Myocardial tagging by Cardiovascular Magnetic Resonance: evolution of techniques--pulse sequences, analysis algorithms, and applications

Cardiovascular magnetic resonance (CMR) tagging has been established as an essential technique for measuring regional myocardial function. It allows quantification of local intramyocardial motion measures, e.g. strain and strain rate. The invention of CMR tagging came in the late eighties, where the technique allowed for the first time for visualizing transmural myocardial movement without having to implant physical markers. This new idea opened the door for a series of developments and improvements that continue up to the present time. Different tagging techniques are currently available that are more extensive, improved, and sophisticated than they were twenty years ago. Each of these techniques has different versions for improved resolution, signal-to-noise ratio (SNR), scan time, anatomical coverage, three-dimensional capability, and image quality. The tagging techniques covered in this article can be broadly divided into two main categories: 1) Basic techniques, which include magnetization saturation, spatial modulation of magnetization (SPAMM), delay alternating with nutations for tailored excitation (DANTE), and complementary SPAMM (CSPAMM); and 2) Advanced techniques, which include harmonic phase (HARP), displacement encoding with stimulated echoes (DENSE), and strain encoding (SENC). Although most of these techniques were developed by separate groups and evolved from different backgrounds, they are in fact closely related to each other, and they can be interpreted from more than one perspective. Some of these techniques even followed parallel paths of developments, as illustrated in the article. As each technique has its own advantages, some efforts have been made to combine different techniques together for improved image quality or composite information acquisition. In this review, different developments in pulse sequences and related image processing techniques are described along with the necessities that led to their invention, which makes this article easy to read and the covered techniques easy to follow. Major studies that applied CMR tagging for studying myocardial mechanics are also summarized. Finally, the current article includes a plethora of ideas and techniques with over 300 references that motivate the reader to think about the future of CMR tagging

Orbital forcing of tree-ring data

Solar insolation changes, resulting from long-term oscillations of orbital configurations1, are an important driver of Holocene climate2, 3. The forcing is substantial over the past 2,000 years, up to four times as large as the 1.6 W m−2 net anthropogenic forcing since 1750 (ref. 4), but the trend varies considerably over time, space and with season5. Using numerous high-latitude proxy records, slow orbital changes have recently been shown6 to gradually force boreal summer temperature cooling over the common era. Here, we present new evidence based on maximum latewood density data from northern Scandinavia, indicating that this cooling trend was stronger (−0.31 °C per 1,000 years, ±0.03 °C) than previously reported, and demonstrate that this signature is missing in published tree-ring proxy records. The long-term trend now revealed in maximum latewood density data is in line with coupled general circulation models7, 8 indicating albedo-driven feedback mechanisms and substantial summer cooling over the past two millennia in northern boreal and Arctic latitudes. These findings, together with the missing orbital signature in published dendrochronological records, suggest that large-scale near-surface air-temperature reconstructions9, 10, 11, 12, 13 relying on tree-ring data may underestimate pre-instrumental temperatures including warmth during Medieval and Roman times