Evaluation of nondilated left-ventricular cardiomyopathy with preserved ejection fraction using cardiac magnetic resonance feature tracking
摘要
To investigate the value of cardiac magnetic resonance feature tracking (CMR-FT) in evaluating patients with nondilated left-ventricular cardiomyopathy and preserved left-ventricular ejection fraction (NDLVC-pLVEF).
MethodsThis retrospective study included 188 patients with NDLVC and normal left-ventricular ejection fraction (LVEF, ≥ 50%) who underwent cardiac magnetic resonance at Beijing Anzhen Hospital between January 2018 and January 2025, along with 78 age- and sex-matched healthy controls. Using CVI42 postprocessing software, conventional left/right-ventricular function parameters and left-ventricular global strain parameters—including left-ventricular global radial strain (LVGRS), left-ventricular global circumferential strain (LVGCS), and left-ventricular global longitudinal strain (LVGLS)—were obtained. Intergroup differences were analyzed, and the diagnostic performance of strain parameters was evaluated using receiver-operating characteristic (ROC) curve analysis.
ResultsCompared with controls, the NDLVC-pLVEF group exhibited significantly increased absolute values of left-ventricular myocardial mass and LVGLS (P < 0.05), whereas those of LVEF, LVGRS, and LVGCS were significantly decreased (P < 0.05). ROC analysis revealed that the cut-off values of LVGRS, LVGCS, and LVGLS for discriminating the two groups were 36.66%, − 18.49%, and − 13.90%, with sensitivities of 78.70%, 53.20%, and 68.60%; specificities of 64.10%, 74.40%, and 74.40%, and area under the curve values of 0.745, 0.651, and 0.763, respectively.
ConclusionCMR-FT demonstrates diagnostic value in identifying patients with NDLVC-pLVEF, with LVGRS, LVGCS, and LVGLS showing considerable diagnostic performance.