Evidence map›Paper›PMID 40231026›Full record

ArticleFrontiers in cardiovascular medicine2025

How can the left atrial strain be correctly determined by cardiovascular magnetic resonance feature tracking?

Rehsan Akkuzu, Hermann Körperich, Niroshan Shanmugarajah, Tobias Rossnagel, Oliver M Weber, Christian Stehning, Wolfgang Burchert, Jan Eckstein

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Rehsan Akkuzu *Institute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Hermann Körperich *Institute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Niroshan ShanmugarajahInstitute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Tobias RossnagelInstitute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Oliver M WeberPhilips Clinical Science, Hamburg, Germany.
Christian StehningPhilips Clinical Science, Hamburg, Germany.
Wolfgang BurchertInstitute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Jan EcksteinInstitute for Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Left atrial (LA) strain marks a highly valuable clinical parameter for discrimination of various cardiovascular diseases as consolidated by a plethora of literature. However LA strain assessment by cardiovascular magnetic resonance feature tracking (CMR-FT) is conventionally based on 2-chamber (2Ch) and 4-chamber (4Ch) cine acquisitions, which are aligned for left ventricular (LV) imaging. These slice positions are hypothesized inadequate for identifying the longest LA dimensions required for accurate LA strain quantification. Materials and methods: LA strain was assessed in 21 patients (48.3 ± 15.2 years, 10 females) with various cardiovascular diseases by CMR-FT. Two different planning procedures were compared: (1) the standard planning procedure using the cine steady-state free-precession (SSFP) 2Ch and 4Ch views aligned to the LV and (2) the optimized planning procedure based on cine SSFP 2Ch and 4Ch views, however, aligned to the LA. Strain analysis was performed using CVI42® software. Paired Student's Results: Indexed maximum, minimum LA volumes and LA volumes before atrial contraction were significantly elevated for optimized planning compared to standard planning ( Conclusion: Optimized LA planning procedure for assessment of the longest LA dimensions results in significant alterations in CMR quantifications with increased chamber volumetrics and decreased strain and strain rates compared to standard procedure.

Indexed as

cardiovascular magnetic resonancefeature trackingleft atrial strainplanning proceduresvolumetrics

Identifiers

PMID40231026
PMCPMC11994661

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