Analysis of myocardial motion using generalized spline models and tagged magnetic resonance images

Heart wall motion abnormalities are the very sensitive indicators of common heart diseases, such as myocardial infarction and ischemia. Regional strain analysis is especially important in diagnosing local abnormalities and mechanical changes in the myocardium. In this work, we present a complete method for the analysis of cardiac motion and the evaluation of regional strain in the left ventricular wall. The method is based on the generalized spline models and tagged magnetic resonance images (MRI) of the left ventricle. The whole method combines dynamical tracking of tag deformation, simulating cardiac movement and accurately computing the regional strain distribution. More specifically, the analysis of cardiac motion is performed in three stages. Firstly, material points within the myocardium are tracked over time using a semi-automated snake-based tag tracking algorithm developed for this purpose. This procedure is repeated in three orthogonal axes so as to generate a set of one-dimensional sample measurements of the displacement field. The 3D-displacement field is then reconstructed from this sample set by using a generalized vector spline model. The spline reconstruction of the displacement field is explicitly expressed as a linear combination of a spline kernel function associated with each sample point and a polynomial term. Finally, the strain tensor (linear or nonlinear) with three direct components and three shear components is calculated by applying a differential operator directly to the displacement function. The proposed method is computationally effective and easy to perform on tagged MR images. The preliminary study has shown potential advantages of using this method for the analysis of myocardial motion and the quantification of regional strain.