Key result
Larger CMR pixel size increases peak radial strain error by ~9 percentage points in feature tracking.
Why the study?
The authors sought to develop a single-slice numerical phantom with known myocardial motion to test and compare cardiovascular magnetic resonance feature tracking software across varying temporal and in-plane spatial resolutions.
How do variations in in-plane spatial resolution, temporal resolution, and software version/vendor affect the accuracy of CMR feature tracking strain measurements compared to ground-truth strain in a numerical phantom?
How do variations in in-plane spatial resolution, temporal resolution, and software version/vendor affect the accuracy of CMR feature tracking strain measurements compared to ground-truth strain in a numerical phantom?
This numerical phantom study demonstrates that lower in-plane spatial resolution and software version updates substantially alter CMR feature tracking strain measurements relative to ground truth, highlighting the need for phantom-based validation after software updates.
Answers are grounded in this paper and cite their sources.
Strain measurements from CMR feature tracking warrant caution at lower resolutions; leaves open the need for resolution-specific validation before routine use.
Objectives To develop a single-slice numerical phantom with known myocardial motion, at several temporal and in-plane spatial resolutions, for testing and comparison of Cardiovascular Magnetic Resonance (CMR) feature tracking (FT) software. Methods The phantom was developed based on CMR acquisitions of one volunteer (acquired cine, tagging cine, T1 map, T2 map, proton density weighted image). The numerical MRI simulator JEMRIS was used, and the phantom was generated at several in-plane spatial resolutions (1.4 × 1.4 mm 2 to 3.0 × 3.0 mm 2 ) and temporal resolutions (20 to 40 cardiac phases). Two feature tracking software packages were tested: Medical Image Tracking Toolbox (MITT) and two versions of cvi42 (v5.3.8 and v5.13.7). The effect of resolution on strain results was investigated with reference to ground-truth radial and circumferential strain. Results Peak radial strain was consistently undermeasured more for cvi42 v5.13.7 than for v5.3.8. Increased pixel size produced a trend of increased difference from ground-truth peak strain, with the largest changes for cvi42 obtained using v5.13.7 between 1.4 × 1.4 mm 2 and 3.0 × 3.0 mm 2 , at 9.17 percentage points (radial) and 8.42 percentage points (circumferential). Conclusions The results corroborate the presence of intervendor differences in feature tracking results and show the magnitude of strain differences between software versions. Advances in knowledge This study shows how temporal and in-plane spatial resolution can affect feature tracking with reference to the ground-truth strain of a numerical phantom. Results reaffirm the need for numerical phantom development for the validation and testing of FT software.
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Adams et al. (2022) studied Healthy volunteer for cardiovascular magnetic resonance (CMR) numerical phantom development (n=1). CMR feature tracking (FT) software packages (Medical Image Tracking Toolbox [MITT] and cvi42 v5.3.8 and v5.13.7) evaluated across varying in-plane spatial resolutions (1.4 x 1.4 mm2 to 3.0 x 3.0 mm2) and temporal resolutions (20 to 40 cardiac phases) vs. Ground-truth 2D Lagrangian radial and circumferential strain and displacement of the numerical phantom was evaluated on Difference from ground-truth peak radial and circumferential strain across spatial and temporal resolutions.
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