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September 15, 2026Journal of the American College of CardiologyOpen Access

Quantification of regional contractile function after infarction: strain analysis superior to wall thickening analysis in discriminating infarct from remote myocardium

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Key result

MR strain analysis outperforms WT analysis in detecting dysfunctional myocardium with ~92% sensitivity.

  • P<0.005
  • n=26

Why the study?

Does MR strain analysis improve the detection of dysfunctional myocardium compared to wall thickening analysis in patients with myocardial infarction?

Population

26 subjects (13 control subjects and 13 patients with a first myocardial infarction)

Comparison

Quantitative assessment of contractile function… vs Two-dimensional planar wall thickening analysis

Design

Cross-sectional

Authors

MGMarco GötteARAlbert C. van RossumJTJos W. R. Twisk

Discussion

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Overview

MR tissue tagging with strain analysis is more accurate than planar wall thickening analysis for discriminating dysfunctional from functional myocardium after myocardial infarction.

Key Points

  • To compare the diagnostic utility of regional myocardial strain analysis against conventional wall thickening analysis for distinguishing infarcted tissue from remote non-infarcted myocardium.
  • Quantified regional contractile function in myocardial segments following myocardial infarction.
  • Compared deformation-based strain measurements directly with radial wall thickening metrics across infarcted and remote myocardial territories.
  • Myocardial strain analysis demonstrated superior accuracy over wall thickening analysis in discriminating infarcted myocardium from remote healthy segments.
  • Quantitative deformation parameters detected regional contractile impairment with higher sensitivity than regional wall thickening measurements.

Study Design

Type

Observational (n=26)

Structured PICO

Does MR strain analysis improve the detection of dysfunctional myocardium compared to wall thickening analysis in patients with myocardial infarction?

P
Population
26 participants, comprising 13 control subjects and 13 patients with a first myocardial infarction, evaluated for regional contractile function.
E
Exposure
Quantitative assessment of contractile function by magnetic resonance (MR) tissue tagging and strain analysis
C
Comparator
Two-dimensional planar wall thickening (WT) analysis
O
Outcome
Discrimination of dysfunctional from functional myocardium (sensitivity and specificity for detecting dysfunctional myocardium of electrocardiographically and angiographically defined infarct areas)surrogate

Main Result

Absolute Event Rate: 92% vs 69%

p-value: p=<0.005

MR tissue tagging with strain analysis is more accurate than planar wall thickening analysis for discriminating dysfunctional from functional myocardium after myocardial infarction.

Cite This Study

Götte et al. (2001) conducted an observational in First myocardial infarction (n=26). Magnetic resonance tissue tagging and strain analysis vs. Two-dimensional wall thickening (WT) analysis was evaluated on Sensitivity for detecting dysfunctional myocardium of electrocardiographically and angiographically defined infarct areas (p=<0.005). Magnetic resonance strain analysis was more accurate than wall thickening analysis in discriminating dysfunctional from functional myocardium, with 92% sensitivity and 99% specificity.

synapsesocial.com/papers/6aa9b59183705aff8b6d8ec2https://doi.org/10.1016/s0735-1097(00)01186-4
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Also Consider

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

  1. 1Myocardial function in infarcted and remote regions early after infarction in man: Assessment by magnetic resonance tagging and strain analysis1997 · 94 citations
  2. 2Quantitative analysis of regional left ventricular function after myocardial infarction in the pig assessed with cine magnetic resonance imaging1995 · 61 citations
  3. 3Comparison between abnormalities in segmental endocardial motion and abnormalities in segmental wall thickening after anterior myocardial infarction: A cine-magnetic resonance study1996 · 5 citations
  4. 4Quantification of function in normal and infarcted regions of the left ventricle1972 · 108 citations
  5. 5Quantification of regional myocardial function by rapid cine MR imaging1988 · 120 citations