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Updated: Jun 21, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Correlation of automated function imaging (AFI) to conventional strain analyses of regional and global right
Anna M Calleja1, Panupong Jiamsripong, Mohsen S Alharthi
1Translational Ultrasound Research Laboratory, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Scottsdale, Arizona 85259, USA.
Background:
Automated function imaging is a software tool available to facilitate the efficiency of workflow when analyzing left ventricular strain. In this study, automated function imaging was compared with a conventional approach for the analysis of right ventricular strain in normal and pressure-overloaded right ventricles.
Methods:
Twelve pigs were subjected to graded acute right ventricular systolic pressure overload. Intraclass and interclass correlation coefficients (ICCs) with 95% confidence intervals were used for statistical evaluation, with grading based on the kappa statistic as follows: ICC >0.75 = excellent, 0.4 to 0.75 = good, and <0.40 = poor.
Results:
Intraobserver and interobserver variability for both regional and global strains consistently ranged from good to excellent (ICC, 0.50-0.99), with good agreement between the conventional and automated methods.
Conclusion:
Automated function imaging correlates well with conventional strain analysis of the right ventricle. Automated function imaging is a practical tool for measuring regional and global longitudinal strain in both normal and pressure-overloaded right ventricles.
