Arrhythmias & electrophysiology

Variations in threshold values for border zone and dense scar produce significant changes in scar parameters obtained by ADAS-3D

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

Variations in threshold values result in statistically significant and high-magnitude changes in the quantification of scar parameters by ADAS-3D.

Study context

Population
Consecutive patients with previous MI who underwent cardiac magnetic resonance (CMR)
Participants
87 patients
Exposure
9 threshold combinations for dense scar (55%/60%/65%) and border zone (BZ) (35%/40%/45%) of maximum pixel signal intensity in ADAS-3D
Outcome
Degree of change in ADAS-3D scar measurements with different dense scar and BZ thresholds
Methodological detailssingle-centre, observational, consecutive patients
  • Single-centre
  • Observational
  • Consecutive patients

Main finding

As reported in the abstract

Highly significant differences in all scar parameters across thresholds
P < .001
Percentage difference in BZ channel numbers and channel mass in all 36 comparisons
up to 200%
Absolute difference in number of channels
up to 10 channels
Highest median channel mass (thresholds 35-65) vs lowest (45-55 cutoffs)
59-fold higher

Observational data: associations, not effects.

Original publication

Variations in threshold values for border zone and dense scar produce significant changes in scar parameters obtained by ADAS-3D. Heart Rhythm. Published 2 July 2024. doi:10.1016/j.hrthm.2024.06.055

Composed by AI from the published abstract and checked against it. How Briefs are made →

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