Arrhythmias & electrophysiologyMechanistic study

Novel systematic processing of cardiac magnetic resonance imaging identifies target regions associated with infarct-related ventricular tachycardia

EuropacePublished

  • Translational study
  • experimental pig model
  • multicentre clinical validation

Authors' conclusion

Systematic imaging processing of LGE-CMR sequences using several SI cut-off ranges may improve and standardize procedure planning to identify VT isthmus sites.

Study context

Population
Pigs with established MI and inducible ventricular tachycardia (VT); patients with ischaemic cardiomyopathy undergoing VT ablation18 pigs
Comparison
Optimized late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) processing vs 15 signal intensity (SI) cut-off ranges

Main finding

As reported in the abstract

Detection of electrophysiologically defined VT isthmus sites by CMR-based VT corridors
GroupSpecificitySensitivity
15 SI cut-off ranges62%
7 SI cut-off ranges70%100%

Original publication

Novel systematic processing of cardiac magnetic resonance imaging identifies target regions associated with infarct-related ventricular tachycardia. Europace. Published 19 September 2024. doi:10.1093/europace/euae244

Summarised from the published abstract; every number is checked against it