0198: Global and regional echocardiographic strain to assess early phase of hypertrophic cardiomyopathy due to sarcomeric mutations

ObjectiveHypertrophic cardiomyopathy (HCM) is a genetic disease with delayed cardiac expression. Our objective was to characterize global and regional LV myocardial strain by two-dimensional imaging in sarcomeric HCM families and hypothesized that early systolic dysfunction, before hyper-trophic stage, may be diagnosed by this technique.Methods and resultsWe analyzed 81 adults: HCM patients with LV hypertrophy (LVH+, n=38), mutation carriers without LV hypertrophy (LVH/G+, n=20), and normal control subjects (n=23). We calculated global longitudinal strain (GLS), regional peak longitudinal strain and the Echo/TDI score (combination of 3 parameters about remodeling and pulse TDI). Age, sex ratio and body surface area were not significantly different between groups. Maximal 2D wall thickness of left ventricle was 10.1±1.6mm in LVH-/G+and not different from controls (9.9±1.2mm). We observed that LV GLS was not different in LVH-/G+as compared to controls (–21.6%±3.2 vs –23.5%±3.3) but was reduced in HCM patients (–15.3%±4.5) although a normal ejection fraction. Interestingly, regional peak longitudinal strain was similar in LVH-/G+and controls except antero-septo-basal segment strain that was decreased in LVH-/G+as compared to controls (–15.6%±7.2 vs –20.0%±3.9, p=0.025). A cut-off of –16% for abnormal strain of antero-septo-basal segment identified LVH-/G+subjects with a sensitivity of 47% and a specificity of 90%. The Echo/TDI score was different in LVH-/G+as compared to controls (p=0.0008) and sensitivity of previous defined cut-off was 83% for identification of LVH-/G+. All LVH-/G+subjects with abnormal regional strain, except one, had abnormal Echo/TDI score.ConclusionWe observed that regional longitudinal strain, but not global strain, was significantly reduced at early stage of HCM. This tool may be useful for clinical evaluation of relatives in daily practice, but does not provide significant additional information as compared to the Echo/TDI score

IRIM at TRECVID 2013: Semantic Indexing and Instance Search

International audienceThe IRIM group is a consortium of French teams working on Multimedia Indexing and Retrieval. This paper describes its participation to the TRECVID 2013 semantic indexing and instance search tasks. For the semantic indexing task, our approach uses a six-stages processing pipelines for computing scores for the likelihood of a video shot to contain a target concept. These scores are then used for producing a ranked list of images or shots that are the most likely to contain the target concept. The pipeline is composed of the following steps: descriptor extraction, descriptor optimization, classiffication, fusion of descriptor variants, higher-level fusion, and re-ranking. We evaluated a number of different descriptors and tried different fusion strategies. The best IRIM run has a Mean Inferred Average Precision of 0.2796, which ranked us 4th out of 26 participants

IRIM at TRECVID 2012: Semantic Indexing and Instance Search

International audienceThe IRIM group is a consortium of French teams work- ing on Multimedia Indexing and Retrieval. This paper describes its participation to the TRECVID 2012 se- mantic indexing and instance search tasks. For the semantic indexing task, our approach uses a six-stages processing pipelines for computing scores for the likeli- hood of a video shot to contain a target concept. These scores are then used for producing a ranked list of im- ages or shots that are the most likely to contain the tar- get concept. The pipeline is composed of the following steps: descriptor extraction, descriptor optimization, classi cation, fusion of descriptor variants, higher-level fusion, and re-ranking. We evaluated a number of dif- ferent descriptors and tried di erent fusion strategies. The best IRIM run has a Mean Inferred Average Pre- cision of 0.2378, which ranked us 4th out of 16 partici- pants. For the instance search task, our approach uses two steps. First individual methods of participants are used to compute similrity between an example image of in- stance and keyframes of a video clip. Then a two-step fusion method is used to combine these individual re- sults and obtain a score for the likelihood of an instance to appear in a video clip. These scores are used to ob- tain a ranked list of clips the most likely to contain the queried instance. The best IRIM run has a MAP of 0.1192, which ranked us 29th on 79 fully automatic runs

Prediction of second neurological attack in patients with clinically isolated syndrome using support vector machines

The aim of this study is to predict the conversion from clinically isolated syndrome to clinically definite multiple sclerosis using support vector machines. The two groups of converters and non-converters are classified using features that were calculated from baseline data of 73 patients. The data consists of standard magnetic resonance images, binary lesion masks, and clinical and demographic information. 15 features were calculated and all combinations of them were iteratively tested for their predictive capacity using polynomial kernels and radial basis functions with leave-one-out cross-validation. The accuracy of this prediction is up to 86.4% with a sensitivity and specificity in the same range indicating that this is a feasible approach for the prediction of a second clinical attack in patients with clinically isolated syndromes, and that the chosen features are appropriate. The two features gender and location of onset lesions have been used in all feature combinations leading to a high accuracy suggesting that they are highly predictive. However, it is necessary to add supporting features to maximise the accuracy. © 2013 IEEE

Evaluation de l'échocardiographie trans-thoracique et du doppler veineux des membres inférieurs dans l'embolie pulmonaire aiguë

PARIS5-BU Méd.Cochin (751142101) / SudocPARIS-BIUM (751062103) / SudocCentre Technique Livre Ens. Sup. (774682301) / SudocSudocFranceF

Remodelage cardiaque chez le joueur de tennis participant au tournoi vétéran de Roland Garros

PARIS7-Xavier Bichat (751182101) / SudocSudocFranceF

Revue de la littérature et évaluation de l échographie 2D-strain dans la cardiomyopathie de Tako-Tsubo

PARIS7-Xavier Bichat (751182101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Coeur brisé (ou syndrome de Tako-tsubo) (à propos d'un cas et revue de la littérature)

PARIS7-Xavier Bichat (751182101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF