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January 1, 2013Journal of Cardiovascular Magnetic Resonance32 citationsOpen Access

Atlas-based analysis of cardiac shape and function: correction of regional shape bias due to imaging protocol for population studies

PMPau Medrano−GraciaBCBrett R. CowanDBDavid A. Bluemke

Key Result

An atlas-based transformation effectively corrected regional and global shape bias between GRE and SSFP cardiovascular magnetic resonance imaging protocols, reducing end-diastolic surface bias from 0.75 mm to 0.06 mm.

Study Design

Type

Observational (n=451)

Multicenter

Yes

Structured PICO

Does an atlas-based transformation correct regional shape bias due to different CMR imaging protocols (GRE vs SSFP) in population studies?

P
Population
46 healthy volunteers (26 males aged 42.5 ± 11.7 years, 20 females aged 37.3 ± 13.9 years) for the training set; 300 asymptomatic volunteers from the MESA study (GRE) and 105 patients with myocardial infarction from the DETERMINE study (SSFP) for the application set.
I
Intervention
Atlas-based z-score transformation to correct regional and global shape bias between GRE and SSFP cardiovascular magnetic resonance (CMR) imaging protocols.
C
Comparator
Uncorrected imaging data (direct comparison of GRE and SSFP without transformation).
O
Outcome
Reduction in regional surface bias and global volume/mass bias between GRE and SSFP imaging protocols.surrogate

An atlas-based transformation effectively corrects regional and global shape biases between GRE and SSFP CMR protocols, enabling pooled meta-analyses of multi-center imaging data.

Main Result

Absolute Event Rate: 0.06% vs 0.75%

Limitations

  • Use of healthy volunteers to train the transformation limits its application to relatively normal heart shapes.
  • Unknown robustness when applied to patients with severe disease such as hypertensive hypertrophy or heart failure.
  • Requirement for a training group examined with both imaging protocols.
  • Requires a training group examined with both imaging protocols
  • Training set limited to relatively normal heart shapes
  • Unknown robustness in patients with severe disease such as hypertensive hypertrophy or heart failure

Abstract

BACKGROUND: Cardiovascular imaging studies generate a wealth of data which is typically used only for individual study endpoints. By pooling data from multiple sources, quantitative comparisons can be made of regional wall motion abnormalities between different cohorts, enabling reuse of valuable data. Atlas-based analysis provides precise quantification of shape and motion differences between disease groups and normal subjects. However, subtle shape differences may arise due to differences in imaging protocol between studies. METHODS: A mathematical model describing regional wall motion and shape was used to establish a coordinate system registered to the cardiac anatomy. The atlas was applied to data contributed to the Cardiac Atlas Project from two independent studies which used different imaging protocols: steady state free precession (SSFP) and gradient recalled echo (GRE) cardiovascular magnetic resonance (CMR). Shape bias due to imaging protocol was corrected using an atlas-based transformation which was generated from a set of 46 volunteers who were imaged with both protocols. RESULTS: Shape bias between GRE and SSFP was regionally variable, and was effectively removed using the atlas-based transformation. Global mass and volume bias was also corrected by this method. Regional shape differences between cohorts were more statistically significant after removing regional artifacts due to imaging protocol bias. CONCLUSIONS: Bias arising from imaging protocol can be both global and regional in nature, and is effectively corrected using an atlas-based transformation, enabling direct comparison of regional wall motion abnormalities between cohorts acquired in separate studies.

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Cite This Study

Medrano−Gracia et al. (2013) conducted an observational in Healthy volunteers and myocardial infarction (n=451). Atlas-based transformation (z-score correction) vs. Uncorrected shape models was evaluated on End-diastolic surface bias (root mean squared error). An atlas-based transformation effectively corrected regional and global shape bias between GRE and SSFP cardiovascular magnetic resonance imaging protocols, reducing end-diastolic surface bias from 0.75 mm to 0.06 mm.

synapsesocial.com/papers/6a1c7edd1d5b34640aa1551ahttps://doi.org/10.1186/1532-429x-15-80
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