Identification of atrial myopathy and atrial fibrillation recurrence after ablation using 3D left atrial phasic strain from retrospective gated computed tomography Article Swipe
Charles Sillett
,
Orod Razeghi
,
Tiffany M G Baptiste
,
Angela Lee
,
José Alonso Solís-Lemus
,
Cristóbal Rodero
,
Caroline H. Roney
,
Ruibin Feng
,
Prasanth Ganesan
,
Hui Ju Chang
,
Paul Clopton
,
Nick Linton
,
Ronak Rajani
,
Albert J. Rogers
,
Sanjiv M. Narayan
,
Steven Niederer
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ehjimp/qyaf027
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ehjimp/qyaf027
Aims Reduced left atrial (LA) mechanical function associates with atrial myopathy and adverse clinical endpoints in atrial fibrillation (AF) patients; however, conventional 2D imaging modalities are limited by atrial foreshortening and sub-optimally capture 3D LA motion. Objectives We set out to test the hypothesis that 3D LA motion features from 4D (3D + time) retrospective gated computed tomography (RGCT) associate with AF phenotypes and predict AF recurrence in patients undergoing catheter ablation. Methods and results Sixty-nine AF patients (60.8 ± 12.2 years, 39% female, 30% non-paroxysmal AF) who were indicated for CT coronary angiography including a RGCT protocol in sinus rhythm prior to ablation were included. We measured 3D LA endocardial motion by optimized 3D feature tracking and calculated 3D global and regional phasic strain and peak strain rates (SRs). AF recurrence was observed in 18 patients (26%) at 1-year. Global reservoir strain (P < 0.05) and contractile strain and SR (both P < 0.01) were reduced in patients with vs. those without recurrent AF. Global and anterior wall contractile SR were more predictive of recurrent AF than LA volume index (area under the curve, AUC: 0.74, 0.77, and 0.68, respectively). Reduced global conduit SR and septal reservoir strain were more strongly associated with non-paroxysmal AF than CHADS2-VASc (AUCs: 0.74, 0.75, and 0.59, respectively). Conclusion Reduced passive and active 3D LA motion from 4D RGCT associates with more advanced AF and AF recurrence post-ablation, respectively. Future work should extend this approach to larger populations, with new low-radiation CT technologies to widen its applicability.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ehjimp/qyaf027
- https://academic.oup.com/ehjimp/advance-article-pdf/doi/10.1093/ehjimp/qyaf027/62307832/qyaf027.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 38
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408181240
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4408181240Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ehjimp/qyaf027Digital Object Identifier
- Title
-
Identification of atrial myopathy and atrial fibrillation recurrence after ablation using 3D left atrial phasic strain from retrospective gated computed tomographyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-01Full publication date if available
- Authors
-
Charles Sillett, Orod Razeghi, Tiffany M G Baptiste, Angela Lee, José Alonso Solís-Lemus, Cristóbal Rodero, Caroline H. Roney, Ruibin Feng, Prasanth Ganesan, Hui Ju Chang, Paul Clopton, Nick Linton, Ronak Rajani, Albert J. Rogers, Sanjiv M. Narayan, Steven NiedererList of authors in order
- Landing page
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https://doi.org/10.1093/ehjimp/qyaf027Publisher landing page
- PDF URL
-
https://academic.oup.com/ehjimp/advance-article-pdf/doi/10.1093/ehjimp/qyaf027/62307832/qyaf027.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/ehjimp/advance-article-pdf/doi/10.1093/ehjimp/qyaf027/62307832/qyaf027.pdfDirect OA link when available
- Concepts
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Atrial fibrillation, Medicine, Cardiology, Myopathy, Internal medicine, Ablation, Computed tomography, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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38Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.set | 39 |
| abstract_inverted_index.the | 43, 184 |
| abstract_inverted_index.vs. | 161 |
| abstract_inverted_index.was | 133 |
| abstract_inverted_index.who | 88 |
| abstract_inverted_index.(AF) | 19 |
| abstract_inverted_index.(LA) | 5 |
| abstract_inverted_index.12.2 | 81 |
| abstract_inverted_index.AUC: | 186 |
| abstract_inverted_index.Aims | 1 |
| abstract_inverted_index.RGCT | 97, 225 |
| abstract_inverted_index.from | 50, 223 |
| abstract_inverted_index.left | 3 |
| abstract_inverted_index.more | 173, 201, 228 |
| abstract_inverted_index.peak | 127 |
| abstract_inverted_index.test | 42 |
| abstract_inverted_index.than | 178, 207 |
| abstract_inverted_index.that | 45 |
| abstract_inverted_index.this | 240 |
| abstract_inverted_index.wall | 169 |
| abstract_inverted_index.were | 89, 105, 156, 172, 200 |
| abstract_inverted_index.with | 9, 61, 160, 204, 227, 245 |
| abstract_inverted_index.work | 237 |
| abstract_inverted_index.(26%) | 138 |
| abstract_inverted_index.(60.8 | 79 |
| abstract_inverted_index.(area | 182 |
| abstract_inverted_index.(both | 152 |
