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Circulation, Vol 81, 1236-1244, Copyright © 1990 by American Heart Association
MB Buchalter, JL Weiss, WJ Rogers, EA Zerhouni, ML Weisfeldt, R Beyar and EP Shapiro
It has been postulated that rotation of the left ventricular apex with
respect to the base is a component of normal systolic function in humans,
but it has been difficult to measure it noninvasively. Tagging is a new
magnetic resonance imaging technique that labels specific areas of
myocardium by selective radio-frequency excitation of narrow planes
orthogonal to the imaging plane before acquiring an image. Tags appear as
black lines and persist in myocardium for 400-500 msec and, if applied at
end diastole, will move with the myocardium through systole. Tagging was
used to noninvasively quantify left ventricular torsion and
circumferential-longitudinal shear (shearCL) in humans. Eight normal
volunteers, aged 24-38 years, were imaged in a 0.38-T iron- core resistive
magnet. Five short-axis left ventricular images, positioned to encompass
the entire left ventricle (LV), were obtained separately at end systole.
Four equiangular radial tags had been applied at end diastole, intersecting
the myocardium at eight locations. We calculated the difference in angular
displacement of each epicardial and endocardial tag point (a tag point
being where the tag crossed the epicardium or endocardium) at end systole
from the systolic position of the corresponding tag point on the basal
plane. This value was called the torsion angle. From this, shearCL, the
angle inscribed on the epicardial or endocardial surface between the
systolic tag position, the corresponding basal tag position, and its
projection onto the slice of interest could be calculated at 32 points in
the left ventricular wall.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Noninvasive quantification of left ventricular rotational deformation in normal humans using magnetic resonance imaging myocardial tagging
Francis Scott Key Medical Center, Baltimore, MD 21224.
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