[1]宋鑫宇 董蔚.应用心脏核磁共振特征追踪技术评估左心房应变临床应用进展[J].心血管病学进展,2024,(12):1070.[doi:10.16806/j.cnki.issn.1004-3934.2024.12.004]
 SONG Xinyu,GUO Jun,DONG Wei.Advances In The Application Of Cardiac Magnetic Resonance Feature Tracking To Assess Left Atrial Strain For Clinical Use[J].Advances in Cardiovascular Diseases,2024,(12):1070.[doi:10.16806/j.cnki.issn.1004-3934.2024.12.004]
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应用心脏核磁共振特征追踪技术评估左心房应变临床应用进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年12期
页码:
1070
栏目:
综述
出版日期:
2024-12-25

文章信息/Info

Title:
Advances In The Application Of Cardiac Magnetic Resonance Feature Tracking To Assess Left Atrial Strain For Clinical Use
作者:
宋鑫宇 董蔚
(解放军总医院第六医学中心心血管病医学部 北京 100048)
Author(s):
SONG XinyuGUO JunDONG Wei
(Senior Department of Cardiology,The Sixth Medical Center of PLA General Hospital,Beijing 100048,China)
关键词:
心房功能左心房应变心脏磁共振特征追踪
Keywords:
Atrial functionLeft atrial strainCardiac magnetic resonanceFeature tracking
DOI:
10.16806/j.cnki.issn.1004-3934.2024.12.004
摘要:
左心房在维持左心室充盈方面起着至关重要的作用,越来越多的证据表明,左心房形态及功能改变与多种心血管疾病相关。左心房容积改变已被公认为多种心血管疾病结局的预测因素。然而,左心房容积改变并不能准确说明左心房在整个心动周期中对心脏功能的影响。近期提出的基于心脏磁共振的心房应变评估可以克服单纯测量心房容积的局限性。此外,左心房应变损伤可在心血管疾病早期阶段被检测到。在传统心脏核磁电影序列中发展出的心脏核磁共振特征追踪技术(CMR-FT)可通过应变评估左心房功能,具有可重复性高、无需特殊序列等特点。与基于超声心动图斑点追踪的心房功能评估相比,CMR-FT具有更高的空间分辨率、更大的视野和更好的重现性。本文综述了CMR-FT评估心房功能在临床实践中的应用现状,探讨其临床及科研价值。
Abstract:
The left atrium plays a crucial role in maintaining left ventricular filling. A growing body of evidence suggests that the left atrium change is associated with a variety of cardiovascular diseases. Left atrial enlargement has been recognized as a predictor of outcome in a variety of cardiovascular diseases. However, left atrial enlargement does not accurately describe its function throughout the cardiac cycle. Based on this, the recently proposed cardiac magnetic resonance atrial strain assessment can overcome the limitations of atrial volume measurements. In addition, left atrial strain injury can be detected in the early stages of cardiovascular disease. Based on conventional cardiac MR techniques, cardiac magnetic resonance feature tracking (CMR-FT) is increasingly proving to be a feasible and reproducible technique for assessing left atrial function by strain. Compared with speckle-tracking echocardiographic assessment of atrial function, CMR-FT offers higher spatial resolution, a larger field of view, and better reproducibility. In this literature review on atrial strain analysis, we describe recent applications, and prospects for the development of CMR-FT for the study of atrial function in clinical practice

参考文献/References:

[1] Yang Y,Yin G,Jiang Y,et al. Quantification of left atrial function in patients with non-obstructive hypertrophic cardiomyopathy by cardiovascular magnetic resonance feature tracking imaging:a feasibility and reproducibility study[J]. J Cardiovasc Magn Reson,2020,22(1):1.

[2] Ferkh A,Clark A,Thomas L. Left atrial phasic function:physiology,clinical assessment and prognostic value[J]. Heart,2023,109(22):1661-1669.
