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Role of temporal resolution in selection of the appropriate strain technique for evaluation of subclinical myocardial dysfunction


Negishi, K and Negishi, T and Agler, DA and Plana, JC and Marwick, TH, Role of temporal resolution in selection of the appropriate strain technique for evaluation of subclinical myocardial dysfunction, Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques, 29, (3) pp. 334-339. ISSN 0742-2822 (2012) [Refereed Article]

Copyright Statement

Copyright 2012 Wiley Periodicals

DOI: doi:10.1111/j.1540-8175.2011.01586.x


Objective: To assess the effects of frame and volume rate on the concordance between two-dimensional speckle tracking strain (2DS) and three-dimensional speckle tracking strain (3DS), and between 2DS and triplane imaging of speckle tracking (Tri-P). Methods: Global longitudinal strains (GLSs) derived from 2DS, 3DS, and Tri-P were compared among 142 prospectively recruited patients who underwent evaluation of subclinical left ventricle (LV) function. Results: Feasibility to obtain GLS of 3DS was significantly higher than that of Tri-P (76% vs. 47%, P < 0.001). The correlation between 2DS and 3DS was only modest (r = 0.47) whereas that of 2DS and Tri-P was better (r = 0.67). The difference in frame/volume rate between two methods also affected their correlation. A volume rate between 34 and 50 volumes/sec had the highest correlation between 2DS and 3DS (r = 0.72). The correlation between 2DS and Tri-P was better with a difference in frame-rate ≤20 per second than with a difference >20 per second. Likewise, there was a better correlation between 2DS and 3DS when the difference between 2D frame rate and 3D volume rate was a;circ40 per second, compared to when it was >40 per second. These associations differed from segment to segment and the apical segments had the highest correlation and the basal the lowest. Conclusions: The feasibility of each means of strain calculation showed important differences, with 2DS being the most attainable. Strain values were not interchangeable among 2DS, Tri-P, and 3DS. Importantly, poor correlations seemed to be driven by differences in acquisition rate. Currently, 2DS offers the most robust measurement of subclinical myocardial dysfunction.

Item Details

Item Type:Refereed Article
Keywords:frame rate; three-dimensional speckle tracking; triplane strain; two-dimensional speckle strain
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Negishi, K (Dr Kazuaki Negishi)
UTAS Author:Marwick, TH (Professor Tom Marwick)
ID Code:90049
Year Published:2012
Web of Science® Times Cited:31
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-03-25
Last Modified:2014-05-12

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