Feasibility and reproducibility of semi-automated longitudinal strain analysis: a comparative study with conventional manual strain analysis

Peng, Gui-juan1,2; Luo, Shu-yu1,2; Zhong, Xiao-fang1,2; Lin, Xiao-xuan1,2; Zheng, Ying-qi1,2; Xu, Jin-feng1,2; Liu, Ying-ying1,2; Chen, Li-xin1,2

2023-07-19

10.1186/s12947-023-00309-5

CARDIOVASCULAR ULTRASOUND   Impact Factor & Quartile

1476-7120

["Background Conventional approach to myocardial strain analysis relies on a software designed for the left ventricle (LV) which is complex and time-consuming and is not specific for right ventricular (RV) and left atrial (LA) assessment. This study compared this conventional manual approach to strain evaluation with a novel semi-automatic analysis of myocardial strain, which is also chamber-specific.","Methods Two experienced observers used the AutoStrain software and manual QLab analysis to measure the LV, RV and LA strains in 152 healthy volunteers. Fifty cases were randomly selected for timing evaluation.","Results No significant differences in LV global longitudinal strain (LVGLS) were observed between the two methods (-21.0% +/- 2.5% vs. -20.8% +/- 2.4%, p = 0.230). Conversely, RV longitudinal free wall strain (RVFWS) and LA longitudinal strain during the reservoir phase (LASr) measured by the semi-automatic software differed from the manual analysis (RVFWS: -26.4% +/- 4.8% vs. -31.3% +/- 5.8%, p < 0.001; LAS: 48.0% +/- 10.0% vs. 37.6% +/- 9.9%, p < 0.001). Bland-Altman analysis showed a mean error of 0.1%, 4.9%, and 10.5% for LVGLS, RVFWS, and LASr, respectively, with limits of agreement of-2.9,2.6%, -8.1,17.9%, and -12.3,33.3%, respectively. The semi-automatic method had a significantly shorter strain analysis time compared with the manual method.","Conclusions The novel semi-automatic strain analysis has the potential to improve efficiency in measurement of longitudinal myocardial strain. It shows good agreement with manual analysis for LV strain measurement."]

Strain Speckle tracking echocardiography Automatic assessment Left ventricle Right ventricle

SCI

English

Corresponding

National Natural Science Foundation of China[82102041] ; Project of Innovation of the Science and Technology Commission of Shenzhen["JCYJ20190807145609482","JCYJ20210324113804013"]

Cardiovascular System & Cardiology

Cardiac & Cardiovascular Systems

WOS:001032518400001

BMC

Web of Science

1.Jinan Univ, Shenzhen Peoples Hosp, Shenzhen Med Ultrasound Engn Ctr, Dept Ultrasound,Clin Med Coll 2, Shenzhen 518020, Peoples R China
2.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen 518020, Peoples R China

Peng, Gui-juan,Luo, Shu-yu,Zhong, Xiao-fang,et al. Feasibility and reproducibility of semi-automated longitudinal strain analysis: a comparative study with conventional manual strain analysis[J]. CARDIOVASCULAR ULTRASOUND,2023,21(1).

Peng, Gui-juan.,Luo, Shu-yu.,Zhong, Xiao-fang.,Lin, Xiao-xuan.,Zheng, Ying-qi.,...&Chen, Li-xin.(2023).Feasibility and reproducibility of semi-automated longitudinal strain analysis: a comparative study with conventional manual strain analysis.CARDIOVASCULAR ULTRASOUND,21(1).

Peng, Gui-juan,et al."Feasibility and reproducibility of semi-automated longitudinal strain analysis: a comparative study with conventional manual strain analysis".CARDIOVASCULAR ULTRASOUND 21.1(2023).