Left ventricular torsion and longitudinal shortening: Two fundamental components of myocardial mechanics assessed by tagged cine-MRI in normal subjects

Francesc Carreras, Jaume Garcia-Barnes, Debora Gil, Sandra Pujadas, Chi Hion Li, Ramon Suarez-Arias, Ruben Leta, Xavier Alomar, Manel Ballester, Guillem Pons-Llado

Research output: Contribution to journalArticleResearchpeer-review

18 Citations (Scopus)

Abstract

Cardiac magnetic resonance imaging (Cardiac MRI) has become a gold standard diagnostic technique for the assessment of cardiac mechanics, allowing the non-invasive calculation of left ventricular long axis longitudinal shortening (LVLS) and absolute myocardial torsion (AMT) between basal and apical left ventricular slices, a movement directly related to the helicoidal anatomic disposition of the myocardial fibers. The aim of this study is to determine AMT and LVLS behaviour and normal values from a group of healthy subjects. A group of 21 healthy volunteers (15 males) (age: 23-55 y.o., mean: 30.7 ± 7.5) were prospectively included in an observational study by Cardiac MRI. Left ventricular rotation (degrees) was calculated by custom-made software (Harmonic Phase Flow) in consecutive LV short axis planes tagged cine-MRI sequences. AMT was determined from the difference between basal and apical planes LV rotations. LVLS (%) was determined from the LV longitudinal and horizontal axis cine-MRI images. All the 21 cases studied were interpretable, although in three cases the value of the LV apical rotation could not be determined. The mean rotation of the basal and apical planes at end-systole were -3.71° ± 0.84° and 6.73° ± 1.69° (n:18) respectively, resulting in a LV mean AMT of 10.48° ± 1.63° (n:18). End-systolic mean LVLS was 19.07 ± 2.71%. Cardiac MRI allows for the calculation of AMT and LVLS, fundamental functional components of the ventricular twist mechanics conditioned, in turn, by the anatomical helical layout of the myocardial fibers. These values provide complementary information about systolic ventricular function in relation to the traditional parameters used in daily practice. © Springer Science+Business Media, B.V. 2011.
Original languageEnglish
Pages (from-to)273-284
JournalInternational Journal of Cardiovascular Imaging
Volume28
DOIs
Publication statusPublished - 1 Feb 2012

Keywords

  • Cardiac mechanics
  • Magnetic resonance imaging (MRI)
  • Tagging MRI
  • Ventricular torsion

Fingerprint Dive into the research topics of 'Left ventricular torsion and longitudinal shortening: Two fundamental components of myocardial mechanics assessed by tagged cine-MRI in normal subjects'. Together they form a unique fingerprint.

Cite this