Measuring Cardiac Dyssynchrony with DENSE (Displacement Encoding with Stimulated Echoes)—A Systematic Review Article Swipe
Saara Sillanmäki
,
Hanna-Liina Vainio
,
Elias Ylä‐Herttuala
,
Minna Husso
,
Marja Hedman
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.31083/j.rcm2409261
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.31083/j.rcm2409261
Background: In this review, we introduce the displacement encoding with stimulated echoes (DENSE) method for measuring myocardial dyssynchrony using cardiovascular magnetic resonance (CMR) imaging. We provide an overview of research findings related to DENSE from the past two decades and discuss other techniques used for dyssynchrony evaluation. Additionally, the review discusses the potential uses of DENSE in clinical practice. Methods: A search was conducted to identify relevant articles published from January 2000 through January 2023 using the Scopus, Web of Science, PubMed and Cochrane databases. The following search term was used: (DENSE OR ‘displacement encoding with stimulated echoes’ OR CURE) AND (dyssynchrony* OR asynchron* OR synchron*) AND (MRI OR ‘magnetic resonance’ OR CMR). Results: After removing duplicates, researchers screened a total of 174 papers. Papers that were not related to the topic, reviews, general overview articles and case reports were excluded, leaving 35 articles for further analysis. Of these, 14 studies focused on cardiac dyssynchrony estimation with DENSE, while the remaining 21 studies served as background material. The studies used various methods for presenting synchronicity, such as circumferential uniformity ratio estimate (CURE), CURE-singular value decomposition (SVD), radial uniformity ratio estimate (RURE), longitudinal uniformity ratio estimate (LURE), time to onset of shortening (TOS) and dyssynchrony index (DI). Most of the dyssynchrony studies concentrated on human heart failure, but congenital heart diseases and obesity were also evaluated. The researchers found that DENSE demonstrated high reproducibility and was found useful for detecting cardiac resynchronisation therapy (CRT) responders, optimising CRT device settings and assessing right ventricle synchronicity. In addition, studies showed a correlation between cardiac fibrosis and mechanical dyssynchrony in humans, as well as a decrease in the synchrony of contraction in the left ventricle in obese mice. Conclusions: DENSE shows promise as a tool for quantifying myocardial function and dyssynchrony, with advantages over other cardiac dyssynchrony evaluation methods. However, there remain challenges related to DENSE due to the relatively time-consuming imaging and analysis process. Improvements in imaging and analysing technology, as well as possible artificial intelligence solutions, may help overcome these challenges and lead to more widespread clinical use of DENSE.
Related Topics
Concepts
Medicine
Ventricle
Reproducibility
Ventricular dyssynchrony
Cardiology
Internal medicine
Heart failure
Cardiac resynchronization therapy
Statistics
Mathematics
Ejection fraction
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.31083/j.rcm2409261
- https://www.imrpress.com/journal/RCM/24/9/10.31083/j.rcm2409261/pdf
- OA Status
- gold
- Cited By
- 2
- References
- 77
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386895904
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386895904Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.31083/j.rcm2409261Digital Object Identifier
- Title
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Measuring Cardiac Dyssynchrony with DENSE (Displacement Encoding with Stimulated Echoes)—A Systematic ReviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-09-18Full publication date if available
- Authors
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Saara Sillanmäki, Hanna-Liina Vainio, Elias Ylä‐Herttuala, Minna Husso, Marja HedmanList of authors in order
- Landing page
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https://doi.org/10.31083/j.rcm2409261Publisher landing page
- PDF URL
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https://www.imrpress.com/journal/RCM/24/9/10.31083/j.rcm2409261/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.imrpress.com/journal/RCM/24/9/10.31083/j.rcm2409261/pdfDirect OA link when available
- Concepts
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Medicine, Ventricle, Reproducibility, Ventricular dyssynchrony, Cardiology, Internal medicine, Heart failure, Cardiac resynchronization therapy, Statistics, Mathematics, Ejection fractionTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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77Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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