[3] Rajiah PS,Kalisz K,Broncano J,et al. Myocardial strain evaluation with cardiovascular MRI:physics,principles,and clinical applications[J]. Radiographics,2022,42(4):968-990.
[4] Zhao Y,Song Y,Mu X. Application of left atrial strain derived from cardiac magnetic resonance feature tracking to predict cardiovascular disease:a comprehensive review[J]. Heliyon,2024,10(7):e27911.
[5] Wang X,Chatur S,Lu H,et al. Echocardiographic characterization of patients with supranormal ejection fraction:pooled core laboratory analysis of the TOPCAT and PARAGON-HF trials[J]. Eur Heart J,2023,44(Supplement 2).
[6] Eckstein J,K?perich H,Paluszkiewicz L,et al. Multi-parametric analyses to investigate dependencies of normal left atrial strain by cardiovascular magnetic resonance feature tracking[J]. Sci Rep,2022,12(1):12233.
[7] Yang W,Xu J,Zhu L,et al. Myocardial strain measurements derived from MR feature-tracking:influence of sex,age,field strength,and vendor[J]. JACC Cardiovasc Imaging,2024,17(4):364-379.
[8] M??scu GG,Mirea O,Capot?R,et al. Left atrial strain determinants during the?ardiac phases[J]. JACC:Cardiovascular Imaging,2022,15(3):381-391.
[9] Zhou D,Wang Y,Li S,et al. Ventricular-atrial coupling in subjects with normal,preserved,and reduced left ventricular ejection fraction:insights from cardiac magnetic resonance imaging[J]. Eur Radiol,2023,33(11):7716-7728.
[10] Zhou D,Yang W,Yang Y,et al. Left atrial dysfunction may precede left atrial enlargement and abnormal left ventricular longitudinal function:a cardiac MR feature tracking study[J]. BMC Cardiovasc Disord,2022,22(1):99.
[11] Byrne RA,Rossello X,Coughlan JJ,et al. 2023 ESC Guidelines for the management of acute coronary syndromes[J]. Eur Heart J,2023,44(38):3720-3826.
[12] Sj?ren H,Pahlm U,Engblom H,et al. Anterior STEMI associated with decreased strain in remote cardiac myocardium[J]. Int J Cardiovasc Imaging,2022,38(2):375-387.
[13] Schuster A,Backhaus SJ,Stiermaier T,et al. Left atrial function with MRI enables prediction of cardiovascular events after myocardial infarction:insights from the AIDA STEMI and TATORT NSTEMI trials[J]. Radiology,2019,293(2):292-302.
[14] Lange T,Gertz RJ,Schulz A,et al. Impact of myocardial deformation on risk prediction in patients following acute myocardial infarction[J]. Front Cardiovasc Med,2023,10:1199936.
[15] Leng S,Ge H,He J,et al. Long-term prognostic value of cardiac MRI left atrial strain in ST-segment elevation myocardial infarction[J]. Radiology,2020,296(2):299-309.
[16] Zhang H,Tian Z,Huo H,et al. Effect of infarct location and size on left atrial function:a cardiovascular magnetic resonance feature tracking study[J]. J Clin Med,2022,11(23):6938.
[17] Lapinskas T,Bu?us P,Urbonait?L,et al. Left atrial mechanics in patients with acute STEMI and secondary mitral regurgitation:a prospective pilot CMR feature tracking study[J]. Medicina (Kaunas),2017,53(1):11-18.
[18] Backhaus SJ,Kowallick JT,Stiermaier T,et al. Atrioventricular mechanical coupling and major adverse cardiac events in female patients following acute ST elevation myocardial infarction[J]. Int J Cardiol,2020,299:31-36.
[19] Chen L,Zhang M,Chen W,et al. Cardiac MRI left atrial strain associated with new-onset atrial fibrillation in patients with ST-segment elevation myocardial infarction[J]. J Magn Reson Imaging,2023,58(1):135-144.
