Abstract

Background Abundant, abnormal myocardial trabeculae define left ventricular noncompaction (LVNC) but measurement is difficult and at least 5 techniques are described. We hypothesized that part of the reason for difficulties was that LV trabeculae were fractal in nature and beyond the simple geometry of 1 or 2 dimensional (2D) measurement. We designed and validated a new, rapid, clinically applicable method of measuring LV trabeculae based on fractal analysis. Methods We developed a fractal analysis technique for measuring LV trabeculation using CMR volume stack images. With no gold-standard for LV trabeculae, we validated the method on the actual compaction process itself

Highlights

  • Abundant, abnormal myocardial trabeculae define left ventricular noncompaction (LVNC) but measurement is difficult and at least 5 techniques are described

  • We hypothesized that part of the reason for difficulties was that LV trabeculae were fractal in nature and beyond the simple geometry of 1 or 2 dimensional (2D) measurement

  • We designed and validated a new, rapid, clinically applicable method of measuring LV trabeculae based on fractal analysis

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Summary

Open Access

A new definition of left ventricular compaction/ noncompaction - the new gold-standard?. Gaby Captur1,5*, Andrew Flett, Andrea Barison, Robert Wilson, Daniel Sado, Christopher Cook, William J McKenna, Timothy J Mohun, Vivek Muthurangu, Perry Elliott, James Moon. From 16th Annual SCMR Scientific Sessions San Francisco, CA, USA. From 16th Annual SCMR Scientific Sessions San Francisco, CA, USA. 31 January - 3 February 2013

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