolic dysfunction.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Diastole / physiology
  • Humans
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Myocardial Contraction / physiology*
  • Observer Variation
  • Reference Values
  • Stroke Volume / physiology
  • Systole / physiology
  • Time Factors
  • Ventricular Function, Left / physiology*