Purpose
To assess the intra- and inter-scan reproducibility of LV twist using FAST. Assessing the reproducibility of the measurement of new magnetic resonance imaging (MRI) biomarkers is an important part of validation. Fourier Analysis of STimulated Echoes (FAST) is a new MRI tissue tagging method that has recently been shown to compare favorably to conventional estimates of left ventricular (LV) twist from cardiac tagged images, but with significantly reduced user interaction time.
Materials and Methods
Healthy volunteers (N=10) were scanned twice using FAST over one week. On Day-1 two measurements of LV twist were collected for intra-scan comparisons. Measurements for LV twist were again collected on Day-8 for inter-scan assessment. LV short-axis tagged images were acquired on a 3T scanner in order to ensure detectability of tags during early and mid-diastole. Peak LV twist is reported as mean±SD. Reproducibility was assessed using the concordance correlation coefficient (CCC) and the repeatability coefficient (RC) (95%-CI range).
Results
Mean peak twist measurements were 13.4±4.3° (Day-1, Scan-1), 13.6±3.7° (Day-1, Scan-2), and 13.0±2.7° (Day-8). Bland-Altman analysis resulted in intra- and inter-scan bias and 95%-CI of −0.6° [−1.0°, 1.6°] and 1.4° [−1.0°, 3.0°], respectively. The Bland-Altman RC for peak LV twist was 2.6° and 4.0° for intra- and inter-scan respectively. The CCC was 0.9 and 0.6 for peak LV twist for intra- and inter-scan respectively.
Conclusion
FAST is a semi-automated method that provides a quick and quantitative assessment of LV systolic and diastolic twist that demonstrates high intra-scan and moderate inter-scan reproducibility in preliminary studies.