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Reproducibility of Left Ventricular CINE DENSE Strain in Pediatric Subjects with Duchenne Muscular Dystrophy

机译:Duchenne肌营养不良儿科对象左心室致密菌株的再现性

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Cardiomyopathy is the leading cause of mortality in boys with Duchenne muscular dystrophy (DMD). Left ventricular (LV) peak mid-wall circumferential strain (E_(CC)) is a sensitive early biomarker for evaluating both the subtle and variable onset and the progression of cardiomyopathy in pediatric subjects with DMD. Cine Displacement Encoding with Stimulated Echoes (DENSE) has proven sensitive to changes in E_(CC), but its reproducibility has not been reported in a pediatric cohort or a DMD cohort. The objective was to quantify the intra-observer repeatability, and intra-exam and inter-observer reproducibility of global and regional E_(CC) derived from cine DENSE in DMD patients (N = 10) and age-and sex-matched controls (N = 10). Global and regional E_(CC) measures were considered reproducible in the intra-exam, intra-observer, and inter-observer comparisons. Intra-observer repeatability was highest, followed by intra-exam reproducibility and then inter-observer reproducibility. The smallest detectable change in E_(CC) was 0.01 for the intra-observer comparison, which is below the previously reported yearly decrease of 0.013 ± 0.015 in E_(CC) in DMD patients.
机译:心肌病是Duchenne肌营养不良(DMD)男孩死亡的主要原因。左心室(LV)峰中壁周向菌株(E_(CC))是一种敏感的早期生物标志物,用于评估细微和可变的发作以及DMD儿科对象中的心肌病进展。通过刺激回声(致密)的凝固偏移对E_(CC)的变化已经证明敏感,但其再现性尚未在儿科队列或DMD队列中报告。目的是量化观察体内的血液和区域E_(CC)的观察者内可重复性,以及衍生于DMD患者(n = 10)和年龄和性匹配的对照(n = 10)。全球和区域E_(CC)措施被认为在考试内,观察室内,观察室内和观察者间比较中可重复。观察室内的重复性最高,然后是考试内的再现性,然后是观察者的再生再现性。 ORA(CC)中最小的可检测变化为Observer对比度为0.01,低于先前报告的DMD患者在E_(CC)中的每年减少0.013±0.015。

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