Cardiovascular magnetic resonance feature tracking in pigs: a reproducibility and sample size calculation study

Int J Cardiovasc Imaging. 2020 Apr;36(4):703-712. doi: 10.1007/s10554-020-01767-y. Epub 2020 Jan 16.

Abstract

Cardiovascular magnetic resonance feature tracking (CMR-FT) is a novel technique for non-invasive assessment of myocardial motion and deformation. Although CMR-FT is standardized in humans, literature on comparative analysis from animal models is scarce. In this study, we measured the reproducibility of global strain under various inotropic states and the sample size needed to test its relative changes in pigs. Ten anesthetized healthy Landrace pigs were investigated. After baseline (BL), two further steps were performed: (I) dobutamine-induced hyper-contractility (Dob) and (II) verapamil-induced hypocontractility (Ver). Global longitudinal (GLS), circumferential (GCS) and radial strain (GRS) were assessed. This study shows a good to excellent inter- and intra-observer reproducibility of CMR-FT in pigs under various inotropic states. The highest inter-observer reproducibility was observed for GLS at both BL (ICC 0.88) and Ver (ICC 0.79). According to the sample size calculation for GLS, a small number of animals could be used for future trials.

Keywords: Cardiovascular magnetic resonance; Feature tracking; Left ventricular strain; Porcine model; Reproducibility; Sample size.

MeSH terms

  • Adrenergic beta-1 Receptor Agonists / pharmacology
  • Anesthesia, General
  • Animals
  • Calcium Channel Blockers / pharmacology
  • Dobutamine / pharmacology
  • Female
  • Heart Ventricles / diagnostic imaging*
  • Heart Ventricles / drug effects
  • Magnetic Resonance Imaging, Cine*
  • Models, Animal
  • Myocardial Contraction* / drug effects
  • Observer Variation
  • Predictive Value of Tests
  • Reproducibility of Results
  • Sample Size
  • Sus scrofa
  • Ventricular Function, Left* / drug effects
  • Verapamil / pharmacology

Substances

  • Adrenergic beta-1 Receptor Agonists
  • Calcium Channel Blockers
  • Dobutamine
  • Verapamil