Evidence map›Paper›PMID 38196195›Full record

ArticleNMR in biomedicine2024

ECG-free cine MRI with data-driven clustering of cardiac motion for quantification of ventricular function.

Zhengyang Ming, Arutyun Pogosyan, Chang Gao, Caroline M Colbert, Holden H Wu, J Paul Finn, Dan Ruan, Peng Hu, Anthony G Christodoulou, Kim-Lien Nguyen

Open access · greenAbstract read
In one paragraph

Article in NMR in biomedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Zhengyang MingPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Arutyun PogosyanDivision of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Chang GaoPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Caroline M ColbertPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Holden H WuPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
J Paul FinnPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Dan RuanPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Peng HuPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.
Anthony G ChristodoulouDepartment of Bioengineering, University of California, Los Angeles, California, USA.
Kim-Lien NguyenPhysics and Biology in Medicine Graduate Program, University of California, Los Angeles, California, USA.ORCID 0000-0002-8854-2976
University of California, Los Angeles · USCedars-Sinai Medical Center · USVA Greater Los Angeles Healthcare System · US

Funding

Expanding on a new paradigm for MRI in pediatric congenital heart diseaseR01HL127153 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHRISTODOULOU, ANTHONY G, FINN, JOHN PAUL · 2015 to 2024
$6.1M
Ferumoxytol-Enhanced Cardiac MRI for Ischemic Heart DiseaseR01HL148182 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NGUYEN, KIM-LIEN T · 2020 to 2024
$3.8M
Motion-Resolved, Comprehensive Quantitative Tissue Characterization Using MR MultitaskingR01EB028146 · NIBIB · CEDARS-SINAI MEDICAL CENTER · PI CHRISTODOULOU, ANTHONY G, LI, DEBIAO · 2019 to 2022
$2.5M
Tailoring Stress Cardiac MRI for Women with Ischemic Heart DiseaseI01CX001901 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI NGUYEN, KIM-LIEN T · 2019 to 2025
–
CSRD VA I01 CX001901NHLBI NIH HHS R01 HL127153NHLBI NIH HHS R01 HL148182NIBIB NIH HHS R01 EB028146NIH HHS R01HL127153NIH HHS R01HL148182
6 · The paper itself

Abstract

backgroundDespite the widespread use of cine MRI for evaluation of cardiac function, existing real-time methods do not easily enable quantification of ventricular function. Moreover, segmented cine MRI assumes periodicity of cardiac motion. We aim to develop a self-gated, cine MRI acquisition scheme with data-driven cluster-based binning of cardiac motion.

methodsA Cartesian golden-step balanced steady-state free precession sequence with sorted k-space ordering was designed. Image data were acquired with breath-holding. Principal component analysis and k-means clustering were used for binning of cardiac phases. Cluster compactness in the time dimension was assessed using temporal variability, and dispersion in the spatial dimension was assessed using the Caliński-Harabasz index. The proposed and the reference electrocardiogram (ECG)-gated cine methods were compared using a four-point image quality score, SNR and CNR values, and Bland-Altman analyses of ventricular function.

resultsA total of 10 subjects with sinus rhythm and 8 subjects with arrhythmias underwent cardiac MRI at 3.0 T. The temporal variability was 45.6 ms (cluster) versus 24.6 ms (ECG-based) (p < 0.001), and the Caliński-Harabasz index was 59.1 ± 9.1 (cluster) versus 22.0 ± 7.1 (ECG based) (p < 0.001). In subjects with sinus rhythm, 100% of the end-systolic and end-diastolic images from both the cluster and reference approach received the highest image quality score of 4. Relative to the reference cine images, the cluster-based multiphase (cine) image quality consistently received a one-point lower score (p < 0.05), whereas the SNR and CNR values were not significantly different (p = 0.20). In cases with arrhythmias, 97.9% of the end-systolic and end-diastolic images from the cluster approach received an image quality score of 3 or more. The mean bias values for biventricular ejection fraction and volumes derived from the cluster approach versus reference cine were negligible.

conclusionECG-free cine cardiac MRI with data-driven clustering for binning of cardiac motion is feasible and enables quantification of cardiac function.

Indexed as

Image Interpretation, Computer-AssistedMagnetic Resonance Imaging, CineCardiac-Gated Imaging TechniquesCluster AnalysisHumansReproducibility of ResultsVentricular Functioncardiac motioncine MRIclusteringECG freegolden-step acquisitionself-gating

Identifiers

PMID38196195
PMCPMC10947936
OpenAlexW4390699981

What OpenQuestion holds

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Registered trials

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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.