An Image-based Approach for 3D Left Atrium Functional Measurements

There is growing interest in the assessment of function of the left atrium (LA) in patients with atrial fibrillation (AF). Existing methods of LA functional measurement only quantify a limited subset of the functional parameters from a single or biplane CINE-MRI scan through the LA. Here, we propose an image-based method for comprehensive evaluation of the function of the entire LA in 3D. 4D LA images were reconstructed from a series of CINE image stack covering the whole LA with small or no gap between thin slices. A segmentation from a high-resolution Magnetic Resonance Angiography (MRA) was registered and propagated through pairwise deformable registrations covering the cardiac cycle. Volume, LA ejection fraction and surface strain were computed for each timepoint and registered to Late Gadolinium Enhancement (LGE) scans for each of 52 patient scans. A correlation coefficient of − 0.11 was calculated between LGE and strain, indicating that fibrotic tissue correlates with reduced elasticity.