MRI regional strain analysis in patients with hypertrophic cardiomyopathy

Authors

  • Esraa Maher Faculty of Science, Helwan University, Cairo, Egypt
  • Magdi Khalil Faculty of Science, Helwan University, Cairo, Egypt
  • Mona Taher Faculty of Commerce, Ain Shams University, Cairo, Egypt
  • Sameh Khalil Bristol Heart Institute, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom , Radiology Department, Ain Shams University Hospital, Cairo, Egypt https://orcid.org/0000-0002-1589-4655 (unauthenticated)

DOI:

https://doi.org/10.59667/sjoranm.v20i1.18

Keywords:

Hypertrophic cardiomyopathy, regional strain analysis, cardiac MRI

Abstract

Purpose

To describe regional left ventricular myocardial deformation in patients with hypertrophic cardiomyopathy (HCM) using cardiac MRI.

Materials and Methods

Twenty-five patients with HCM and 25 control participants with normal cardiac MRI underwent 1.5-T imaging. Regional radial, circumferential and longitudinal deformation was assessed using feature tracking. For this correction, the published aggregate results were reviewed descriptively. Individual-level data were unavailable for independent reanalysis.

Results

The tabulated mean radial strain was 20.10% in hypertrophied HCM segments, 27.71% in HCM segments of apparently normal thickness and 30.56% in controls. Corresponding circumferential values were −11.38%, −14.96% and −17.22%; longitudinal values were −5.95%, −12.21% and −13.59%. The tables reported 400 HCM segments for radial and circumferential analysis and 392 for longitudinal analysis. Statistical significance and previously reported AI classification performance could not be independently verified.

Conclusion

The reported aggregate values suggest reduced deformation magnitude in hypertrophied segments, with intermediate values in HCM segments of apparently normal thickness. These observations are descriptive and hypothesis-generating. They do not establish diagnostic accuracy, treatment-monitoring benefit or performance in genotype-positive individuals without hypertrophy.

References

1. Minhas AMK, Wyand RA, Ariss RW, et al. Demographic and regional trends of hypertrophic cardiomyopathy-related mortality in the United States, 1999 to 2019. Circ Heart Fail. 2022;15:e009292. https://doi.org/10.1161/CIRCHEARTFAILURE.121.009292

2. Semsarian C, Ingles J, Maron MS, Maron BJ. New perspectives on the prevalence of hypertrophic cardiomyopathy. J Am Coll Cardiol. 2015;65:1249-1254. https://doi.org/10.1016/j.jacc.2015.01.019

3. Baxi AJ, Restrepo CS, Vargas D, et al. Hypertrophic cardiomyopathy from A to Z: genetics, pathophysiology, imaging, and management. Radiographics. 2016;36:335-354. https://doi.org/10.1148/rg.2016150137

4. Amano Y, Kitamura M, Takano H, et al. Cardiac MR imaging of hypertrophic cardiomyopathy: techniques, findings, and clinical relevance. Magn Reson Med Sci. 2018;17:120-131. https://doi.org/10.2463/mrms.rev.2017-0145

5. Cui H, Schaff HV, Lentz Carvalho J, et al. Myocardial histopathology in patients with obstructive hypertrophic cardiomyopathy. J Am Coll Cardiol. 2021;77:2159-2170. https://doi.org/10.1016/j.jacc.2021.03.008

6. Almaas VM, Amlie JP. Histopathological changes and clinical implications in patients with hypertrophic cardiomyopathy. European Cardiology. 2010;6:88-90. https://doi.org/10.15420/ecr.2010.6.2.88

7. Spudich JA. Three perspectives on the molecular basis of hypercontractility caused by hypertrophic cardiomyopathy mutations. Pflugers Arch. 2019;471:701-717. https://doi.org/10.1007/s00424-019-02259-2

8. Olivotto I, Cecchi F, Poggesi C, Yacoub MH. Patterns of disease progression in hypertrophic cardiomyopathy: an individualized approach to clinical staging. Circ Heart Fail. 2012;5:535-546. https://doi.org/10.1161/CIRCHEARTFAILURE.112.967026

9. Marian AJ, Braunwald E. Hypertrophic cardiomyopathy: genetics, pathogenesis, clinical manifestations, diagnosis, and therapy. Circ Res. 2017;121:749-770. https://doi.org/10.1161/CIRCRESAHA.117.311059

10. Ommen SR, Mital S, Burke MA, et al. 2020 AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2020;142:e558-e631. https://doi.org/10.1161/CIR.0000000000000937

11. Lopez L, Colan SD, Stylianou M, et al. Relationship of echocardiographic Z scores adjusted for body surface area to age, sex, race, and ethnicity: the Pediatric Heart Network Normal Echocardiogram Database. Circ Cardiovasc Imaging. 2017;10:e006979. https://doi.org/10.1161/CIRCIMAGING.117.006979

12. Reant P, Reynaud A, Pillois X, et al. Comparison of resting and exercise echocardiographic parameters as indicators of outcomes in hypertrophic cardiomyopathy. J Am Soc Echocardiogr. 2015;28:194-203. https://doi.org/10.1016/j.echo.2014.10.001

13. Reant P, Mirabel M, Lloyd G, et al. Global longitudinal strain is associated with heart failure outcomes in hypertrophic cardiomyopathy. Heart. 2016;102:741-747. https://doi.org/10.1136/heartjnl-2015-308576

14. Kawel-Boehm N, Maceira A, Valsangiacomo-Buechel ER, et al. Normal values for cardiovascular magnetic resonance in adults and children. J Cardiovasc Magn Reson. 2015;17:29. https://doi.org/10.1186/s12968-015-0111-7

15. Kawel-Boehm N, Hetzel SJ, Ambale-Venkatesh B, et al. Reference ranges ("normal values") for cardiovascular magnetic resonance (CMR) in adults and children: 2020 update. J Cardiovasc Magn Reson. 2020;22:87. https://doi.org/10.1186/s12968-020-00683-3

SJORANM article cover, Vol. 20 No. 1 (2025). Holographic symbolic illustration for article 65.

Published

2025-06-20

Data Availability Statement

The original article stated that data were available from the corresponding author upon reasonable request. Individual-level data and analysis code were not available to the editors during this correction. The revision is based on the submitted manuscript, submitted tables and published article.

Issue

Section

Research Articles

How to Cite

Maher, E., Khalil, M., Taher, M., & Khalil, S. (2025). MRI regional strain analysis in patients with hypertrophic cardiomyopathy. Swiss Journal of Radiology and Nuclear Medicine, 20(1), 36-49. https://doi.org/10.59667/sjoranm.v20i1.18

Share

Similar Articles

41-46 of 46

You may also start an advanced similarity search for this article.