Evidence map›Paper›PMID 28067978›Full record

ArticleJournal of magnetic resonance imaging : JMRI2017

Imaging left-ventricular mechanical activation in heart failure patients using cine DENSE MRI: Validation and implications for cardiac resynchronization therapy.

Daniel A Auger, Kenneth C Bilchick, Jorge A Gonzalez, Sophia X Cui, Jeffrey W Holmes, Christopher M Kramer, Michael Salerno, Frederick H Epstein

Registry-linked trialOpen access · greenAbstract readValidation Study
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03183011 (Cardiac Magnetic Resonance Imaging After Cardiac Resynchronization Therapy), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03183011 naunknown statusnot on this map

Cardiac Magnetic Resonance Imaging After Cardiac Resynchronization Therapy

TypeinterventionalSponsorKenneth Bilchick, MDRan2016 to 2018Enrolled40ConditionsHeart Failure, SystolicArmsMRI
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  5. MULTITASK LEARNING FOR IMPROVED LATE MECHANICAL ACTIVATION DETECTION OF HEART FROM CINE DENSE MRI.Proceedings. IEEE International Symposium on Biomedical Imaging · 2023
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  16. Magnetic Resonance Imaging of Contracting Ultrathin Cardiac Tissue.Biomedical physics & engineering express · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Daniel A AugerDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Kenneth C BilchickMedicine/Cardiology/Electrophysiology, University of Virginia Health System, Charlottesville, Virginia, USA.
Jorge A GonzalezMedicine/Cardiology/Electrophysiology, University of Virginia Health System, Charlottesville, Virginia, USA.
Sophia X CuiDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Jeffrey W HolmesDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Christopher M KramerMedicine/Cardiology/Electrophysiology, University of Virginia Health System, Charlottesville, Virginia, USA.
Michael SalernoDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Frederick H EpsteinDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
University of Virginia Health System · US

Funding

MRI of Myocardial Function in Post-Infarct Knockout MiceR01EB001763 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI EPSTEIN, FREDERICK H · 2003 to 2020
$5.4M
Training in Cardiovascular Imaging ResearchT32EB003841 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jonathan R Lindner · 2004 to 2026
$4.4M
Cardiac Magnetic Resonance Imaging After Cardiac Resynchronization TherapyR03HL135463 · NHLBI · UNIVERSITY OF VIRGINIA · PI BILCHICK, KENNETH C · 2016 to 2017
$127k
NHLBI NIH HHS R03 HL135463NIBIB NIH HHS R01 EB001763NIBIB NIH HHS T32 EB003841
6 · The paper itself

Abstract

purposeTo image late mechanical activation and identify effective left-ventricular (LV) pacing sites for cardiac resynchronization therapy (CRT). There is variability in defining mechanical activation time, with some studies using the time to peak strain (TPS) and some using the time to the onset of circumferential shortening (TOS). We developed improved methods for imaging mechanical activation and evaluated them in heart failure (HF) patients undergoing CRT. MATERIALS AND

methodsWe applied active contours to cine displacement encoding with stimulated echoes (DENSE) strain images to detect TOS. Six healthy volunteers underwent magnetic resonance imaging (MRI) at 1.5T, and 50 patients underwent pre-CRT MRI (strain, scar, volumes) and echocardiography, assessment of the electrical activation time (Q-LV) at the LV pacing site, and echocardiography assessment of LV reverse remodeling 6 months after CRT. TPS at the LV pacing site was also measured by DENSE.

resultsThe latest TOS was greater in HF patients vs. healthy subjects (112 ± 28 msec vs. 61 ± 7 msec, P < 0.01). The correlation between TOS and Q-LV was strong (r > 0.75; P < 0.001) and better than between TPS and Q-LV (r < 0.62; P ≥ 0.006). Twenty-three of 50 patients had the latest activating segment in a region other than the mid-ventricular lateral wall, the most common site for the CRT LV lead. Using a multivariable model, TOS/QRS was significantly associated with LV reverse remodeling even after adjustment for overall dyssynchrony and scar (P < 0.05), whereas TPS was not (P = 0.49).

conclusionLate activation by cine DENSE TOS analysis is associated with improved LV reverse remodeling with CRT and deserves further study as a tool to achieve optimal LV lead placement in CRT. LEVEL OF EVIDENCE: 1 Technical Efficacy: Stage 1 J. MAGN. RESON. IMAGING 2017;46:887-896.

Indexed as

Cardiac Resynchronization TherapyFemaleHeart FailureHeart VentriclesHumansMagnetic Resonance Imaging, CineMaleMiddle AgedReproducibility of ResultsTreatment OutcomeVentricular Remodelingcardiac resynchronization therapyDENSEmechanical activationstrain imaging

Identifiers

PMID28067978
PMCPMC5502204
OpenAlexW2567973848

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.