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Marwick TH, Sivaraj E. Mechanical Wave Speeds in Healthy and Pathologic Hearts: Depends on Where and When You Look. JACC Cardiovasc Imaging 2024; 17:125-127. [PMID: 37855796 DOI: 10.1016/j.jcmg.2023.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 08/21/2023] [Indexed: 10/20/2023]
Affiliation(s)
- Thomas H Marwick
- Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia; Menzies Institute for Medical Research, Hobart, Tasmania, Australia; Department of Cardiology, Royal Hobart Hospital, Hobart, Tasmania, Australia.
| | - Eswararaj Sivaraj
- Menzies Institute for Medical Research, Hobart, Tasmania, Australia; Department of Cardiology, Royal Hobart Hospital, Hobart, Tasmania, Australia
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Espeland T, Wigen MS, Dalen H, Berg EAR, Hammer TA, Salles S, Lovstakken L, Amundsen BH, Aakhus S. Mechanical Wave Velocities in Left Ventricular Walls in Healthy Subjects and Patients With Aortic Stenosis. JACC Cardiovasc Imaging 2024; 17:111-124. [PMID: 37676209 DOI: 10.1016/j.jcmg.2023.07.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 07/14/2023] [Indexed: 09/08/2023]
Abstract
BACKGROUND Mechanical wave velocity (MWV) measurement is a promising method for evaluating myocardial stiffness, because these velocities are higher in patients with myocardial disease. OBJECTIVES Using high frame rate echocardiography and a novel method for detection of myocardial mechanical waves, this study aimed to estimate the MWVs for different left ventricular walls and events in healthy subjects and patients with aortic stenosis (AS). Feasibility and reproducibility were evaluated. METHODS This study included 63 healthy subjects and 13 patients with severe AS. All participants underwent echocardiographic examination including 2-dimensional high frame rate recordings using a clinical scanner. Cardiac magnetic resonance was performed in 42 subjects. The authors estimated the MWVs at atrial kick and aortic valve closure in different left ventricular walls using the clutter filter wave imaging method. RESULTS Mechanical wave imaging in healthy subjects demonstrated the highest feasibility for the atrial kick wave reaching >93% for all 4 examined left ventricular walls. The MWVs were higher for the inferolateral and anterolateral walls (2.2 and 2.6 m/s) compared with inferoseptal and anteroseptal walls (1.3 and 1.6 m/s) (P < 0.05) among healthy subjects. The septal MWVs at aortic valve closure were significantly higher for patients with severe AS than for healthy subjects. CONCLUSIONS MWV estimation during atrial kick is feasible and demonstrates higher velocities in the lateral walls, compared with septal walls. The authors propose indicators for quality assessment of the mechanical wave slope as an aid for achieving consistent measurements. The discrimination between healthy subjects and patients with AS was best for the aortic valve closure mechanical waves. (Ultrasonic Markers for Myocardial Fibrosis and Prognosis in Aortic Stenosis; NCT03422770).
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Affiliation(s)
- Torvald Espeland
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
| | - Morten S Wigen
- Centre for Innovative Ultrasound Solutions, Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Havard Dalen
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway; Department of Internal Medicine, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway
| | - Erik A R Berg
- Centre for Innovative Ultrasound Solutions, Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Tommy A Hammer
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Department of Radiology, Clinic of Radiology and Nuclear Medicine, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Sebastien Salles
- Centre for Innovative Ultrasound Solutions, Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Lasse Lovstakken
- Centre for Innovative Ultrasound Solutions, Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Brage H Amundsen
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Svend Aakhus
- Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway
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Huang X, Fan XY, Cheng Q, Zhang J, Sun J, Tang QY, Deng YB, Bi XJ. Intrinsic Wave Velocity Propagation: A Novel Parameter for Assessing the Effect of Anthracycline Chemotherapy Agents on Cardiac Diastolic Function in Breast Cancer Patients. Curr Med Sci 2023; 43:1229-1237. [PMID: 38041790 DOI: 10.1007/s11596-023-2807-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 10/08/2023] [Indexed: 12/03/2023]
Abstract
OBJECTIVE Anthracycline chemotherapeutic agents have significant cardiotoxicity. The present study emphasized the effect of anthracycline chemotherapy drugs on left ventricular (LV) myocardial stiffness in breast cancer patients by measuring the intrinsic wave velocity propagation (IVP), and evaluating the potential clinical value of IVP in detecting early LV diastolic function impairment. METHODS A total of 68 newly diagnosed breast cancer patients, who were treated with anthracycline-based chemotherapy, were analyzed. Transthoracic echocardiography was performed at baseline (T0), and after 1, 2, 3, 4 and 8 chemotherapeutic cycles (T1, T2, T3, T4 and T5, respectively). Then, the IVP, LV strain parameters [global longitudinal strain (GLS), longitudinal peak strain rate at systole (LSRs), longitudinal peak strain rate at early diastole (LSRe), longitudinal peak strain rate at late diastole (LSRa), and the E/LSRe ratio], and conventional echocardiographic parameters were obtained and further analyzed. A relative reduction of >15% in GLS was considered a marker of early LV subclinical dysfunction. RESULTS Compared to the T0 stage, IVP significantly increased at the T1 stage. However, there were no significant changes in GLS, LSRs, or LSRe between the T0 and T1 stages. These parameters significantly decreased from the T2 stage. LSRa started to significantly decrease at the T5 stage, and the E/LSRe ratio started to significantly increase at the T3 stage (all P<0.05). At the T0 stage, IVP (AUC=0.752, P<0.001) had a good predictive value for LV subclinical dysfunction after chemotherapy. CONCLUSIONS IVP is a potentially sensitive parameter for the early clinical assessment of anthracycline-related cardiac diastolic impairment.
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Affiliation(s)
- Xiao Huang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Xin-Ying Fan
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Qiao Cheng
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Jun Zhang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Jie Sun
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Qiao-Ying Tang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - You-Bin Deng
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Xiao-Jun Bi
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
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Cheng Q, Huang X, Fan X, Sun J, Zhang J, Tang Q, Deng Y, Bi X. Exploring the prospect of intrinsic wave propagation in evaluating myocardial stiffness among patients with type 2 diabetes. Front Cardiovasc Med 2023; 10:1162500. [PMID: 37378401 PMCID: PMC10291123 DOI: 10.3389/fcvm.2023.1162500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/16/2023] [Indexed: 06/29/2023] Open
Abstract
Background Diabetes predisposes affected individuals to impaired myocardial perfusion and ischemia, leading to cardiac dysfunction. Increased myocardial stiffness is an independent and significant risk factor in diastolic dysfunction. This study sought to estimate myocardial stiffness in Type 2 diabetes (T2DM) patients using the intrinsic wave velocity propagation (IVP) along the longitudinal wall motion during late diastole and evaluate the value of IVP in assessing cardiac function and structure. Methods 87 and 53 participants with and without T2DM (control group) were enrolled. Of the 87 T2DM patients (DM group), 43 were complicated with hypertension (DM + H group), and 44 were not (DM-H group). Ultrasound parameters were measured and analyzed, including color M-mode flow propagation velocity, global longitudinal systolic strain (GLS), and IVP. Results IVP was higher in the DM group than in the control group (1.62 ± 0.25 m/s and 1.40 ± 0.19 m/s, P < 0.001). After stratification for hypertension, IVP in both DM + H (1.71 ± 0.25 m/s) and DM-H (1.53 ± 0.20 m/s) groups were found to be significantly higher than that in the control group (1.40 ± 0.19 m/s); also, the difference of IVP between DM + H and DM-H group reached statistical significance. Moreover, IVP was significantly correlated with flow propagation velocity during early diastole (Pve) (r = -0.580, P < 0.001), flow propagation velocity during late diastole (Pva) (r = 0.271, P < 0.001), GLS (r = 0.330, P < 0.001), interventricular septal thickness at end-diastole (IVSd) (r = 0.321, P < 0.001), blood glucose (r = 0.246, P < 0.003), systolic blood pressure (r = 0.370, P < 0.001) and diastolic blood pressure (r = 0.389, P < 0.001). Conclusions The results indicated the application potential of IVP in assessing the early detection of cardiac function changes noninvasively and sensitively. The correlation with myocardial stiffness warrants further studies to substantiate its potential clinical utility.
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Moore C, McCrary AW, LeFevre M, Sturgeon GM, Barker PAC, von Ramm OT. Ultrasound Visualization and Recording of Transient Myocardial Vibrations. ULTRASOUND IN MEDICINE & BIOLOGY 2023; 49:1431-1440. [PMID: 36990961 DOI: 10.1016/j.ultrasmedbio.2023.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 01/19/2023] [Accepted: 02/12/2023] [Indexed: 05/11/2023]
Abstract
OBJECTIVE A new visualization and recording method used to assess and quantitate autogenic high-velocity motions in myocardial walls to provide a new description of cardiac function is described. METHODS The regional motion display (RMD) is based on high-speed difference ultrasound B-mode images and spatiotemporal processing to record propagating events (PEs). Sixteen normal participants and one patient with cardiac amyloidosis were imaged at rates of 500-1000/s using the Duke Phased Array Scanner, T5. RMDs were generated using difference images and spatially integrating these to display velocity as function of time along a cardiac wall. RESULTS In normal participants, RMDs revealed four discrete PEs with average onset timing with respect to the QRS complex of -31.7, +46, +365 and +536 ms. The late diastolic PE propagated apex to base in all participants at an average velocity of 3.4 m/s by the RMD. The RMD of the amyloidosis patient revealed significant changes in the appearance of PEs compared with normal participants. The late diastolic PE propagated at 5.3 m/s from apex to base. All four PEs lagged the average timing of normal participants. CONCLUSION The RMD method reliably reveals PEs as discrete events and successfully allows reproducible measurement of PE timing and the velocity of at least one PE. The RMD method is applicable to live, clinical high-speed studies and may offer a new approach to characterization of cardiac function.
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Affiliation(s)
- Cooper Moore
- Department of Biomedical Engineering, Duke University, Durham, NC, USA.
| | - Andrew W McCrary
- Department of Pediatrics, Duke University Medical Center, Durham, NC, USA
| | - Melissa LeFevre
- Department of Medicine, Duke University Medical Center, Durham, NC, USA
| | - Gregory M Sturgeon
- Department of Pediatrics, Duke University Medical Center, Durham, NC, USA
| | - Piers A C Barker
- Department of Pediatrics, Duke University Medical Center, Durham, NC, USA
| | - Olaf T von Ramm
- Department of Biomedical Engineering, Duke University, Durham, NC, USA
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Caenen A, Pernot M, Nightingale KR, Voigt JU, Vos HJ, Segers P, D'hooge J. Assessing cardiac stiffness using ultrasound shear wave elastography. Phys Med Biol 2021; 67. [PMID: 34874312 DOI: 10.1088/1361-6560/ac404d] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 12/06/2021] [Indexed: 11/11/2022]
Abstract
Shear wave elastography offers a new dimension to echocardiography: it measures myocardial stiffness. Therefore, it could provide additional insights into the pathophysiology of cardiac diseases affecting myocardial stiffness and potentially improve diagnosis or guide patient treatment. The technique detects fast mechanical waves on the heart wall with high frame rate echography, and converts their propagation velocity into a stiffness value. A proper interpretation of shear wave data is required as the shear wave interacts with the intrinsic, yet dynamically changing geometrical and material characteristics of the heart under pressure. This dramatically alters the wave physics of the propagating wave, demanding adapted processing methods compared to other shear wave elastography applications as breast tumor and liver stiffness staging. Furthermore, several advanced analysis methods have been proposed to extract supplementary material features such as viscosity and anisotropy, potentially offering additional diagnostic value. This review explains the general mechanical concepts underlying cardiac shear wave elastography and provides an overview of the preclinical and clinical studies within the field. We also identify the mechanical and technical challenges ahead to make shear wave elastography a valuable tool for clinical practice.
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Affiliation(s)
- Annette Caenen
- Institute for Biomedical Engineering and Technology, Ghent University, Ghent, BELGIUM
| | - Mathieu Pernot
- INSERM U979 "Physics for medicine", ESPCI Paris, PSL Research University, CNRS UMR 7587, Institut Langevin, Paris, FRANCE
| | - Kathryn R Nightingale
- Department of Biomedical Engineering, Duke University, Durham, North Carolina, UNITED STATES
| | - Jens-Uwe Voigt
- Department of Cardiovascular Sciences, KU Leuven, Leuven, BELGIUM
| | - Hendrik J Vos
- Department of Biomedical Engineering, Erasmus MC, Rotterdam, Zuid-Holland, NETHERLANDS
| | - Patrick Segers
- Institute of Biomedical Engineering and Technology, Universiteit Gent, Gent, BELGIUM
| | - Jan D'hooge
- Department of Cardiovascular Sciences, KU Leuven, Leuven, BELGIUM
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Numerical wave speed sensitivity study for assessment of myocardial elasticity in a simplified linear elastic and isotropic left ventricle model. Med Eng Phys 2021; 98:20-27. [PMID: 34848034 DOI: 10.1016/j.medengphy.2021.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 09/30/2021] [Accepted: 10/04/2021] [Indexed: 11/24/2022]
Abstract
Since tissue elasticity can change with pathology, noninvasive assessment of elasticity has received increasing attention. Emerging methods for assessing cardiac elasticity utilize either an external source to induce propagating shear waves or intrinsic longitudinal waves created by natural cardiac events such as left ventricle stretching that occurs due to atrial kick during late diastole. However, the effect of morphological variations that occur in diseased hearts on this longitudinal stretch wave and the corresponding estimate of elasticity is not well understood and is an active area of research. This study investigated the sensitivity of longitudinal wave speed to material properties and chamber geometry parameters through numerical simulations using a finite element model of a bullet-shaped chamber with homogeneous isotropic linear elastic material properties. A longitudinal impulse displacement was applied to the base edge of the model to investigate wave propagation from this boundary. Parametric studies were performed for variables of interest related to geometry and material properties. The wave speeds estimated from simulation results were used to determine wave speed sensitivity to each variable. Wave speed was found to be a strong function of material elasticity and a weak function of chamber geometry and viscous damping. Simulated wave speed as a function of elasticity was in good agreement with wave speeds determined from an analytical expression for longitudinal wave speed in elastic thin plates. These promising preliminary results increase our understanding of how these parameters affect intrinsic longitudinal wave speed and warrant future studies addressing the impact of patient-specific model geometry, material anisotropy and hyperelasticity, and boundary conditions on wave speed.
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De Jesus T, Alashry MM, Padang R, Pislaru SV, Nkomo VT, Pellikka PA, Pislaru C. Intrinsic cardiac elastography in patients with primary mitral regurgitation: predictive role after mitral valve repair. Eur Heart J Cardiovasc Imaging 2021; 22:912-921. [PMID: 32533173 DOI: 10.1093/ehjci/jeaa117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 03/17/2020] [Accepted: 04/27/2020] [Indexed: 11/14/2022] Open
Abstract
AIMS Chronic volume-overload can impair systolic and diastolic myocardial properties. We tested the hypothesis that Intrinsic Cardiac Elastography may detect alterations in passive myocardial elasticity in patients with chronic severe mitral regurgitation (MR) and predict worsening left ventricular (LV) function after mitral valve repair (MVr). METHODS AND RESULTS Comprehensive transthoracic echocardiography and cardiac elastography were performed in 80 patients with primary MR (prolapse and/or flail leaflets) of varying severity and compared with 40 normal subjects. In patients who underwent MVr (n = 51), elastography measurements were related to changes in left ventricular ejection fraction (LVEF) at short-term (3-4 days post-op) and mid-term (1 year) follow-up. Most patients were asymptomatic or mildly symptomatic and had preserved LVEF (>60%). Intrinsic velocity propagation (iVP) of myocardial stretch, a direct measure of myocardial stiffness, was higher in patients with severe MR {median 2.0 [interquartile range (IQR) 1.5-2.2] m/s, range 1.1-3.4 m/s; n = 56} compared to normal subjects [median 1.7 (IQR 1.5-1.8) m/s; n = 40; P = 0.0005], but not in those with mild or moderate MR [median 1.7 (IQR 1.4-1.9) m/s; n = 24]. A higher iVP was associated with more severe LV volume-overload and LV and left atrial enlargement (P < 0.05 for all). In patients undergoing MVr, a higher iVP independently predicted a larger drop in LVEF post-intervention (short-term, P = 0.001; 1 year, P = 0.007), incrementally to pre-operative LVEF (P < 0.05). CONCLUSION Non-invasive measurements of myocardial stiffness were able to predict functional deterioration after MVr for chronic primary MR. Further studies should investigate the mechanisms and practical utility of this novel measurement.
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Affiliation(s)
- Tais De Jesus
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Mahmoud M Alashry
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Ratnasari Padang
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Sorin V Pislaru
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Vuyisile T Nkomo
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Patricia A Pellikka
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
| | - Cristina Pislaru
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
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Echocardiographic Stiffness Measurements: How to Rule the Waves? JACC Cardiovasc Imaging 2021; 14:1506-1507. [PMID: 34353545 DOI: 10.1016/j.jcmg.2021.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 06/10/2021] [Indexed: 11/21/2022]
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Naser JA, Anupraiwan O, Adigun RO, Maleszewski JJ, Pislaru SV, Pellikka PA, Pislaru C. Myocardial Stiffness by Cardiac Elastography in Hypertrophic Cardiomyopathy: Relationship With Myocardial Fibrosis and Clinical Outcomes. JACC Cardiovasc Imaging 2021; 14:2051-2053. [PMID: 34274273 DOI: 10.1016/j.jcmg.2021.05.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 05/07/2021] [Accepted: 05/27/2021] [Indexed: 11/17/2022]
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Sabbadini A, Caenen A, Keijzer LBH, van Neer PLMJ, Vos HJ, de Jong N, Verweij MD. Tapering of the interventricular septum can affect ultrasound shear wave elastography: An in vitro and in silico study. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2021; 150:428. [PMID: 34340474 DOI: 10.1121/10.0005646] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 06/30/2021] [Indexed: 06/13/2023]
Abstract
Shear wave elastography (SWE) has the potential to determine cardiac tissue stiffness from non-invasive shear wave speed measurements, important, e.g., for predicting heart failure. Previous studies showed that waves traveling in the interventricular septum (IVS) may display Lamb-like dispersive behaviour, introducing a thickness-frequency dependency in the wave speed. However, the IVS tapers across its length, which complicates wave speed estimation by introducing an additional variable to account for. The goal of this work is to assess the impact of tapering thickness on SWE. The investigation is performed by combining in vitro experiments with acoustic radiation force (ARF) and 2D finite element simulations, to isolate the effect of the tapering curve on ARF-induced and natural waves in the heart. The experiments show a 11% deceleration during propagation from the thick to the thin end of an IVS-mimicking tapered phantom plate. The numerical analysis shows that neglecting the thickness variation in the wavenumber-frequency domain can introduce errors of more than 30% in the estimation of the shear modulus, and that the exact tapering curve, rather than the overall thickness reduction, determines the dispersive behaviour of the wave. These results suggest that septal geometry should be accounted for when deriving cardiac stiffness with SWE.
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Affiliation(s)
- A Sabbadini
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
| | - A Caenen
- Biomedical Engineering, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands
| | - L B H Keijzer
- Biomedical Engineering, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands
| | - P L M J van Neer
- Ultrasone Lab, Nederlandse Organisatie voor Toegepast Natuurwetenschappelijk Onderzoek, Oude Waalsdorperweg 63, Den Haag, 2597 AK, The Netherlands
| | - H J Vos
- Biomedical Engineering, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands
| | - N de Jong
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
| | - M D Verweij
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
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Zhang J, Deng Y, Tang Q, Sun J, Huang L, Song P, Bi X. Evaluation of Myocardial Stiffness in Hypertensive Patients by Intrinsic Wave Propagation of the Myocardial Stretch. ULTRASOUND IN MEDICINE & BIOLOGY 2020; 46:2683-2691. [PMID: 32709521 DOI: 10.1016/j.ultrasmedbio.2020.06.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Revised: 06/19/2020] [Accepted: 06/23/2020] [Indexed: 06/11/2023]
Abstract
The objective of the study was to evaluate myocardial stiffness in hypertensive patients by measuring the intrinsic velocity propagation (IVP) of the myocardial stretch and to explore the correlation between IVP and cardiac systolic and diastolic functions. Eighty-one hypertensive patients and 53 healthy patients were prospectively enrolled in this study. IVP was measured using high-frame rate tissue Doppler (350-450 frames per second). IVP was significantly higher in hypertensive patients than in the control group (1.53 ± 0.39 m/s vs. 1.40 ± 0.19 m/s, p = 0.031). In the hypertensive group, IVP was significantly higher in patients with electrocardiogram (ECG) strain than in those without ECG strain (1.63 ± 0.46 m/s vs. 1.45 ± 0.32 m/s, p = 0.047). Moreover, IVP exhibited a good correlation with interventricular septal thickness at end-diastole (r = 0.434, p < 0.001), left ventricular posterior wall thickness at end-diastole (r = 0.439, p < 0.001), E/A ratio (r = 0.245, p = 0.004) and global longitudinal systolic strain (r = 0.405, p < 0.001). IVP was significantly higher in hypertensive patients, which indicates elevated myocardial stiffness in this cohort of patients. This novel measurement exhibited great potential for use in clinical practice to assess myocardial stiffness in patients with hypertension non-invasively.
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Affiliation(s)
- Jun Zhang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Youbin Deng
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Qiaoying Tang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Jie Sun
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Lingying Huang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Pengfei Song
- Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA; Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - Xiaojun Bi
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
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Keijzer LBH, Strachinaru M, Bowen DJ, Caenen A, van Steen AFWD, Verweij MD, de Jong N, Bosch JG, Vos HJ. Parasternal Versus Apical View in Cardiac Natural Mechanical Wave Speed Measurements. IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL 2020; 67:1590-1602. [PMID: 32149686 DOI: 10.1109/tuffc.2020.2978299] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Shear wave speed measurements can potentially be used to noninvasively measure myocardial stiffness to assess the myocardial function. Several studies showed the feasibility of tracking natural mechanical waves induced by aortic valve closure in the interventricular septum, but different echocardiographic views have been used. This article systematically studied the wave propagation speeds measured in a parasternal long-axis and in an apical four-chamber view in ten healthy volunteers. The apical and parasternal views are predominantly sensitive to longitudinal or transversal tissue motion, respectively, and could, therefore, theoretically measure the speed of different wave modes. We found higher propagation speeds in apical than in the parasternal view (median of 5.1 m/s versus 3.8 m/s, , n = 9 ). The results in the different views were not correlated ( r = 0.26 , p = 0.49 ) and an unexpectedly large variability among healthy volunteers was found in apical view compared with the parasternal view (3.5-8.7 versus 3.2-4.3 m/s, respectively). Complementary finite element simulations of Lamb waves in an elastic plate showed that different propagation speeds can be measured for different particle motion components when different wave modes are induced simultaneously. The in vivo results cannot be fully explained with the theory of Lamb wave modes. Nonetheless, the results suggest that the parasternal long-axis view is a more suitable candidate for clinical diagnosis due to the lower variability in wave speeds.
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Villemain O, Baranger J, Friedberg MK, Papadacci C, Dizeux A, Messas E, Tanter M, Pernot M, Mertens L. Ultrafast Ultrasound Imaging in Pediatric and Adult Cardiology. JACC Cardiovasc Imaging 2020; 13:1771-1791. [DOI: 10.1016/j.jcmg.2019.09.019] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 08/29/2019] [Accepted: 09/03/2019] [Indexed: 02/08/2023]
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15
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Sabbadini A, Keijzer LBH, Vos HJ, de Jong N, Verweij MD. Fundamental modeling of wave propagation in temporally relaxing media with applications to cardiac shear wave elastography. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2020; 147:3091. [PMID: 32486810 DOI: 10.1121/10.0001161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 04/09/2020] [Indexed: 06/11/2023]
Abstract
Shear wave elastography (SWE) might allow non-invasive assessment of cardiac stiffness by relating shear wave propagation speed to material properties. However, after aortic valve closure, when natural shear waves occur in the septal wall, the stiffness of the muscle decreases significantly, and the effects of such temporal variation of medium properties on shear wave propagation have not been investigated yet. The goal of this work is to fundamentally investigate these effects. To this aim, qualitative results were first obtained experimentally using a mechanical setup, and were then combined with quantitative results from finite difference simulations. The results show that the amplitude and period of the waves increase during propagation, proportional to the relaxation of the medium, and that reflected waves can originate from the temporal stiffness variation. These general results, applied to literature data on cardiac stiffness throughout the heart cycle, predict as a major effect a period increase of 20% in waves propagating during a healthy diastolic phase, whereas only a 10% increase would result from the impaired relaxation of an infarcted heart. Therefore, cardiac relaxation can affect the propagation of waves used for SWE measurements and might even provide direct information on the correct relaxation of a heart.
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Affiliation(s)
- A Sabbadini
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
| | - L B H Keijzer
- Biomedical Engineering, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands
| | - H J Vos
- Biomedical Engineering, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands
| | - N de Jong
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
| | - M D Verweij
- Applied Sciences, Delft University of Technology, Lorentzweg 1, Delft, 2628 CJ, The Netherlands
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16
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Keijzer LBH, Strachinaru M, Bowen DJ, Geleijnse ML, van der Steen AFW, Bosch JG, de Jong N, Vos HJ. Reproducibility of Natural Shear Wave Elastography Measurements. ULTRASOUND IN MEDICINE & BIOLOGY 2019; 45:3172-3185. [PMID: 31564460 DOI: 10.1016/j.ultrasmedbio.2019.09.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 08/30/2019] [Accepted: 09/04/2019] [Indexed: 06/10/2023]
Abstract
For the quantification of myocardial function, myocardial stiffness can potentially be measured non-invasively using shear wave elastography. Clinical diagnosis requires high precision. In 10 healthy volunteers, we studied the reproducibility of the measurement of propagation speeds of shear waves induced by aortic and mitral valve closure (AVC, MVC). Inter-scan was slightly higher but in similar ranges as intra-scan variability (AVC: 0.67 m/s (interquartile range [IQR]: 0.40-0.86 m/s) versus 0.38 m/s (IQR: 0.26-0.68 m/s), MVC: 0.61 m/s (IQR: 0.26-0.94 m/s) versus 0.26 m/s (IQR: 0.15-0.46 m/s)). For AVC, the propagation speeds obtained on different day were not statistically different (p = 0.13). We observed different propagation speeds between 2 systems (AVC: 3.23-4.25 m/s [Zonare ZS3] versus 1.82-4.76 m/s [Philips iE33]), p = 0.04). No statistical difference was observed between observers (AVC: p = 0.35). Our results suggest that measurement inaccuracies dominate the variabilities measured among healthy volunteers. Therefore, measurement precision can be improved by averaging over multiple heartbeats.
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Affiliation(s)
- Lana B H Keijzer
- Biomedical Engineering, Thorax Center, Erasmus MC, Rotterdam, The Netherlands.
| | - Mihai Strachinaru
- Biomedical Engineering, Thorax Center, Erasmus MC, Rotterdam, The Netherlands; Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands
| | - Dan J Bowen
- Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands
| | | | - Antonius F W van der Steen
- Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, ImPhys, Delft University of Technology, The Netherlands
| | - Johan G Bosch
- Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands
| | - Nico de Jong
- Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, ImPhys, Delft University of Technology, The Netherlands
| | - Hendrik J Vos
- Cardiology, Thorax Center, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, ImPhys, Delft University of Technology, The Netherlands
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17
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Strachinaru M, Geleijnse ML, de Jong N, van den Bosch A, Michels M, Schinkel AFL, van der Steen AFW, Bosch JG, Vos HJ. Myocardial Stretch Post-atrial Contraction in Healthy Volunteers and Hypertrophic Cardiomyopathy Patients. ULTRASOUND IN MEDICINE & BIOLOGY 2019; 45:1987-1998. [PMID: 31155404 DOI: 10.1016/j.ultrasmedbio.2019.04.031] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 03/21/2019] [Accepted: 04/29/2019] [Indexed: 06/09/2023]
Abstract
In cardiac high-frame-rate color tissue Doppler imaging (TDI), a wave-like pattern travels over the interventricular septum (IVS) after atrial contraction. The propagation velocity of this myocardial stretch post-atrial contraction (MSPa) was proposed as a measure of left ventricular stiffness. The aim of our study was to investigate the MSPa in patients with hypertrophic cardiomyopathy (HCM) compared with healthy volunteers. Forty-two healthy volunteers and 33 HCM patients underwent high-frame-rate (>500 Hz) TDI apical echocardiography. MSPa was visible in TDI, M-mode and speckle tracking. When assuming a wave propagating with constant velocity, MSPa in healthy volunteers (1.6 ± 0.3 m/s) did not differ from that in HCM patients (1.8 ± 0.8 m/s, p = 0.14). Yet, in 42% of patients with HCM, the MSPa had a non-constant velocity over the wall: in the basal IVS, the velocity was lower (1.4 ± 0.5 m/s), and in the mid-IVS, much higher (6.1 ± 3.4 m/s, p < 0.0001), and this effect was related to the septal thickness. The reason is hypothesized to be the reaching of maximal longitudinal myocardial distension in HCM patients.
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Affiliation(s)
| | | | - Nico de Jong
- Thoraxcenter Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands
| | | | - Michelle Michels
- Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands
| | | | | | - Johan G Bosch
- Thoraxcenter Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands
| | - Hendrik J Vos
- Thoraxcenter Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands
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18
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Myocardial Stiffness by Intrinsic Cardiac Elastography in Patients with Amyloidosis: Comparison with Chamber Stiffness and Global Longitudinal Strain. J Am Soc Echocardiogr 2019; 32:958-968.e4. [DOI: 10.1016/j.echo.2019.04.418] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 04/17/2019] [Accepted: 04/18/2019] [Indexed: 12/24/2022]
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19
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Andersen MV, Moore C, Søgaard P, Friedman D, Atwater BD, Arges K, LeFevre M, Struijk JJ, Kisslo J, Schmidt SE, von Ramm OT. Quantitative Parameters of High-Frame-Rate Strain in Patients with Echocardiographically Normal Function. ULTRASOUND IN MEDICINE & BIOLOGY 2019; 45:1197-1207. [PMID: 30773380 DOI: 10.1016/j.ultrasmedbio.2018.11.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 10/30/2018] [Accepted: 11/12/2018] [Indexed: 06/09/2023]
Abstract
Recently, we developed a high-frame-rate echocardiographic imaging system capable of acquiring images at rates up to 2500 per second. High imaging rates were used to quantify longitudinal strain parameters in patients with echocardiographically normal function. These data can serve as a baseline for comparing strain parameters in disease states. The derived timing data also reveal the propagation of mechanical events in the left ventricle throughout the cardiac cycle. High-frame-rate echocardiographic images were acquired from 17 patients in the apical four-chamber view using Duke University's phased array ultrasound system, T5. B-Mode images were acquired at 500-1000 images per second by employing 16:1 or 32:1 parallel processing in receive, a scan depth ≤14 cm and an 80° field of view with a 3.5-MegaHertZ (MHz), 96-element linear array. The images were analyzed using a speckle tracking algorithm tailored for high-frame-rate echocardiographic images developed at Aalborg and Duke University. Four specific mechanical events were defined using strain curves from six regions along the myocardial contour of the left ventricle. The strain curves measure the local deformation events of the myocardium and are independent of the overall cardiac motion. We observed statistically significant differences in the temporal sequence among different myocardial segments for the first mechanical event described, myocardial tissue shortening onset (p < 0.01). We found that the spatial origin of tissue shortening was located near the middle of the interventricular septum in patients with echocardiographically normal function. The quantitative parameters defined here, based on high-speed strain measurements in patients with echocardiographically normal function, can serve as a means of assessing degree of contractile abnormality in the myocardium and enable the identification of contraction propagation. The relative timing pattern among specific events with respect to the Q wave may become an important new metric in assessing cardiac function and may, in turn, improve diagnosis and prognosis.
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Affiliation(s)
| | | | - Peter Søgaard
- Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark
| | | | | | | | | | | | - Joseph Kisslo
- Duke University Hospital, Durham, North Carolina, USA
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20
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Increased Myocardial Stiffness Detected by Intrinsic Cardiac Elastography in Patients With Amyloidosis. JACC Cardiovasc Imaging 2019; 12:375-377. [DOI: 10.1016/j.jcmg.2018.08.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 08/14/2018] [Accepted: 08/15/2018] [Indexed: 02/08/2023]
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21
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Pislaru C, Alashry MM, Thaden JJ, Pellikka PA, Enriquez-Sarano M, Pislaru SV. Intrinsic Wave Propagation of Myocardial Stretch, A New Tool to Evaluate Myocardial Stiffness: A Pilot Study in Patients with Aortic Stenosis and Mitral Regurgitation. J Am Soc Echocardiogr 2017; 30:1070-1080. [DOI: 10.1016/j.echo.2017.06.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Indexed: 12/13/2022]
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22
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Strachinaru M, Bosch JG, van Dalen BM, van Gils L, van der Steen AFW, de Jong N, Geleijnse ML, Vos HJ. Cardiac Shear Wave Elastography Using a Clinical Ultrasound System. ULTRASOUND IN MEDICINE & BIOLOGY 2017; 43:1596-1606. [PMID: 28545859 DOI: 10.1016/j.ultrasmedbio.2017.04.012] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 03/08/2017] [Accepted: 04/14/2017] [Indexed: 06/07/2023]
Abstract
The propagation velocity of shear waves relates to tissue stiffness. We prove that a regular clinical cardiac ultrasound system can determine shear wave velocity with a conventional unmodified tissue Doppler imaging (TDI) application. The investigation was performed on five tissue phantoms with different stiffness using a research platform capable of inducing and tracking shear waves and a clinical cardiac system (Philips iE33, achieving frame rates of 400-700 Hz in TDI by tuning the normal system settings). We also tested the technique in vivo on a normal individual and on typical pathologies modifying the consistency of the left ventricular wall. The research platform scanner was used as reference. Shear wave velocities measured with TDI on the clinical cardiac system were very close to those measured by the research platform scanner. The mean difference between the clinical and research systems was 0.18 ± 0.22 m/s, and the limits of agreement, from -0.27 to +0.63 m/s. In vivo, the velocity of the wave induced by aortic valve closure in the interventricular septum increased in patients with expected increased wall stiffness.
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Affiliation(s)
- Mihai Strachinaru
- Department of Cardiology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
| | - Johan G Bosch
- Department of Biomedical Engineering, Erasmus MC Rotterdam, Rotterdam, The Netherlands
| | - Bas M van Dalen
- Department of Cardiology, Erasmus MC Rotterdam, Rotterdam, The Netherlands
| | - Lennart van Gils
- Department of Cardiology, Erasmus MC Rotterdam, Rotterdam, The Netherlands
| | - Antonius F W van der Steen
- Department of Biomedical Engineering, Erasmus MC Rotterdam, Rotterdam, The Netherlands; Department of Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands
| | - Nico de Jong
- Department of Biomedical Engineering, Erasmus MC Rotterdam, Rotterdam, The Netherlands; Department of Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands
| | - Marcel L Geleijnse
- Department of Cardiology, Erasmus MC Rotterdam, Rotterdam, The Netherlands
| | - Hendrik J Vos
- Department of Biomedical Engineering, Erasmus MC Rotterdam, Rotterdam, The Netherlands; Department of Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands
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23
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Vos HJ, van Dalen BM, Heinonen I, Bosch JG, Sorop O, Duncker DJ, van der Steen AFW, de Jong N. Cardiac Shear Wave Velocity Detection in the Porcine Heart. ULTRASOUND IN MEDICINE & BIOLOGY 2017; 43:753-764. [PMID: 28065540 DOI: 10.1016/j.ultrasmedbio.2016.11.015] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Revised: 11/08/2016] [Accepted: 11/19/2016] [Indexed: 06/06/2023]
Abstract
Cardiac muscle stiffness can potentially be estimated non-invasively with shear wave elastography. Shear waves are present on the septal wall after mitral and aortic valve closure, thus providing an opportunity to assess stiffness in early systole and early diastole. We report on the shear wave recordings of 22 minipigs with high-frame-rate echocardiography. The waves were captured with 4000 frames/s using a programmable commercial ultrasound machine. The wave pattern was extracted from the data through a local tissue velocity estimator based on one-lag autocorrelation. The wave propagation velocity was determined with a normalized Radon transform, resulting in median wave propagation velocities of 2.2 m/s after mitral valve closure and 4.2 m/s after aortic valve closure. Overall the velocities ranged between 0.8 and 6.3 m/s in a 95% confidence interval. By dispersion analysis we found that the propagation velocity only mildly increased with shear wave frequency.
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Affiliation(s)
- Hendrik J Vos
- Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands.
| | | | - Ilkka Heinonen
- Experimental Cardiology, Erasmus MC, Rotterdam, The Netherlands; University of Turku and Turku University Hospital, Turku, Finland; Department of Clinical Physiology and Nuclear Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Johan G Bosch
- Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands
| | - Oana Sorop
- Experimental Cardiology, Erasmus MC, Rotterdam, The Netherlands
| | - Dirk J Duncker
- Experimental Cardiology, Erasmus MC, Rotterdam, The Netherlands
| | - Antonius F W van der Steen
- Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands; Netherlands Heart Institute, Utrecht, The Netherlands; Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China
| | - Nico de Jong
- Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands; Acoustical Wavefield Imaging, Delft University of Technology, Delft, The Netherlands; Department of Clinical Physiology and Nuclear Medicine, University of Turku and Turku University Hospital, Turku, Finland
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24
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Andersen MV, Moore C, Arges K, Søgaard P, Østergaard LR, Schmidt SE, Kisslo J, Von Ramm OT. High-Frame-Rate Deformation Imaging in Two Dimensions Using Continuous Speckle-Feature Tracking. ULTRASOUND IN MEDICINE & BIOLOGY 2016; 42:2606-2615. [PMID: 27595177 DOI: 10.1016/j.ultrasmedbio.2016.07.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 07/08/2016] [Accepted: 07/09/2016] [Indexed: 06/06/2023]
Abstract
The study describes a novel algorithm for deriving myocardial strain from an entire cardiac cycle using high-frame-rate ultrasound images. Validation of the tracking algorithm was conducted in vitro prior to the application to patient images. High-frame-rate ultrasound images were acquired in vivo from 10 patients, and strain curves were derived in six myocardial regions around the left ventricle from the apical four-chamber view. Strain curves derived from high-frame-rate images had a higher frequency content than those derived using conventional methods, reflecting improved temporal sampling.
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Affiliation(s)
- Martin V Andersen
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
| | - Cooper Moore
- Duke Biomedical Engineering Department, Duke University, Durham, North Carolina, USA
| | - Kristine Arges
- Duke Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Peter Søgaard
- Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark
| | - Lasse R Østergaard
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Samuel E Schmidt
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Joseph Kisslo
- Duke Department of Medicine, Duke University Hospital, Durham, North Carolina, USA
| | - Olaf T Von Ramm
- Duke Biomedical Engineering Department, Duke University, Durham, North Carolina, USA
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