Skip to main content

Advertisement

Springer Nature Link
Log in

Radial strain assessment of the interventricular septum wall by a new technique in healthy subjects

  • Original Article
  • Published:
Medical & Biological Engineering & Computing Aims and scope Submit manuscript

Abstract

The aim of this study was to design a new approach for the acquisition of regional radial strain from the middle portion of the interventricular septum. We designed and wrote a program in Matlab (computer-assisted method) for use on a personal computer so that the septum thickness throughout the cardiac cycle could be measured instantaneously. Computer-assisted and conventional manual methods were used on the same 2D echocardiography image frames. Then, real-time 2D color Doppler myocardial imaging and conventional 2D imaging of the septum walls of 12 healthy participants at rest using apical four-chamber view were acquired. Wall thickness was measured using both the computerized program and velocity data used for tracking the segment and intensity line profile modification automatically. Then, the radial strain was estimated. Bland-Altman statistical analysis shows good agreement between the computer-assisted method and conventional manual method. The average of the peak and mean radial strains from the mid-septum of 12 healthy participants were 63.5 ± 10.7 and 31.7 ± 7.5%, respectively. We introduced a simple approach that is capable of radial strain estimation of the septum wall, which cannot be measured by current Doppler based methods in echocardiography systems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310

    Google Scholar 

  2. Boettler P, Claus P, Herbots L, McLaughlin M, D’hooge J, Bijnens B, Ho SY, Kececioglu D, Sutherland GR (2005) New aspects of the ventricular septum and its function: an echocardiographic study. Heart 91:1343–1348

    Article  Google Scholar 

  3. Bovik AC, Desai MD (2000) Handbook of image and video processing, section Ι and ΙΙ. 1st edn, chap 2. Academic, Texas, pp 21–53

  4. Cain P, Short L, Baglin T, Case C, Bosch HG, Marwick TH (2002) Development of a fully quantitative approach to the interpretation of stress echocardiography using radial and longitudinal myocardial velocities. J Am Soc Echocardiogr 15:759–767

    Article  Google Scholar 

  5. D’hooge J, Konofagou E, Jamal F, Heimdal A, Barrios L, Thoen J, Van de Werf F, Sutherland G, Suetens P (2002) Two-dimensional ultrasonic strain rate measurement of the human heart in vivo. IEEE Trans Ultrason Ferroelectr Freq Control 49:281–286

    Article  Google Scholar 

  6. Davidavicius G, Misonis N, Grabauskien V (2003) Quantification of regional myocardial function following acute myocardial infarction by ultrasonic strain rate and strain imaging. Semin Cardiol 9:46–51

    Google Scholar 

  7. Dhooge J, Heimdal A, Jamal F, Kukulski T, Bijnens B, Rademakers F, Hatle L, Suetens P, Sutherland GR (2000) Regional strain and strain rate measurements by cardiac ultrasound: principles, implementation and limitations. Eur J Echocardiogr 1:154–170

    Article  Google Scholar 

  8. Dhooge J, Rabben SI, Claus P, Irgens F, Thoen J, Van de Werf F, Suetens PA (2003) A virtual environment for the evaluation, validation, and optimization of strain and strain rate imaging. IEEE ultrasonics symposium, pp 1840–1842

  9. Dohi K, Suffoletto MS, Schwartzman D, Ganz L, Pinsky MR, Gorcsan J (2005) Utility of echocardiographic radial strain imaging to quantify left ventricular dissynchrony and predict acute response to cardiac resynchronization therapy. Am J Cardiol 96:112–116

    Article  Google Scholar 

  10. Galderisi M, Mele D, Marino PN (2005) Quantitation of stress echocardiography by tissue Doppler and strain rate imaging: a dream come true? Ital Heart J 6:9–20

    Google Scholar 

  11. Gilman G, Khandheria BK, Hagen ME, Abraham TP, Seward JB, Belohlavek M (2004) Strain rate and strain: a step-by-step approach to image and data acquisition. J Am Soc Echocardiogr 17:1101–1120

    Google Scholar 

  12. Hasegawa T, Nakatani S, Maruo T, Tanaka N, Kim J, Hanatani A, Hashimura K, Yasumura Y, Yamagishi M, Kitakaze M, Miyatake K (2003) Quantitative assessment of wall motion using myocardial strain. J Echocardiogr 1:23–28

    Article  Google Scholar 

  13. Hatle L, Sutherland GR (2000) Regional myocardial function: a new approach. Eur Heart J 21:1337–1357

    Article  Google Scholar 

  14. Heimdal A, Støylen A, Torp H, Skjærpe T (1998) Real- time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 11:1013–1009

    Article  Google Scholar 

  15. Henry WL, DeMaria A, Gramiak R, King DL, Kisslo J A, Popp RL, Sahn DJ, Schiller NB, Tajik A, Teichholz LE, Weyman AE (1980) Report of the American Society of Echocardiography committee on nomenclature and standards in 2D echocardiography. Circulation 62:212–215

    Google Scholar 

  16. Ikonomatakis N, Plataniotis KN, Zervakis M, Venetsanopoulos AN (1997) Region growing and region merging image segmentation. In: Proceedings of the 13th conference on digital signal processing, vol 1, pp 299–302

  17. Khojastepour MA, Aazhang B, Baraniuk RG (2004) Contraction, smoothness, and low-pass filtering. IEEE international conference on acoustics, speech, and signal processing (ICASSP 2004), Montreal, pp 897–900

  18. Kowalski M, Kukulski T, Jamal F, D’hooge J, Weidemann F, Rademakers F, Bijnens B, Hatle L, Sutherland GR (2001) Can natural strain and strain rate quantify regional myocardial deformation? A study in healthy subjects. Ultrasound Med Biol 27:1087–1097

    Article  Google Scholar 

  19. Kukulski T, Jamal F, D’hooge J, Bijnens B, De Scheerder I, Sutherland GR (2002) Acute changes in systolic and diastolic events during clinical coronary angioplasty: a comparison of regional velocity, strain rate, and strain measurement. J Am Soc Echocardiogr 15:1–12

    Article  Google Scholar 

  20. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise JS, Solomon SD, Spencer KT, Sutton MS, Stewart WJ (2005) Recommendations for chamber quantification: a report from the American Society of Echocardiography’s guidelines and standards committee and the chamber quantification writing group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 18:1440–1463

    Article  Google Scholar 

  21. Mancas M, Gossellin B, Macq B (2005) Segmentation using a region growing thresholding. In: Proceedings of the electronic imaging conference of the International Society for Optical Imaging, San Jose, SPIE/EI:388–398

  22. Marwick TH (2006) Measurement of strain and strain rate by echocardiography: ready for prime time? J Am Coll Cardiol 47:1313–1327

    Article  Google Scholar 

  23. Moladoust H, Mokhtari-Dizaji M, Ojaghi-Haghighi Z, Noohi F, Khaledifar A, Grailu H (2007) Determination of instantaneous interventricular septum wall thickness by processing sequential 2D echocardiographic images. Pak J Biol Sci 10:454–461

    Article  Google Scholar 

  24. Pislaru C, Abraham TP, Belohlavek M (2002) Strain and strain rate echocardiography. Curr Opin Cardiol 17:443–454

    Article  Google Scholar 

  25. Smith SW (2003) Digital signal processing. A practical guide for engineers and scientists. Moving average filters, 1st edn, chap 15. Newnes, USA, pp 277–285

  26. Sutherland GR, Salvo GD, Claus P, D’hooge J, Bijnens B (2004) Strain and strain rate imaging: a new clinical approach to quantifying regional myocardial function. J Am Soc Echocardiogr 17:788–802

    Article  Google Scholar 

  27. Urheim S, Edvardsen T, Torp H, Angelsen B, Smiseth OA (2000) Myocardial strain by Doppler echocardiography: validation of a new method to quantify regional myocardial function. Circulation 102:1158–1164

    Google Scholar 

  28. Voigt JU, Lindenmeier G, Exner B, Regenfus M, Werner D, Reulbach U, Nixdorff U, Flachskampf FA, Daniel WG (2003) Incidence and characteristics of segmental postsystolic longitudinal shortening in normal, acutely ischemic, and scarred myocardium. J Am Soc Echocardiogr 16:415–23

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medical Physics, Tarbiat Modares University, Tehran, Iran

    H. Moladoust & M. Mokhtari-Dizaji

  2. Department of Echocardiography, Rajaie Heart Center, Tehran, Iran

    Z. Ojaghi-Haghighi, F. Noohi, A. Khaledifar & A. Khajavi

  3. Department of Cardiology, Catholic University of Leuven, Leuven, Belgium

    J. D’hooge

Authors
  1. H. Moladoust
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Mokhtari-Dizaji
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Z. Ojaghi-Haghighi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. D’hooge
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Noohi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Khaledifar
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Khajavi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Mokhtari-Dizaji.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Moladoust, H., Mokhtari-Dizaji, M., Ojaghi-Haghighi, Z. et al. Radial strain assessment of the interventricular septum wall by a new technique in healthy subjects. Med Bio Eng Comput 45, 855–862 (2007). https://doi.org/10.1007/s11517-007-0222-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11517-007-0222-x

Keywords

Search

Navigation