Department of Radiology, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China.
Department of Radiology, Central China Fuwai Hospital & Henan Provincial People's Hospital, Zhengzhou, 450046, Henan, China.
Int J Cardiovasc Imaging. 2020 Jun;36(6):1157-1166. doi: 10.1007/s10554-020-01810-y. Epub 2020 Mar 7.
To evaluate the accuracy of compressed sensing (CS) cardiovascular magnetic resonance imaging (CMR) in the classifications of heart failure (HF). One hundred and fifty-four patients underwent 3 T CMR using CS single-breath-hold cine (SBH-cine) after a standard multiple-breath-hold cine (MBH-cine). The image quality of the two methods was compared. Cardiac function parameters were quantitatively analyzed. The patients were divided into different HF types based on diagnostic criteria using two sequences. The scan time for CS SBH-cine was reduced by 88% compared with that of standard MBH-cine. In the non-atrial-fibrillation (NAF) group (n = 121), the image quality score of CS SBH-cine was slightly decreased compared with standard MBH-cine (4.5 ± 0.6 for the CS SBH-cine vs. 4.7 ± 0.5 for the standard MBH-cine, T = 5.038, p < 0.05). In the atrial fibrillation (AF) group (n = 33), the CS SBH-cine image quality score was slightly higher than that of the standard MBH-cine (3.8 ± 0.7 for the CS SBH-cine vs. 3.3 ± 0.5 for the standard MBH-cine, T = - 4.503, p < 0.05). The left ventricular (LV) end diastolic volume, LV end systolic volume, LV ejection fraction, and LV mass index calculated by CS SBH-cine had no significant differences from those calculated by standard MBH-cine. The agreement on HF classifications of both the standard MBH-cine and the CS SBH-cine was excellent (kappa = 0.934, p < 0.05). The result showed that HF could be classified accurately using CS SBH-cine.
评估压缩感知(CS)心血管磁共振成像(CMR)在心力衰竭(HF)分类中的准确性。154 例患者在 3T 磁共振仪上进行 CS 单次屏气电影(SBH-cine)和标准多次屏气电影(MBH-cine)检查。比较两种方法的图像质量。定量分析心脏功能参数。根据两种序列的诊断标准,将患者分为不同的 HF 类型。CS SBH-cine 的扫描时间比标准 MBH-cine 减少了 88%。在非心房颤动(NAF)组(n=121)中,CS SBH-cine 的图像质量评分与标准 MBH-cine 相比略有下降(CS SBH-cine 为 4.5±0.6,标准 MBH-cine 为 4.7±0.5,T=5.038,p<0.05)。在心房颤动(AF)组(n=33)中,CS SBH-cine 的图像质量评分略高于标准 MBH-cine(CS SBH-cine 为 3.8±0.7,标准 MBH-cine 为 3.3±0.5,T=-4.503,p<0.05)。CS SBH-cine 计算的左心室(LV)舒张末期容积、LV 收缩末期容积、LV 射血分数和 LV 质量指数与标准 MBH-cine 计算的结果无显著差异。标准 MBH-cine 和 CS SBH-cine 的 HF 分类一致性极好(kappa=0.934,p<0.05)。结果表明,CS SBH-cine 可准确分类 HF。