17 research outputs found
Cardiovascular magnetic resonance feature tracking in small animals – a preliminary study on reproducibility and sample size calculation
Background Cardiovascular magnetic resonance feature tracking (CMR-FT) is a
novel tissue tracking technique developed for noninvasive assessment of
myocardial motion and deformation. This preliminary study aimed to evaluate
the observer’s reproducibility of CMR-FT in a small animal (mouse) model and
define sample size calculation for future trials. Methods Six C57BL/6 J mice
were selected from the ongoing experimental mouse model onsite and underwent
CMR with a 3 Tesla small animal MRI scanner. Myocardial deformation was
analyzed using dedicated software (TomTec, Germany) by two observers. Left
ventricular (LV) longitudinal, circumferential and radial strain (EllLAX,
EccSAX and ErrSAX) were calculated. To assess intra-observer agreement data
analysis was repeated after 4 weeks. The sample size required to detect a
relative change in strain was calculated. Results In general, EccSAX and
EllLAX demonstrated highest inter-observer reproducibility (ICC 0.79
(0.46–0.91) and 0.73 (0.56–0.83) EccSAX and EllLAX respectively). In contrast,
at the intra-observer level EllLAX was more reproducible than EccSAX (ICC 0.83
(0.73–0.90) and 0.74 (0.49–0.87) EllLAX and EccSAX respectively). The
reproducibility of ErrSAX was weak at both observer levels. Preliminary sample
size calculation showed that a small study sample (e.g. ten animals to detect
a relative 10% change in EccSAX) could be sufficient to detect changes if
parameter variability is low. Conclusions This pilot study demonstrates good
to excellent inter- and intra-observer reproducibility of CMR-FT technique in
small animal model. The most reproducible measures are global circumferential
and global longitudinal strain, whereas reproducibility of radial strain is
weak. Furthermore, sample size calculation demonstrates that a small number of
animals could be sufficient for future trials
Moderate physical exercise: a simplified approach for ventricular rate control in older patients with atrial fibrillation
Methods for monitoring and prognosis of clinical status of patients in acute phase of myocardial infarction for computer network based clinical decision support system
a b s t r a c t The methods for evaluation of crucial factors describing status of cardiologic patients in intensive care units based on advanced signal processing methods were incorporated into prototype network based clinical decision support system. The methods realize: (a) evaluation of heart rate variability in aim to predict clinical outcome; (b) evaluation of central hemodynamics in non-invasive way by means of chest impedance signal analysis; (c) automatic detection and evaluation of ECG T-wave alternans -predictor of sudden cardiac death. Modern standard monitoring equipment has connection to the computer network and possibility to transfer registered signals and clinical data what could be processed and evaluated with such clinical decision system. The remotely accessed methods of the system can significantly improve the quality of monitoring of patient status using standard equipment