Cardiovascular Magnetic Resonance Myocardial Feature Tracking: Concepts and Clinical Applications

Andreas Schuster1, Kan N Hor2, Johannes T Kowallick2

  • 1From the Department of Cardiology and Pneumology (A.S.) and Institute for Diagnostic and Interventional Radiology (J.T.K.), University Medical Centre Göttingen, Georg-August University, Göttingen, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany (A.S., J.T.K.); Division of Imaging Sciences and Biomedical Engineering, The Rayne Institute, KCL, London, United Kingdom (A.S.); The Heart Center at Nationwide Children's Hospital, The Ohio State University, Columbus (K.N.H.); Department of Paediatric Cardiology and Critical Care Medicine, Children's Hospital, Hannover Medical School, Hannover, Germany (P.B.); and Division of Pediatric Cardiology, University of Nebraska Medical Center, Children's Hospital and Medical Center, Omaha (S.K.). andreas_schuster@gmx.net.

Insights

Cardiovascular magnetic resonance myocardial feature tracking offers a quantitative evaluation of heart function, aiding in early diagnosis and management of heart failure. This technique assesses cardiac mechanics, providing prognostic insights for patients.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Heart failure is a significant global health issue with diverse causes.
  • Accurate assessment of cardiovascular performance is crucial for managing heart failure patients.
  • Cardiovascular magnetic resonance (CMR) myocardial feature tracking has become a valuable tool.

Purpose of the Study:

  • To review the principles, clinical applications, accuracy, and reproducibility of CMR myocardial feature tracking.
  • To highlight the prognostic implications of this imaging technique.
  • To provide an outlook on future advancements in the field.

Main Methods:

  • Utilizes cardiovascular magnetic resonance (CMR) imaging.
  • Employs myocardial feature tracking (FT) for quantitative analysis.
  • Measures cardiac deformation, including strain, torsion, and dyssynchrony.

Main Results:

  • CMR myocardial feature tracking enables quantitative evaluation of biatrial and biventricular mechanics.
  • The method provides insights into cardiac function beyond traditional measures.
  • Accuracy and reproducibility have been established for clinical use.

Conclusions:

  • CMR myocardial feature tracking is a robust tool for assessing cardiovascular function in heart failure.
  • The technique offers significant prognostic information.
  • Future developments are expected to further enhance its clinical utility.

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