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June 25, 2026NMR in Biomedicine

Fontan patients show reduced peak longitudinal and radial myocardial motion velocities versus normal controls.

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Why the study?

MR tissue phase mapping can encode voxel-wise myocardial motion velocity, but alterations in myocardial motion velocity in the functional ventricle of Fontan patients and their relationship to cardiac function needed quantification.

Does MR tissue phase mapping identify alterations in myocardial motion velocity and dyssynchrony in Fontan patients compared to normal controls?

Population

28 Fontan patients and 42 age- and sex-matched normal controls

Comparison

Fontan patients vs normal controls

Design

Prospective observational study

Key result

Fontan patients had significantly reduced peak longitudinal and radial myocardial motion velocities during systole and diastole compared to normal controls (all p<0.001).

Authors

XLXue-Zhe LuKWKen-Pen WengMWMing-Ting Wu

Discussion

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Overview

Reduced myocardial velocities in Fontan patients warrant cautious interpretation; hypothesis-generating for TPM in functional assessment.

Key Points

  • To quantify alterations in myocardial motion velocity using MR tissue phase mapping in Fontan patients and investigate its relationship with cardiac function.
  • Prospectively enrolled 28 Fontan patients and 42 age- and sex-matched normal controls.
  • Assessed myocardial motion velocities using TPM in the longitudinal, radial, and circumferential directions.
  • Evaluated peak velocities, time-to-peak, and dyssynchrony index in both groups.
  • Fontan patients showed significantly reduced peak velocities during systole and diastole (all p < 0.001).
  • Systolic time-to-peak was longer for Fontan patients (TTP z p = 0.002, TTP r p < 0.001).
  • Diastolic dyssynchrony index was increased (p < 0.001) while systolic index was decreased (p = 0.04).

Study Design

Type

Observational (n=70)

Structured PICO

Does MR tissue phase mapping identify alterations in myocardial motion velocity and dyssynchrony in Fontan patients compared to normal controls?

P
Population
70 participants, including 28 Fontan patients and 42 age- and sex-matched normal controls, evaluated for myocardial motion velocity using MR tissue phase mapping.
E
Exposure
Magnetic resonance tissue phase mapping (TPM)
C
Comparator
Age- and sex-matched normal controls
O
Outcome
Myocardial motion velocities in longitudinal (Vz), radial (Vr), and circumferential (Vphi) directions, including peak velocities, time-to-peak (TTPz, TTPr), and dyssynchrony index (DIz, DIr)surrogate

Main Result

p-value: p=<0.001

MR tissue phase mapping identifies significant regional myocardial motion abnormalities and dyssynchrony in Fontan patients, which correlate with reduced ejection fraction and cardiac output.

Cite This Study

Lu et al. (2026) conducted an observational in Fontan circulation (n=70). Fontan circulation vs. Normal controls was evaluated on Peak longitudinal (Vz) and radial (Vr) myocardial motion velocities during systole and diastole (p=<0.001). Fontan patients had significantly reduced peak longitudinal and radial myocardial motion velocities during systole and diastole compared to normal controls (all p<0.001).

synapsesocial.com/papers/6a3d91bf408ebb922448b14chttps://doi.org/10.1002/nbm.70333
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Differential Adaptation of Biventricular Myocardial Kinetic Energy in Patients With Repaired Tetralogy of Fallot Assessed by MR Tissue Phase Mapping2022 · 2 citations
  2. 2Serial cardiovascular magnetic resonance feature tracking indicates early worsening of cardiac function in Fontan patients2019 · 32 citations
  3. 3Longitudinally and circumferentially directed movements of the left ventricle studied by cardiovascular magnetic resonance phase contrast velocity mapping2010 · 48 citations
  4. 4Hemodynamic interplay of vorticity, viscous energy loss, and kinetic energy from 4D Flow MRI and link to cardiac function in healthy subjects and Fontan patients2021 · 17 citations
  5. 5Four-dimensional Flow MRI: Principles and Cardiovascular Applications2019 · 191 citations