Evaluation of MyoStrain™ in Clinical Practice

Coronary Artery Disease Clinical Trial

Official title:

Evaluation of MyoStrain™ in Clinical Practice

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03825224
• Other study ID #: STUDY00142902
• Status: Completed
• Start date: April 15, 2019
• Est. completion date: November 15, 2019

Study information

• Verified date: November 2019
• Source: University of Kansas Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Evaluate MyoStrain cardiac MRI pulse sequence in Clinical practice

Description:

Evaluate MyoStrain cardiac MRI pulse sequence in Clinical practice to determine how the use may alter treatment decisions and clinical outcomes in patients who are undergoing cardiac MRI.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 19
• Est. completion date: November 15, 2019
• Est. primary completion date: November 15, 2019
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients already scheduled for diagnostic testing with commercially available imaging modality (cardiac MRI)

• The patient population will include (but not limited to), those being evaluated for heart disease and heart failure that may be related to vascular disease (coronary artery disease), drug related heart failure (chemotherapy, alcohol), inflammatory systemic conditions (sarcoidosis, amyloidosis, lupus), myocarditis, and/or infectious etiologies

• Provided written informed consent

Exclusion Criteria:

• Contraindication to Magnetic Resonance Imaging

Related Conditions & MeSH terms

• Amyloidosis
• Cardiac Failure
• Coronary Artery Disease
• Drug Toxicity
• Drug-Related Side Effects and Adverse Reactions
• Heart Failure
• Lupus
• Myocarditis
• Sarcoidosis

Intervention

Procedure:
• Diagnostic Test: Myostrain
This test measures the contraction of the heart muscle in one to three heartbeats per plane. It's a pulse sequence that produces images that reveal the underlying contraction fo the muscle of a healthy heart and associated weaknesses in case of disease.

Locations

Country	Name	City	State
United States	The University of Kansas Medical Center	Kansas City	Kansas

Sponsors (1)

Lead Sponsor	Collaborator
University of Kansas Medical Center

Country where clinical trial is conducted

United States, 

References & Publications (18)

Altiok E, Neizel M, Tiemann S, Krass V, Becker M, Zwicker C, Koos R, Kelm M, Kraemer N, Schoth F, Marx N, Hoffmann R. Layer-specific analysis of myocardial deformation for assessment of infarct transmurality: comparison of strain-encoded cardiovascular magnetic resonance with 2D speckle tracking echocardiography. Eur Heart J Cardiovasc Imaging. 2013 Jun;14(6):570-8. doi: 10.1093/ehjci/jes229. Epub 2012 Nov 12. — View Citation

Freed BH, Tsang W, Bhave NM, Patel AR, Weinert L, Yamat M, Vicedo BM, Dill K, Mor-Avi V, Gomberg-Maitland M, Lang RM. Right ventricular strain in pulmonary arterial hypertension: a 2D echocardiography and cardiac magnetic resonance study. Echocardiography. 2015 Feb;32(2):257-63. doi: 10.1111/echo.12662. Epub 2014 Jun 28. — View Citation

Hamdan A, Thouet T, Kelle S, Paetsch I, Gebker R, Wellnhofer E, Schnackenburg B, Fahmy AS, Osman NF, Fleck E. Regional right ventricular function and timing of contraction in healthy volunteers evaluated by strain-encoded MRI. J Magn Reson Imaging. 2008 Dec;28(6):1379-85. doi: 10.1002/jmri.21526. Erratum in: J Magn Reson Imaging. 2009 Apr;29(4):996. Sebastian, Kelle [corrected to Kelle, Sebastian]. — View Citation

Hamdan A, Thouet T, Kelle S, Wellnhofer E, Paetsch I, Gebker R, Schnackenburg B, Fahmy AS, Osman NF, Bornstedt A, Fleck E. Strain-encoded MRI to evaluate normal left ventricular function and timing of contraction at 3.0 Tesla. J Magn Reson Imaging. 2009 Apr;29(4):799-808. doi: 10.1002/jmri.21684. — View Citation

Koos R, Altiok E, Doetsch J, Neizel M, Krombach G, Marx N, Hoffmann R. Layer-specific strain-encoded MRI for the evaluation of left ventricular function and infarct transmurality in patients with chronic coronary artery disease. Int J Cardiol. 2013 Jun 5;166(1):85-9. doi: 10.1016/j.ijcard.2011.10.004. Epub 2011 Nov 8. — View Citation

Korosoglou G, Futterer S, Humpert PM, Riedle N, Lossnitzer D, Hoerig B, Steen H, Giannitsis E, Osman NF, Katus HA. Strain-encoded cardiac MR during high-dose dobutamine stress testing: comparison to cine imaging and to myocardial tagging. J Magn Reson Imaging. 2009 May;29(5):1053-61. doi: 10.1002/jmri.21759. — View Citation

Korosoglou G, Gitsioudis G, Voss A, Lehrke S, Riedle N, Buss SJ, Zugck C, Giannitsis E, Osman NF, Katus HA. Strain-encoded cardiac magnetic resonance during high-dose dobutamine stress testing for the estimation of cardiac outcomes: comparison to clinical parameters and conventional wall motion readings. J Am Coll Cardiol. 2011 Sep 6;58(11):1140-9. doi: 10.1016/j.jacc.2011.03.063. — View Citation

