PhD Scientific Days 2021

Budapest, 7-8 July 2021

CL_II_P: Clinical Medicine II. Posters

Sex- and Age- Specific Normal Values of Left Ventricular Functional and Myocardial Mass Parameters Using Threshold-based Trabeculae Quantification

Zsófia Gregor1, Anna Réka Kiss2, Liliána Erzsébet Szabó3, Attila Tóth4, Kinga Grebur5, Márton Horváth6, Zsófia Dohy7, Béla Merkely8, Hajnalka Vágó9, Andrea Szűcs10

1 Heart and Vascular Center, Semmelweis University, Cardiovascular Imaging, Budapest
2 Heart and Vascular Center, Semmelweis University, Cardiovascular Imaging, Budapest
3 Heart and Vascular Center, Semmelweis University, Diagnostic Radiology, Budapest
4 Heart and Vascular Center, Semmelweis University, Diagnostic Radiology, Budapest
5 Heart and Vascular Center, Semmelweis University, Budapest
6 Heart and Vascular Center, Semmelweis University, Cardiovascular Imaging, Budapest
7 Heart and Vascular Center, Semmelweis University,Diagnostic Radiology Budapest
8 Heart and Vascular Center, Semmelweis University, Faculty of Cardiology, Faculty of Sports Medicine, Sports cardiology, Budapest
9 Heart and Vascular Center, Semmelweis University, Faculty of Cardiology, Faculty of Sports Medicine, Sports cardiology, Budapest
10 Heart and Vascular Center, Semmelweis University, Cardiovascular Imaging, Budapest

Text of the abstract

The threshold-based (TB) trabeculated and papillary muscle mass (TPM) quantification method for cardiac MRI (CMR) calculates different values than conventional contouring techniques.
We aimed to identify the sex- and age-related normal reference ranges for left ventricular (LV) myocardial mass values, volumetric and functional parameters and the correspondence of these parameters using the TB method.
Healthy Caucasian adults (n=200, age: 39.4 ± 12 years, males: 100) were examined with CMR and evaluated with a TB postprocessing method. They were stratified by sex and age (Group A: 18-29, Group B: 30-39, Group C: 40-49, Group D: >50 years). The calculated parameters were indexed to body surface area (i).
The normal reference ranges for the studied parameters were assessed in each age group. Significant biometric differences in LV parameters and mass-to-volume ratios were found between males and females, and the left ventricular compacted myocardial mass (LVCMi) and TPMi differences remained significant after stratification by age. Unlike other LV volumetric and functional parameters and mass-to-volume ratios, the TPMi, the LVCMi and the TPMi-to-LVCMi ratio did not differ among age groups in males or females. This finding was strengthened by the lack of correlation between TPMi and age.
Age- and sex-related normal reference ranges for LV volumetric and functional parameters and LVCMi and TPMi values were established using a TB postprocessing method. TPMi, LVCMi and their ratio did not change over time. The TPMi-to-LVCMi and the mass-to-volume ratios might have clinical utility in the differential diagnosis of conditions with LV hypertrabeculation.


Funding: Semmelweis 250+ Kiválósági PhD Ösztöndíj, EFOP-3.6.3-VEKOP-16-2017-00009, Az orvos-, egészségtudományi- és gyógyszerészképzés tudományos műhelyeinek fejlesztése

University and Doctoral School

Semmelweis University, Doctoral School of Theoretical and Translational Medicine