机构:[1]Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou, Zhejiang, China[2]The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China[3]Medical ImagingResearch Institute of Longgang, The Third People’s Hospital of Longgang District, Shenzhen, Guangdong, China[4]Department of Radiology, ShenzhenSecond People’s Hospital, Shenzhen, Guangdong, China深圳市康宁医院深圳医学信息中心[5]Zhouxin Medical Imaging and Health Screening Center, Xiamen, Fujian, China[6]Department ofRadiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China医技科室放射科首都医科大学宣武医院[7]Keck School of Medicine, University of Southern California,Los Angeles, California, USA
Background: As a noninvasive tool, myocardial deformation imaging may facilitate the early detection of cardiac dysfunction. However, normal reference ranges of myocardial strain and strain rate (SR) based on large-scale East Asian populations are still lacking. This study aimed to provide reference values of left ventricular (LV) and right ventricular (RV) strain and SR based on a large cohort of healthy Chinese adults using cardiovascular magnetic resonance (CMR) feature tracking (FT). Methods: Five hundred and sixty-six healthy Chinese adults (55.1% men) free of hypertension, diabetes, and obesity were included. On cine CMR, biventricular global radial, circumferential, and longitudinal strain (GRS, GCS, and GLS), and the peak radial, circumferential, and longitudinal systolic, and diastolic SRs (PSSRR, PSSRC, PSSRL, PDSRR, PDSRC, and PDSRL), and regional radial and circumferential strain at the basal, mid-cavity, and apical levels were measured. Associations of global and regional biventricular deformation indices with age and sex were investigated. Results: Women demonstrated greater magnitudes of LV GRS (37.6 +/- 6.1% vs. 32.1 +/- 5.3%), GCS (- 20.7 +/- 1.9% vs. - 18.8 +/- 1.9%), GLS (- 17.8 +/- 1.8% vs. - 15.6 +/- 1.8%), RV GRS (25.1 +/- 7.8% vs. 22.1 +/- 6.7%), GCS (- 14.4 +/- 3.6% vs. - 13.2 +/- 3.2%), GLS (- 22.4 +/- 5.2% vs. - 20.2 +/- 4.6%), and biventricular peak systolic and diastolic SR in all three coordinate directions (all P < 0.05). For the LV, aging was associated with increasing amplitudes of GRS, GCS, and decreasing amplitudes of PDSRR, PDSRC, PDSRL (all P < 0.05). For the RV, aging was associated with an increase in the magnitudes of GRS, GCS, GLS, PSSRR, PSSRC, PSSRL, and a decrease in the magnitude of PDSRR, PDSRC (all P < 0.05). Biventricular radial and circumferential strain measurements at the basal, mid-cavity, and apical levels were all significantly related to age and sex in both sexes (all P < 0.05). Conclusions: We provide age- and sex-specific normal values of biventricular strain and SR based on a large sample of healthy Chinese adults with a broad age range. These results may be served as a reference standard for cardiac function assessment, especially for the Chinese population.
基金:
This study was supported by the National Natural Science Foundation of China (grant 81971600), “Pioneer” and “Leading Goose” R&D Program of Zhejiang (grant 2022C03046), and Zhejiang Chinese Medical University Postgraduate Scientific Research Fund Project (grant2023YKJ08).
第一作者机构:[1]Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou, Zhejiang, China[2]The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou, Zhejiang, China[2]The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China[5]Zhouxin Medical Imaging and Health Screening Center, Xiamen, Fujian, China[6]Department ofRadiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China[*1]The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Chinese Medicine,No. 54 Youdian Road, Hangzhou 310006, China[*2]Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street,Beijing 100053, China
推荐引用方式(GB/T 7714):
Yiyuan Gao,Zhen Zhang,Lingnan Guo,et al.Age- and Sex-Specific MR-Feature Tracking Reference Values of Right Atrial Deformation in Healthy Adults[J].JOURNAL OF MAGNETIC RESONANCE IMAGING.2025,61(1):263-273.doi:10.1002/jmri.29339.
APA:
Yiyuan Gao,Zhen Zhang,Lingnan Guo,Jingjing Shi,Fan Zhang...&Gerald M. Pohost.(2025).Age- and Sex-Specific MR-Feature Tracking Reference Values of Right Atrial Deformation in Healthy Adults.JOURNAL OF MAGNETIC RESONANCE IMAGING,61,(1)
MLA:
Yiyuan Gao,et al."Age- and Sex-Specific MR-Feature Tracking Reference Values of Right Atrial Deformation in Healthy Adults".JOURNAL OF MAGNETIC RESONANCE IMAGING 61..1(2025):263-273