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Right ventricular diastolic function in aging: a head-to-head comparison between phase-contrast MRI and Doppler echocardiography

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Abstract

To evaluate right ventricle (RV) diastolic function from phase-contrast MRI (PC-MRI) in aging. 89 healthy individuals (50 men, 43 ± 15 years) underwent cardiac MRI including 2D PC-MRI (1.5T) and reference Doppler echocardiography of both ventricles on the same day. Conventional echocardiographic parameters were estimated: early (E, cm/s) and atrial (A) peak velocities as well as myocardial early peak longitudinal velocity (E′). PC-MRI images were analyzed using custom software, providing: E′, E and A waves along with respective peak flow rates (Ef, Af, mL/s) and filling volume (mL), for both ventricles. Intra- and inter-observer reproducibility was studied in 30 subjects and coefficients of variation (CoV) as well as intra-class correlation coefficients (ICC) were provided. RV diastolic function indices derived from PC-MRI data were reproducible (CoV ≤ 21%, ICC ≥ 0.75) and reliable as reflected by significant associations with left ventricular diastolic function indices assessed using both echocardiography (linear regression Pearson correlation coefficient r ≤ 0.59) and PC-MRI (r ≤ 71). Despite the fair associations between RV echocardiography and PC-MRI (r ≤ 0.25), the highest correlation with age was obtained for MRI Ef/Af ratio (r = − 0.64, p < 0.0001 vs. r = − 0.40, p = 0.0001 for echocardiographic E/A). Among PC-MRI E/A ratios, highest correlations with age were observed for flow rate and mean velocity ratios (r = − 0.61, p < 0.0001) as compared to maximal velocity ratios (r = − 0.56, p < 0.0001). Associations with age for E′ were equivalent between PC-MRI (mean velocity: r = − 0.40, p < 0.0001; maximal velocity: r = − 0.36, p = 0.0005) and echocardiography (r = − 0.36, p = 0.0006). Finally, the significant and age-independent associations between RV mass/end-diastolic volume and E′ were stronger for PC-MRI (mean velocity: r = − 0.36, p = 0.0006; maximal velocity: r = − 0.28, p = 0.007) than echocardiography (r = − 0.09, p = 0.38). PC-MRI tricuspid inflow and annulus myocardial velocity parameters were reproducible and able to characterize age-related variations in RV diastolic function.

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Author notes

  1. Nadjia Kachenoura and Emilie Bollache have equally contributed to this work.

Authors and Affiliations

  1. Laboratoire d’Imagerie Biomédicale, LIB, INSERM, CNRS, Sorbonne Université, 15 rue de l’école de médecine, 75006, Paris, France

    Nadjia Kachenoura, Emilie Bollache, Golmehr Ashrafpoor & Benoit Diebold

  2. PARCC, INSERM, Université de Paris, 75015, Paris, France

    Gilles Soulat, Benoit Diebold, Magalie Ladouceur & Elie Mousseaux

  3. Assistance Publique Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 75015, Paris, France

    Gilles Soulat, Stéphanie Clément-Guinaudeau, Golmehr Ashrafpoor, Ludivine Perdrix, Magalie Ladouceur & Elie Mousseaux

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  1. Nadjia Kachenoura
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Correspondence to Nadjia Kachenoura.

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Kachenoura, N., Bollache, E., Soulat, G. et al. Right ventricular diastolic function in aging: a head-to-head comparison between phase-contrast MRI and Doppler echocardiography. Int J Cardiovasc Imaging 37, 663–674 (2021). https://doi.org/10.1007/s10554-020-02040-y

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