[20] Chen L,Zhang D,Sang C,et al. Left atrial strain associated with interatrial block in patients with ST-segment elevation myocardial infarction[J]. Int J Cardiovasc Imaging,2024,40(3):477-485.
[21] Kato Y,Lee WH,Natsumeda M,et al. Left atrial diastasis strain slope is a marker of hemodynamic recovery in post-ST elevation myocardial infarction:the Laser Atherectomy for STemi,Pci Analysis with Scintigraphy Study(LAST-PASS)[J]. Front Radiol,2024,4:1294398.
[22] Yang Z,Tang Y,Sun W,et al. Left atrial strain for prediction of left ventricular reverse remodeling after ST-segment elevation myocardial infarction by cardiac magnetic resonance feature tracking[J]. J Thorac Imaging,2024 Jun. DOI: 10.1097/RTI.0000000000000795.
[23] Yamada A,Hashimoto N,Fujito H,et al. Comprehensive assessment of left atrial and ventricular remodeling in paroxysmal atrial fibrillation by the cardiovascular magnetic resonance myocardial extracellular volume fraction and feature tracking strain[J]. Sci Rep,2021,11(1):10941.
[24] Peters DC,Duncan JS,Grunseich K,et al. CMR-verified lower LA strain in the presence of regional atrial fibrosis in atrial fibrillation[J]. JACC Cardiovascular Imaging,2017,10(2):207-208.
[25] Lamy J,Taoutel R,Chamoun R,et al. Atrial fibrosis by cardiac MRI is a correlate for atrial stiffness in patients with atrial fibrillation[J]. Int J Cardiovasc Imaging,2024,40(1):107-117.
[26] Hopman LHGA,Mulder MJ,van der Laan AM,et al. Impaired left atrial reservoir and conduit strain in patients with atrial fibrillation and extensive left atrial fibrosis[J]. J Cardiovasc Magn Reson,2021,23(1):131.
[27] Kriatselis C,Unruh T,Kaufmann J,et al. Long-term left atrial remodeling after ablation of persistent atrial fibrillation:7-year follow-up by cardiovascular magnetic resonance imaging[J]. J Interv Card Electrophysiol,2020,58(1):21-27.
[28] Benjamin MM,Moulki N,Waqar A,et al. Association of left atrial strain by cardiovascular magnetic resonance with recurrence of atrial fibrillation following catheter ablation[J]. J Cardiovasc Magn Reson,2022,24(1):3.
[29] Hopman LHGA,van der Lingen ACJ,van Pouderoijen N,et al. Cardiac magnetic resonance imaging-derived left atrial characteristics in relation to atrial fibrillation detection in patients with an implantable cardioverter-defibrillator[J]. J Am Heart Assoc,2023,12(15):e028014.
[30] Hou J,Sun Y,Zhang L,et al. Assessing left atrial function in patients with atrial fibrillation and valvular heart disease using cardiovascular magnetic resonance imaging[J]. Clin Cardiol,2022,45(5):527-535.
[31] Cojan-Minzat BO,Zlibut A,Muresan ID,et al. Left atrial geometry and phasic function determined by cardiac magnetic resonance are independent predictors for outcome in non-ischaemic dilated cardiomyopathy[J]. Biomedicines,2021,9(11):1653.
[32] Li Y,Xu Y,Tang S,et al. Left atrial function predicts outcome in dilated cardiomyopathy:fast long-axis strain analysis derived from MRI[J]. Radiology,2022,302(1):72-81.
[33] Xiang X,Song Y,Zhao K,et al. Incremental prognostic value of left atrial and biventricular feature tracking in dilated cardiomyopathy:a long-term study[J]. J Cardiovasc Magn Reson,2023,25(1):76.
[34] Raafs AG,Vos JL,Henkens M,et al. Left atrial strain has superior prognostic value to ventricular function and delayed-enhancement in dilated?ardiomyopathy[J]. JACC Cardiovasc Imaging,2022,15(6):1015-1026.
[35] Henkens MTHM,Raafs AG,Vanloon T,et al. Left atrial function in patients with titin cardiomyopathy[J]. J Card Fail,2024,30(1):51-60.
[36] Essayagh B,Resseguier N,Michel N,et al. Left atrial dysfunction as marker of poor outcome in patients with hypertrophic cardiomyopathy[J]. Arch Cardiovasc Dis,2021,114(2):96-104.
[37] Shi R,Shi K,Huang S,et al. Association between heart failure with preserved left ventricular ejection fraction and impaired left atrial phasic function in hypertrophic cardiomyopathy:evaluation by cardiac MRI feature tracking[J]. J Magn Reson Imaging,2022,56(1):248-259.
[38] Guler A,Topel C,Sahin AA,et al. The association of left atrial mechanics with left ventricular morphology in patients with hypertrophic cardiomyopathy:a cardiac magnetic resonance study[J]. Pol J Radiol,2023,88:e103-e112.
[39] Yang Y,Lu M,Guan X,et al. Left atrial dysfunction in apical hypertrophic cardiomyopathy:assessed by cardiovascular magnetic resonance feature-tracking[J]. J Thorac Imaging,2024,39(3):157-164.
[40] Wang J,Ma X,Zhao K,et al. Association between left atrial myopathy and sarcomere mutation in patients with hypertrophic cardiomyopathy:insights into left atrial strain by MRI feature tracking[J]. Eur Radiol,2024,34(2):1026-1036.
[41] Tian D,Zhang J,He Y,et al. Predictive value of left atrial strain analysis in adverse clinical events in patients with hypertrophic cardiomyopathy:a CMR study[J]. BMC Cardiovasc Disord,2023,23(1):42.
[42] Yang F,Wang L,Wang J,et al. Prognostic value of fast semi-automated left atrial long-axis strain analysis in hypertrophic cardiomyopathy[J]. J Cardiovasc Magn Reson,2021,23(1):36.
[43] Raman B,Smillie RW,Mahmod M,et al. Incremental value of left atrial booster and reservoir strain in predicting atrial fibrillation in patients with hypertrophic cardiomyopathy:a cardiovascular magnetic resonance study[J]. J Cardiovasc Magn Reson,2021,23(1):109.
[44] Benjamin MM,Khalil M,Munir MS,et al. Association of left atrial size and function by cardiac magnetic resonance imaging with long term outcomes in patients with hypertrophic cardiomyopathy[J]. Int J Cardiovasc Imaging,2023,39(6):1181-1188.
[45] Yang S,Chen X,Zhao K,et al. Reverse remodeling of left atrium assessed by cardiovascular magnetic resonance feature tracking in hypertrophic obstructive cardiomyopathy after septal myectomy[J]. J Cardiovasc Magn Reson,2023,25(1):13.
[46] Nagueh SF. Left atrial function in cardiac?myloidosis[J]. JACC Cardiovasc Imaging,2023,16(11):1384-1386.
[47] Sciacca V,Eckstein J,K?perich H,et al. Magnetic-resonance-imaging-based left atrial strain and left atrial strain rate as diagnostic parameters in cardiac amyloidosis[J]. J Clin Med,2022,11(11):3150.
[48] Zhang X,Zhao R,Deng W,et al. Left atrial and ventricular strain differentiates cardiac amyloidosis and hypertensive heart disease:a cardiac MR feature tracking study[J]. Acad Radiol,2023,30(11):2521-2532.
[49] Benjamin MM,Arora P,Munir MS,et al. Association of left atrial hemodynamics by magnetic resonance imaging with long-term outcomes in patients with cardiac amyloidosis[J]. J Magn Reson Imaging,2023,57(4):1275-1284.
[50] Choi YJ,Kim D,Rhee TM,et al. Left atrial reservoir strain as a novel predictor of new-onset atrial fibrillation in light-chain-type cardiac amyloidosis[J]. Eur Heart J Cardiovasc Imaging,2023,24(6):751-758.
[51] Akintoye E,Majid M,Klein AL,et al. Prognostic utility of left atrial strain to?redict thrombotic events and mortality in amyloid cardiomyopathy[J]. JACC Cardiovasc Imaging,2023,16(11):1371-1383.
[52] Stiermaier T,Graf T,M?ler C,et al. Transient left atrial dysfunction is a feature of Takotsubo syndrome[J]. J Cardiovasc Magn Reson,2017,19(1):15.
[53] Cau R,Bassareo P,Caredda G,et al. Atrial strain by feature-tracking cardiac magnetic resonance imaging in Takotsubo cardiomyopathy. Features,feasibility,and reproducibility[J]. Can Assoc Radiol J,2022,73(3):573-580.
[54] Backhaus S J,Stiermaier T,Lange T,et al. Atrial mechanics and their prognostic impact in Takotsubo syndrome:a cardiovascular magnetic resonance imaging study[J]. Eur Heart J Cardiovasc Imaging,2019,20(9):1059-1069.
[55] Pambianchi G,Marchitelli L,Cundari G,et al. Takotsubo syndrome:left atrial and ventricular myocardial strain impairment in the subacute and convalescent phases assessed by CMR[J]. Eur Radiol Exp,2024,8(1):34.
[56] Cau R,Pisu F,Porcu M,et al. Machine learning approach in diagnosing Takotsubo cardiomyopathy:the role of the combined evaluation of atrial and ventricular strain,and parametric mapping[J]. Int J Cardiol,2023,373:124-33.
[57] Pelliccia A,Sharma S,Gati S,et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease[J]. Eur Heart J,2021,42(1):17-96.
[58] Doerner J,Bunck AC,Michels G,et al. Incremental value of cardiovascular magnetic resonance feature tracking derived atrial and ventricular strain parameters in a comprehensive approach for the diagnosis of acute myocarditis[J]. Eur J Radiol,2018,104:120-128.
[59] Schneider JN,Jahnke C,Cavus E,et al. Feature tracking cardiovascular magnetic resonance reveals recovery of atrial function after acute myocarditis[J]. Int J Cardiovasc Imaging,2022,38(9):2003-2012.
[60] Chen Y,Zhao W,Zhang N,et al. Prognostic significance of cardiac magnetic resonance in left atrial and biventricular strain analysis during the follow-up of suspected myocarditis[J]. J Clin Med,2023,12(2):457.
[61] Dick A,Schmidt B,Michels G,et al. Left and right atrial feature tracking in acute myocarditis:a feasibility study[J]. Eur J Radiol,2017,89:72-80.
[62] Lee J,Choo KS,Jeong YJ,et al. Left atrial strain derived from cardiac magnetic resonance imaging can predict outcomes of patients with acute myocarditis[J]. Korean J Radiol,2023,24(6):512-521.
[63] Zhang X,Wang C,Huang Y,et al. Unveiling the diagnostic value of strain parameters across all 4 cardiac chambers in patients with acute myocarditis with varied ejection fraction:a cardiovascular magnetic resonance feature-tracking approach[J]. J Am Heart Assoc,2024,13(13):e032781.
[64] Stojanovska J,Topaloglu N,Fujikura K,et al. Decreased Left atrial reservoir strain is associated with adverse outcomes in restrictive cardiomyopathy[J]. J Clin Med,2022,11(14):4116.
[65] Zghaib T,Bourfiss M,van der Heijden JF,et al. Atrial dysfunction in arrhythmogenic right ventricular cardiomyopathy[J]. Circ Cardiovasc Imaging,2018,11(9):e007344.
[66] Halfmann MC,Altmann S,Schoepf UJ,et al. Left atrial strain correlates with severity of cardiac involvement in Anderson-Fabry disease[J]. Eur Radiol,2023,33(3):2039-2051.

更新日期/Last Update: 2025-01-08