Korosoglou G, Giusca S, Gitsioudis G, Erbel C, Katus HA. Cardiac magnetic resonance and computed tomography angiography for clinical imaging of stable coronary artery disease. Diagnostic classification and risk stratification. Front Physiol. 2014 Aug 6;5:291. doi: 10.3389/fphys.2014.00291. eCollection 2014. Review. — View Citation

Korosoglou G, Lehrke S, Wochele A, Hoerig B, Lossnitzer D, Steen H, Giannitsis E, Osman NF, Katus HA. Strain-encoded CMR for the detection of inducible ischemia during intermediate stress. JACC Cardiovasc Imaging. 2010 Apr;3(4):361-71. doi: 10.1016/j.jcmg.2009.11.015. — View Citation

Korosoglou G, Lossnitzer D, Schellberg D, Lewien A, Wochele A, Schaeufele T, Neizel M, Steen H, Giannitsis E, Katus HA, Osman NF. Strain-encoded cardiac MRI as an adjunct for dobutamine stress testing: incremental value to conventional wall motion analysis. Circ Cardiovasc Imaging. 2009 Mar;2(2):132-40. doi: 10.1161/CIRCIMAGING.108.790105. Epub 2009 Jan 26. — View Citation

Korosoglou G, Youssef AA, Bilchick KC, Ibrahim el-S, Lardo AC, Lai S, Osman NF. Real-time fast strain-encoded magnetic resonance imaging to evaluate regional myocardial function at 3.0 Tesla: comparison to conventional tagging. J Magn Reson Imaging. 2008 May;27(5):1012-8. doi: 10.1002/jmri.21315. — View Citation

Neizel M, Korosoglou G, Lossnitzer D, Kühl H, Hoffmann R, Ocklenburg C, Giannitsis E, Osman NF, Katus HA, Steen H. Impact of systolic and diastolic deformation indexes assessed by strain-encoded imaging to predict persistent severe myocardial dysfunction in patients after acute myocardial infarction at follow-up. J Am Coll Cardiol. 2010 Sep 21;56(13):1056-62. doi: 10.1016/j.jacc.2010.02.070. — View Citation

Neizel M, Lossnitzer D, Korosoglou G, Schäufele T, Peykarjou H, Steen H, Ocklenburg C, Giannitsis E, Katus HA, Osman NF. Strain-encoded MRI for evaluation of left ventricular function and transmurality in acute myocardial infarction. Circ Cardiovasc Imaging. 2009 Mar;2(2):116-22. doi: 10.1161/CIRCIMAGING.108.789032. Epub 2009 Jan 26. — View Citation

Ohyama Y, Ambale-Venkatesh B, Chamera E, Shehata ML, Corona-Villalobos CP, Zimmerman SL, Hassoun PM, Bluemke DA, Lima JAC. Comparison of strain measurement from multimodality tissue tracking with strain-encoding MRI and harmonic phase MRI in pulmonary hypertension. Int J Cardiol. 2015 Mar 1;182:342-348. doi: 10.1016/j.ijcard.2015.01.016. Epub 2015 Jan 6. — View Citation

Oyama-Manabe N, Ishimori N, Sugimori H, Van Cauteren M, Kudo K, Manabe O, Okuaki T, Kamishima T, Ito YM, Tsutsui H, Tha KK, Terae S, Shirato H. Identification and further differentiation of subendocardial and transmural myocardial infarction by fast strain-encoded (SENC) magnetic resonance imaging at 3.0 Tesla. Eur Radiol. 2011 Nov;21(11):2362-8. doi: 10.1007/s00330-011-2177-4. Epub 2011 Jun 18. — View Citation

Shehata ML, Basha TA, Tantawy WH, Lima JA, Vogel-Claussen J, Bluemke DA, Hassoun PM, Osman NF. Real-time single-heartbeat fast strain-encoded imaging of right ventricular regional function: normal versus chronic pulmonary hypertension. Magn Reson Med. 2010 Jul;64(1):98-106. doi: 10.1002/mrm.22408. — View Citation

Sugimori H, Oyama-Manabe N, Ishizaka K, Hamaguchi H, Sakata M. Comparison of SPAMM and SENC methods for evaluating peak circumferential strain at 3T. Magn Reson Med Sci. 2013 Mar 25;12(1):69-75. Epub 2013 Mar 11. — View Citation

Youssef A, Ibrahim el-SH, Korosoglou G, Abraham MR, Weiss RG, Osman NF. Strain-encoding cardiovascular magnetic resonance for assessment of right-ventricular regional function. J Cardiovasc Magn Reson. 2008 Jul 4;10:33. doi: 10.1186/1532-429X-10-33. — View Citation

* Note: There are 18 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluate workflow for MyoStrain testing	Survey the CMR interpreter to see how Myostrain impacted their interpretation and survey the referring clinician after receiving the CMR report.; Survey Questions using 5-point Likert and binary reporting scale. The lower numbers represent positive feedback. Example listed below: CARDIAC MRI INTERPRETATION QUESTIONS FOR READER (CARDIOLOGIST OR RADIOLOGIST); How easy was it to interpret the additional Myostrain sequence information? 1 2 3 4 5; (1=Very Helpful 2=Helpful 3=Indifferent 4=Unhelpful 5=Very Unhelpful)	Baseline