Title
Assessment of diastolic function and atrial remodeling by MRI – validation and correlation with echocardiography and filling pressure
Date Issued
01 September 2018
Access level
open access
Resource Type
journal article
Author(s)
Seemann F.
Baldassarre L.A.
Llanos-Chea F.
Grunseich K.
Hu C.
Sugeng L.
Meadows J.
Heiberg E.
Peters D.C.
Yale University
Publisher(s)
American Physiological Society
Abstract
Atrial fibrosis can be estimated noninvasively by magnetic resonance imaging (MRI) using late gadolinium enhancement (LGE), but diastolic dysfunction is clinically assessed by transthoracic echocardiography (TTE), and rarely by MRI. This study aimed to evaluate well-established diastolic parameters using MRI, and validate them with TTE and left ventricular (LV) filling pressures, and to study the relationship between left atrial (LA) remodeling and parameters of diastolic function. The study retrospectively included 105 patients (53 ± 16 years, 39 females) who underwent 3D LGE MRI between 2012 and 2016. Medical charts were reviewed for the echocardiographic diastolic parameters E, A, and e′ by TTE, and pressure catheterizations. E and A were measured from in-plane phase-contrast cardiac MRI images, and e′ by feature-tracking, and validated with TTE. Interobserver and intraobserver variability was examined. Furthermore, LA volumes, function, and atrial LGE was correlated with diastolic parameters. Evaluation of e′ in MRI had strong agreement with TTE (r = 0.75, P < 0.0001), and low interobserver and intraobserver variability. E and A by TTE showed strong agreement to MRI (r = 0.77, P = 0.001; r = 0.73, P = 0.003, for E and A, respectively). Agreement between E/e′ by TTE and MRI was strong (r = 0.85, P = 0.0004), and E/e′ by TTE correlated moderately to invasive pressures (r = 0.59, P = 0.03). There was a strong relationship between LA LGE and pulmonary capillary wedge pressure (r = 0.81, P = 0.01). In conclusion, diastolic parameters can be measured with good reproducibility by cardiovascular MRI. LA LGE exhibited a strong relationship with pulmonary capillary wedge pressure, an indicator of diastolic function.
Volume
6
Issue
17
Language
English
OCDE Knowledge area
Tecnología médica de laboratorio (análisis de muestras, tecnologías para el diagnóstico) Sistema cardiaco, Sistema cardiovascular
Scopus EID
2-s2.0-85053359464
PubMed ID
Source
Physiological Reports
ISSN of the container
2051817X
DOI of the container
10.14814/phy2.13828
Sponsor(s)
Swedish Heart Lung Foundation (20150593), Scandinavian Society of Clinical Physiology and Nuclear Medicine, Maggie Stephens Foundation, Swedish Society of Medical Research, the ISMRM research exchange program, the Knut and Alice Wallenberg foundation, and the National Institute of Health (NIH R01HL122560). Funding Information Swedish Heart Lung Foundation (20150593), Scandinavian Society of Clinical Physiology and Nuclear Medicine, Maggie Stephens Foundation, Swedish Society of Medical Research, the ISMRM research exchange program, the Knut and Alice Wallenberg foundation, and the National Institute of Health (NIH R01HL122560).
Sources of information: Directorio de Producción Científica Scopus