Heart failure & cardiomyopathies

Ultrasound shear wave elastography for detection of myocardial fibrosis

Eur Heart J Cardiovasc ImagingPublished Diagnostic study of echocardiographic shear wave elastography against cardiac magnetic resonance

Authors' conclusion

Natural SWVs can distinguish between normal and pathological myocardium and depend on the fibrosis burden of the myocardium.

Study context

Population
Heart transplanted patients and hypertrophic cardiomyopathy patients, and healthy volunteersplus 37 healthy volunteers · heart transplanted patients 30 · hypertrophic cardiomyopathy patients 22 · healthy volunteers 37
Participants
Fifty-two patients participants
Comparison
Shear wave (SW) velocities vs classification by T1 mapping, extracellular volume (ECV) mapping and late gadolinium enhancement measured by cardiac magnetic resonance
Outcome
SWVs among groups
Methodological detailsexperimental scanner at 1172 ± 302 frames per second
  • Experimental scanner at 1172 ± 302 frames per second

Performance

As reported in the abstract

SW velocities (SWVs) differed among groups
P < 0.001

Further findings

Correlation of SWVs with ECV values

R
0.70
P
P < 0.0001

Correlation of SWVs with native T1 values

R
0.48
P
P = 0.0004

SWVs below 6.0 m/s to identify patients without fibrosis

Sensitivity
90%
Specificity
90%
AUC
0.95

Cut-off of 8.1 m/s to distinguish MRF from MIF

Sensitivity
69%
Specificity
100%
AUC
0.92

Original publication

Ultrasound shear wave elastography for detection of myocardial fibrosis. Eur Heart J Cardiovasc Imaging. Published 10 July 2025. doi:10.1093/ehjci/jeaf200

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