| abstract_inverted_index.0.01) | 155 |
| abstract_inverted_index.0.05) | 146 |
| abstract_inverted_index.0.59, | 213 |
| abstract_inverted_index.0.68, | 190 |
| abstract_inverted_index.0.74, | 187, 210 |
| abstract_inverted_index.0.75, | 211 |
| abstract_inverted_index.0.77, | 188 |
| abstract_inverted_index.gated | 56 |
| abstract_inverted_index.index | 181 |
| abstract_inverted_index.prior | 102 |
| abstract_inverted_index.rates | 129 |
| abstract_inverted_index.sinus | 100 |
| abstract_inverted_index.those | 162 |
| abstract_inverted_index.time) | 54 |
| abstract_inverted_index.under | 183 |
| abstract_inverted_index.widen | 251 |
| abstract_inverted_index.(AUCs: | 209 |
| abstract_inverted_index.(RGCT) | 59 |
| abstract_inverted_index.(SRs). | 130 |
| abstract_inverted_index.Future | 236 |
| abstract_inverted_index.Global | 141, 166 |
| abstract_inverted_index.active | 219 |
| abstract_inverted_index.atrial | 4, 10, 17, 29 |
| abstract_inverted_index.curve, | 185 |
| abstract_inverted_index.extend | 239 |
| abstract_inverted_index.global | 121, 193 |
| abstract_inverted_index.larger | 243 |
| abstract_inverted_index.motion | 48, 112, 222 |
| abstract_inverted_index.phasic | 124 |
| abstract_inverted_index.rhythm | 101 |
| abstract_inverted_index.septal | 197 |
| abstract_inverted_index.should | 238 |
| abstract_inverted_index.strain | 125, 128, 143, 149, 199 |
| abstract_inverted_index.volume | 180 |
| abstract_inverted_index.years, | 82 |
| abstract_inverted_index.1-year. | 140 |
| abstract_inverted_index.Methods | 73 |
| abstract_inverted_index.Reduced | 2, 192, 216 |
| abstract_inverted_index.adverse | 13 |
| abstract_inverted_index.capture | 33 |
| abstract_inverted_index.conduit | 194 |
| abstract_inverted_index.feature | 116 |
| abstract_inverted_index.female, | 84 |
| abstract_inverted_index.imaging | 24 |
| abstract_inverted_index.limited | 27 |
| abstract_inverted_index.motion. | 36 |
| abstract_inverted_index.passive | 217 |
| abstract_inverted_index.predict | 65 |
| abstract_inverted_index.reduced | 157 |
| abstract_inverted_index.results | 75 |
| abstract_inverted_index.without | 163 |
| abstract_inverted_index.&lt; | 145, 154 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.ablation | 104 |
| abstract_inverted_index.advanced | 229 |
| abstract_inverted_index.anterior | 168 |
| abstract_inverted_index.approach | 241 |
| abstract_inverted_index.catheter | 71 |
| abstract_inverted_index.clinical | 14 |
| abstract_inverted_index.computed | 57 |
| abstract_inverted_index.coronary | 93 |
| abstract_inverted_index.features | 49 |
| abstract_inverted_index.function | 7 |
| abstract_inverted_index.however, | 21 |
| abstract_inverted_index.measured | 108 |
| abstract_inverted_index.myopathy | 11 |
| abstract_inverted_index.observed | 134 |
| abstract_inverted_index.patients | 69, 78, 137, 159 |
| abstract_inverted_index.protocol | 98 |
| abstract_inverted_index.regional | 123 |
| abstract_inverted_index.strongly | 202 |
| abstract_inverted_index.tracking | 117 |
| abstract_inverted_index.ablation. | 72 |
| abstract_inverted_index.associate | 60 |
| abstract_inverted_index.endpoints | 15 |
| abstract_inverted_index.included. | 106 |
| abstract_inverted_index.including | 95 |
| abstract_inverted_index.indicated | 90 |
| abstract_inverted_index.optimized | 114 |
| abstract_inverted_index.patients; | 20 |
| abstract_inverted_index.recurrent | 164, 176 |
| abstract_inverted_index.reservoir | 142, 198 |
| abstract_inverted_index.Conclusion | 215 |
| abstract_inverted_index.Objectives | 37 |
| abstract_inverted_index.Sixty-nine | 76 |
| abstract_inverted_index.associated | 203 |
| abstract_inverted_index.associates | 8, 226 |
| abstract_inverted_index.calculated | 119 |
| abstract_inverted_index.hypothesis | 44 |
| abstract_inverted_index.mechanical | 6 |
| abstract_inverted_index.modalities | 25 |
| abstract_inverted_index.phenotypes | 63 |
| abstract_inverted_index.predictive | 174 |
| abstract_inverted_index.recurrence | 67, 132, 233 |
| abstract_inverted_index.tomography | 58 |
| abstract_inverted_index.undergoing | 70 |
| abstract_inverted_index.CHADS2-VASc | 208 |
| abstract_inverted_index.angiography | 94 |
| abstract_inverted_index.contractile | 148, 170 |
| abstract_inverted_index.endocardial | 111 |
| abstract_inverted_index.conventional | 22 |
| abstract_inverted_index.fibrillation | 18 |
| abstract_inverted_index.populations, | 244 |
| abstract_inverted_index.technologies | 249 |
| abstract_inverted_index.low-radiation | 247 |
| abstract_inverted_index.respectively. | 235 |
| abstract_inverted_index.retrospective | 55 |
| abstract_inverted_index.sub-optimally | 32 |
| abstract_inverted_index.applicability. | 253 |
| abstract_inverted_index.foreshortening | 30 |
| abstract_inverted_index.non-paroxysmal | 86, 205 |
| abstract_inverted_index.post-ablation, | 234 |
| abstract_inverted_index.respectively). | 191, 214 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 16 |
| citation_normalized_percentile.value | 0.9302842 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |