Cardiac T1 and T2 Mapping at 1.5T: Nomograms and Evaluation of Deep Learning Reconstruction

Author

Lu Mao

Statistical analysis

Age- and gender-specific upper and lower ranges within each slice were calculated as the mean plus and minus 2 standard deviations of the normal data, respectively. Differences by age, gender, and slice were assessed by three-way repeated measures ANOVA. Repeatability and reproducibility were assessed by the intra-class correlation coefficient (ICC) (Fleiss 1971), repeatability/reproducibiliy coefficient, and Bland-Altman analysis. P-values < 0.05 were considered statistically significant. All analyses were performed in R version 4.3.2 (R Foundation for Statistical Computing, Vienna, Austria).

Subject characteristics

Table 1: Patient age distribution by gender.
Female (N=28) Male (N=22)
Age (years) median (IQR) 44.5 (31, 62.25) 41 (32.5, 53)
20-29 5 (17.9%) 5 (22.7%)
30-39 5 (17.9%) 5 (22.7%)
40-49 5 (17.9%) 6 (27.3%)
50-59 5 (17.9%) 2 (9.1%)
60-69 8 (28.6%) 4 (18.2%)

Age- and gender-specific reference ranges

  • Slice 1: AHA1 – AHA6, Sept1
  • Slice 2: AHA7 – AHA12, Sept2
  • Slice 3: AHA13 – AHA16, Sept3

T1 measurements

The gender- and age-specific mean values and 95% ranges are summarized for each segment for MOLLI and SMART in Table 2 and Table 3.

Table 2: Gender-specific mean (+- 2SD) for T1.
map name Female Male P
MOLLI aha1 (896.5, 1138.7) (871.7, 1036.8) <0.001
MOLLI aha2 (932.8, 1143.9) (903.2, 1063.8) <0.001
MOLLI aha3 (927.7, 1129.8) (897.9, 1046.1) <0.001
MOLLI aha4 (905.5, 1171.1) (905.2, 1048.3) <0.001
MOLLI aha5 (906.7, 1136.1) (911.5, 1030.1) <0.001
MOLLI aha6 (896.7, 1133.4) (874.1, 1049.8) <0.001
MOLLI aha7 (915.1, 1139.2) (855.3, 1052.4) <0.001
MOLLI aha8 (951.3, 1120.8) (904.9, 1062.1) <0.001
MOLLI aha9 (961.8, 1102.9) (918.7, 1039.3) <0.001
MOLLI aha10 (948, 1110.6) (916.3, 1034.4) <0.001
MOLLI aha11 (926.2, 1119.4) (910.1, 1038.8) <0.001
MOLLI aha12 (924.9, 1140) (862.1, 1068.2) <0.001
MOLLI aha13 (904.4, 1241.4) (896, 1111.8) <0.001
MOLLI aha14 (978.5, 1157.8) (918.5, 1081.7) <0.001
MOLLI aha15 (946.6, 1169.3) (895.1, 1083.1) <0.001
MOLLI aha16 (912.8, 1274.2) (903.7, 1148.2) 0.002
MOLLI sept_1_mean (932.4, 1133.2) (904.2, 1051.3) <0.001
MOLLI sept_2_mean (946.6, 1110.5) (909.5, 1051.2) <0.001
MOLLI sept_3_mean (979.6, 1167.1) (919.5, 1084.6) <0.001
SMART aha1 (1123.5, 1322.3) (1112.1, 1281.1) 0.031
SMART aha2 (1178, 1355) (1163.4, 1298.9) 0.002
SMART aha3 (1175.4, 1376.1) (1141.1, 1318.4) <0.001
SMART aha4 (1119.6, 1410.1) (1132.5, 1285.6) 0.001
SMART aha5 (1081.1, 1420.5) (1121.7, 1285.1) 0.006
SMART aha6 (1108.7, 1355) (1086.5, 1297.3) 0.008
SMART aha7 (1149, 1311.9) (1102.9, 1285) 0.001
SMART aha8 (1198.2, 1364.6) (1165.1, 1316.8) <0.001
SMART aha9 (1180.6, 1369.8) (1142, 1317.4) <0.001
SMART aha10 (1132.6, 1366.4) (1135.2, 1278) 0.002
SMART aha11 (1114.8, 1379.8) (1118, 1290.3) 0.004
SMART aha12 (1122.7, 1353.1) (1081.4, 1294.2) <0.001
SMART aha13 (1059.8, 1406.2) (1103.4, 1319.8) 0.2
SMART aha14 (1181, 1461.2) (1154.8, 1384) 0.001
SMART aha15 (1071.7, 1461.4) (1098.9, 1318.5) 0.002
SMART aha16 (1012.6, 1448.3) (1000.6, 1348.3) 0.01
SMART sept_1_mean (1187, 1349.7) (1158.5, 1296.7) <0.001
SMART sept_2_mean (1190, 1362) (1149.5, 1332.7) 0.004
SMART sept_3_mean (1182.3, 1463.9) (1153.7, 1374.9) <0.001
Table 3: Age–specific mean (+- 2SD) for T1.
map name 20-29 30-39 40-49 50-59 60-69 P
MOLLI aha1 (839.6, 1156.3) (881.4, 1072.3) (843.1, 1136) (893.5, 1103.2) (882.1, 1072) 0.638
MOLLI aha2 (907.3, 1079.1) (906.8, 1104.7) (885.9, 1154.2) (933.1, 1111.5) (904, 1150.1) 0.763
MOLLI aha3 (892.5, 1071.1) (926.4, 1068.8) (870.2, 1153.2) (912.1, 1084.6) (898.6, 1136.6) 0.612
MOLLI aha4 (852.2, 1118.3) (924, 1083.2) (879.4, 1161.8) (920.9, 1095.4) (880.7, 1174) 0.684
MOLLI aha5 (892.4, 1059.8) (906.8, 1077.3) (903.4, 1101.9) (884.2, 1136.9) (884.9, 1146.1) 0.836
MOLLI aha6 (888.7, 1073) (883, 1087.9) (858.7, 1109.9) (846.8, 1155.7) (867.6, 1135.8) 0.99
MOLLI aha7 (879.8, 1143.7) (850, 1119.4) (874, 1098.7) (893.5, 1073.5) (851.8, 1152.9) 0.641
MOLLI aha8 (923.3, 1096.6) (920.3, 1088.3) (919.6, 1118) (944.9, 1109.4) (887.6, 1139.6) 0.862
MOLLI aha9 (917.9, 1087) (932.8, 1071) (913.5, 1122.5) (952.5, 1102.3) (918.3, 1090.9) 0.597
MOLLI aha10 (911.9, 1070.7) (942.6, 1050.8) (896.1, 1116.1) (945.5, 1091.4) (913.1, 1124) 0.876
MOLLI aha11 (916, 1068.3) (897.6, 1100.8) (883.9, 1107.7) (939.2, 1116) (906, 1111.3) 0.869
MOLLI aha12 (926, 1090.3) (825.8, 1157) (875.4, 1138.5) (889.9, 1158.7) (888.3, 1099.5) 0.251
MOLLI aha13 (906.7, 1188.9) (895, 1151.6) (874.8, 1189.5) (889.6, 1168.6) (863.6, 1287.7) 0.355
MOLLI aha14 (928.4, 1137.2) (930.5, 1124.2) (924.9, 1167.2) (961.1, 1136.8) (910.7, 1174) 0.914
MOLLI aha15 (898, 1138.5) (914.1, 1085.3) (897.7, 1146.4) (947.6, 1168.6) (884.9, 1190) 0.801
MOLLI aha16 (938.8, 1178.5) (883.1, 1197.8) (919.1, 1184.2) (911.8, 1261.6) (845.3, 1340) 0.578
MOLLI sept_1_mean (906.4, 1070.8) (917.4, 1087.2) (881.3, 1146.9) (924.5, 1093.8) (900.9, 1144.2) 0.698
MOLLI sept_2_mean (920.6, 1090.8) (922.2, 1080.4) (921.6, 1104.3) (933.1, 1126.3) (895, 1102.5) 0.494
MOLLI sept_3_mean (930.5, 1137.2) (936.4, 1140.2) (925.6, 1164.3) (959.3, 1137) (900.4, 1195.8) 0.887
SMART aha1 (1075.1, 1323.6) (1149.5, 1268.4) (1096.8, 1319) (1110.6, 1323.6) (1155, 1295.4) 0.493
SMART aha2 (1138.9, 1330.1) (1183.7, 1295) (1143.8, 1359.8) (1176.5, 1337) (1197.7, 1347.7) 0.882
SMART aha3 (1159.9, 1330.1) (1146.7, 1326.2) (1130.1, 1387.4) (1142.8, 1403.3) (1162.6, 1363.4) 0.94
SMART aha4 (1144.1, 1290.1) (1105.5, 1349.5) (1097.3, 1372.6) (1094.9, 1442.2) (1111.4, 1388.3) 0.552
SMART aha5 (1044.5, 1441.1) (1127.6, 1285.6) (1118.3, 1323.4) (1133.4, 1374.6) (1066.5, 1391.1) 0.322
SMART aha6 (1143.5, 1285.7) (1113.7, 1284.9) (1080, 1333) (1056.3, 1410.7) (1067.9, 1369.5) 0.881
SMART aha7 (1138.1, 1287.8) (1137.9, 1260.2) (1066.2, 1340.3) (1152.8, 1303) (1136.3, 1330.9) 0.261
SMART aha8 (1166.3, 1343.2) (1192.8, 1309.3) (1151.8, 1371.9) (1190.7, 1343.6) (1187.2, 1384.3) 0.842
SMART aha9 (1154, 1351.4) (1143.8, 1335.5) (1132.4, 1365.4) (1137.7, 1387.8) (1178.9, 1355.8) 0.821
SMART aha10 (1131.5, 1314.6) (1132.5, 1276.3) (1099.7, 1311.2) (1106.9, 1401.5) (1170.5, 1346.9) 0.105
SMART aha11 (1088.1, 1379.1) (1107.9, 1280.4) (1155.3, 1280) (1107.8, 1369.9) (1116.3, 1379.3) 0.176
SMART aha12 (1129.8, 1327.7) (1044.8, 1360.5) (1092.2, 1315.6) (1150.3, 1341.3) (1093.2, 1323.3) 0.284
SMART aha13 (1101, 1425.8) (1077.4, 1302.9) (1073.9, 1345.6) (1008.5, 1430.3) (1121, 1334.9) 0.058
SMART aha14 (1124.4, 1494.2) (1189.1, 1378.4) (1179, 1387.3) (1193.2, 1423.6) (1149.5, 1467.8) 0.724
SMART aha15 (1070.8, 1489.7) (1091.5, 1339.9) (1087.3, 1314.6) (1080.9, 1383.4) (1070.5, 1434.4) 0.085
SMART aha16 (1049.7, 1479.5) (1027.2, 1341.4) (1017.5, 1341.1) (952, 1413.2) (967, 1425.6) 0.186
SMART sept_1_mean (1158.4, 1332.9) (1177.7, 1287.2) (1149.4, 1341.4) (1155.1, 1364.9) (1182.6, 1349.8) 0.884
SMART sept_2_mean (1165.2, 1344.1) (1193.1, 1308.2) (1141, 1376.5) (1151.6, 1354.7) (1175.5, 1387.1) 0.618
SMART sept_3_mean (1129.7, 1483.3) (1187.3, 1374.3) (1177.2, 1380.9) (1184.4, 1426.3) (1142.3, 1485.1) 0.403

Three-way ANOVA test (Table 4) confirms that gender and slice differences are significant, and that age difference is not.

Table 4: P-values from three-way ANOVA test on age, gender, and slice differences.
Age Gender Slice
MOLLI 0.864 <0.001 <0.001
SMART 0.407 <0.001 <0.001
Table 5: P-values for between-segment differences within each slice adjusting for age and gender for T1.
Slice 1 Slice 2 Slice 3
MOLLI <0.001 0.013 <0.001
SMART <0.001 <0.001 <0.001

T2 measurements

The gender- and age-specific mean values and 95% ranges are summarized for each segment for T2 and T2-fast in Table 6 and Table 7.

Table 6: Gender-specific mean (+- 2SD) for T2.
map name Female Male P
T2 aha1 (43.4, 59.8) (43.8, 57.1) 0.231
T2 aha2 (43.2, 58.6) (43.5, 56.8) 0.452
T2 aha3 (39.6, 62.5) (43.3, 53.9) 0.016
T2 aha4 (42.7, 61.4) (43.3, 57.6) 0.164
T2 aha5 (42.8, 60) (41.7, 57.1) 0.142
T2 aha6 (42.3, 61.3) (44.6, 54.4) 0.029
T2 aha7 (44.2, 62.6) (46.6, 56.5) 0.028
T2 aha8 (44.4, 60.6) (45, 58.3) 0.434
T2 aha9 (45.6, 57.8) (46.2, 55.2) 0.119
T2 aha10 (43.7, 57.9) (43.8, 55.6) 0.154
T2 aha11 (44.7, 58) (43.2, 57.5) 0.275
T2 aha12 (46.2, 60.1) (47, 55) 0.003
T2 aha13 (43.6, 68.1) (43.7, 62.8) 0.053
T2 aha14 (43, 70.2) (44.8, 62.1) 0.023
T2 aha15 (42, 65.2) (41.7, 60.5) 0.079
T2 aha16 (43, 67.7) (43.5, 61.5) 0.048
T2 sept_1_mean (39.6, 62.1) (44, 53.9) 0.054
T2 sept_2_mean (44.5, 58.7) (44.8, 57) 0.488
T2 sept_3_mean (42.3, 70) (43.4, 62.9) 0.042
T2fast aha1 (44, 59.7) (45.1, 56.1) 0.107
T2fast aha2 (42.9, 60.6) (42.3, 58.8) 0.368
T2fast aha3 (43.8, 65.8) (44.9, 59.2) 0.026
T2fast aha4 (42.3, 68.3) (42.5, 64.3) 0.233
T2fast aha5 (43.1, 63.6) (38.1, 63) 0.077
T2fast aha6 (41, 63.8) (39.8, 60.4) 0.159
T2fast aha7 (42.1, 66.2) (46.5, 56.9) 0.026
T2fast aha8 (43.5, 63.9) (42.8, 61.4) 0.298
T2fast aha9 (44.1, 63.9) (44.9, 61.4) 0.522
T2fast aha10 (43, 65) (46.4, 58.2) 0.18
T2fast aha11 (42.3, 63.6) (43.7, 60.5) 0.677
T2fast aha12 (46, 62.9) (46.4, 57.3) 0.008
T2fast aha13 (42.2, 73.8) (43.7, 63.3) 0.009
T2fast aha14 (43, 72.6) (42.3, 63.8) 0.008
T2fast aha15 (43.7, 72.1) (43, 63) 0.006
T2fast aha16 (44.2, 72.3) (46.2, 62.8) 0.021
T2fast sept_1_mean (43.5, 62.6) (45, 57.2) 0.079
T2fast sept_2_mean (43.5, 63.2) (44.2, 60.6) 0.483
T2fast sept_3_mean (42.6, 73.5) (41.7, 63.5) 0.003
Table 7: Age-specific mean (+- 2SD) for T2.
map name 20-29 30-39 40-49 50-59 60-69 P
T2 aha1 (42.8, 59) (46.3, 55.4) (45.2, 55) (41.9, 57) (43.2, 62.4) 0.182
T2 aha2 (41.5, 57.8) (43.5, 57) (44.3, 57.4) (42.8, 55.2) (45.2, 59.1) 0.163
T2 aha3 (37.7, 63.4) (45, 54.7) (43.1, 54.8) (40.5, 54.1) (40.9, 61.3) 0.279
T2 aha4 (41.8, 57.5) (46, 58.2) (45.2, 55) (39.5, 59.8) (44.6, 63.2) 0.019
T2 aha5 (40.9, 55) (41.7, 54.9) (43.1, 57.9) (43, 58.7) (46.8, 61.1) 0.023
T2 aha6 (40.8, 57.8) (42.2, 56) (44.4, 55.6) (41.2, 60.5) (48.1, 58.9) 0.004
T2 aha7 (46.1, 59.5) (45.7, 57.3) (46.7, 58.5) (42.7, 57) (45, 64.5) 0.007
T2 aha8 (45.6, 57.1) (46.6, 56.8) (44.8, 59.3) (43.1, 56.4) (45.3, 63.8) 0.016
T2 aha9 (46, 56.8) (45.9, 55.2) (45.9, 56.5) (44.8, 55.3) (46.4, 58.5) 0.148
T2 aha10 (41.5, 59.5) (45.1, 54.4) (44.3, 54.5) (45.3, 52.6) (45.5, 58.8) 0.027
T2 aha11 (41.3, 56.9) (44.4, 56.7) (46.8, 55.8) (45.4, 55) (45.5, 60.4) 0.024
T2 aha12 (46.7, 58.4) (46, 56.2) (46, 56.3) (45.9, 55.4) (47.9, 60.9) 0.002
T2 aha13 (44.3, 64.4) (45.4, 62.6) (45.5, 61.5) (38.9, 63) (45.9, 71.9) 0.003
T2 aha14 (44.3, 66.3) (46.5, 60.5) (46.3, 62) (41.4, 59.9) (45.5, 74.8) <0.001
T2 aha15 (43.4, 59.2) (44, 57.6) (45.6, 55.9) (47.2, 54) (41.5, 73.4) 0.001
T2 aha16 (43, 64.4) (43.5, 63.3) (45, 61.7) (44.6, 57.9) (42.1, 72.3) 0.147
T2 sept_1_mean (34.8, 65.5) (46.1, 53.2) (44.5, 54.9) (43.2, 52.9) (43.9, 58.1) 0.537
T2 sept_2_mean (45.1, 56.2) (44.4, 56.6) (45.1, 57.6) (44, 55.6) (46, 60.9) 0.024
T2 sept_3_mean (43.4, 66.7) (46.6, 58.1) (45.3, 61.6) (41.1, 60) (45, 75.6) <0.001
T2fast aha1 (42.4, 57.9) (46.2, 57) (46.3, 58.6) (41.2, 56.6) (46.9, 58) 0.028
T2fast aha2 (38.1, 60.7) (44.4, 58.5) (46.2, 57) (40.5, 63) (45.1, 58.9) 0.713
T2fast aha3 (41.5, 65.8) (45.1, 62.2) (46.1, 59.7) (39.1, 67.4) (46.1, 61.5) 0.92
T2fast aha4 (39.1, 63.7) (46.3, 62.8) (46.7, 67.4) (37.8, 68.1) (43.9, 68.1) 0.065
T2fast aha5 (34.5, 64.6) (43, 59.7) (45.4, 62.8) (40.2, 62.5) (43.1, 64.8) 0.242
T2fast aha6 (35.4, 63.9) (41.7, 57.8) (43.5, 61.6) (39.9, 59.6) (44.4, 63.9) 0.194
T2fast aha7 (45.1, 59.4) (43.3, 60.9) (46.2, 62.4) (42.3, 56.5) (43.1, 68.8) 0.001
T2fast aha8 (42.4, 60.5) (44.5, 61.1) (42.7, 62.2) (40.4, 62.1) (46.6, 66.1) 0.079
T2fast aha9 (43.8, 63.3) (45.6, 60.3) (46.1, 58.4) (43.6, 62.7) (44.2, 67.4) 0.294
T2fast aha10 (44.3, 62.1) (43.2, 59.7) (46, 60.6) (39.7, 62.8) (47.7, 64.6) 0.044
T2fast aha11 (42, 60.5) (40.7, 62.1) (45.4, 60.8) (41.7, 61.2) (46.2, 64.5) 0.179
T2fast aha12 (45.7, 60.9) (45.9, 58) (46.4, 60.9) (44.6, 58.7) (46.5, 64.2) 0.133
T2fast aha13 (43.3, 67.2) (46.2, 63.2) (41.6, 69.2) (37.7, 67) (43.7, 78.2) 0.025
T2fast aha14 (41.2, 67.4) (47.1, 59.5) (42.6, 66.9) (39.3, 67.8) (44.5, 77.8) 0.041
T2fast aha15 (46.5, 60.4) (43.2, 64.8) (43.2, 65.6) (46, 61.7) (43.1, 79.2) 0.019
T2fast aha16 (46.9, 63.8) (42.4, 66.8) (46.7, 65.3) (41.4, 70.2) (46, 75) 0.338
T2fast sept_1_mean (40.8, 62.2) (46, 58.7) (46.7, 56.7) (39.8, 64.6) (46.1, 59.5) 0.961
T2fast sept_2_mean (44.6, 59.7) (43.9, 61.3) (42.6, 61.2) (43.3, 59.6) (45.9, 65.9) 0.048
T2fast sept_3_mean (41.1, 67.3) (46.8, 59.9) (41.8, 66.6) (39.3, 67.4) (43.3, 79.7) 0.032

Three-way ANOVA test (Table 8) shows that age, gender and slice all have significant effects.

Table 8: P-values from three-way ANOVA test on age, gender, and slice differences.
Age Gender Slice
T2 <0.001 0.019 <0.001
T2-fast 0.016 0.007 <0.001
Table 9: P-values for between-segment differences within each slice adjusting for age and gender for T2.
Slice 1 Slice 2 Slice 3
T2 0.168 <0.001 <0.001
T2fast <0.001 0.733 0.354

Area of septal contours

The mean and standard deviation (SD) of septal contour area by age and gender for T1 and T2 are summarized in Table 10 and Table 11, respectively. In general, sept1 > sept2 > sept3.

Table 10: Mean (+- 2SD) of septal contour area for T1.
Map Sept Female Male
MOLLI sept_1_area 234.4 ± 155.3 336.4 ± 190.1
MOLLI sept_2_area 197.6 ± 124.8 235.4 ± 136.9
MOLLI sept_3_area 92.6 ± 69.5 124.6 ± 91.1
SMART sept_1_area 227.2 ± 146.1 319.3 ± 225.1
SMART sept_2_area 189.2 ± 135.4 246.2 ± 151.9
SMART sept_3_area 83.6 ± 71.8 118.3 ± 88.9
Table 11: Mean (+- 2SD) of septal contour area for T2.
Map Sept Female Male
T2 sept_1_area 282.7 ± 250.3 381.7 ± 236.1
T2 sept_2_area 222.5 ± 156.2 260.6 ± 128.3
T2 sept_3_area 113.5 ± 92.7 135.6 ± 93.2
T2fast sept_1_area 257.5 ± 249.2 383.5 ± 234.6
T2fast sept_2_area 221.8 ± 167.9 270.6 ± 156.8
T2fast sept_3_area 115.3 ± 87.6 130.3 ± 88.9

Repeatability and Reproducibility

Repeatability for DL reconstructions

The bias, repeatability coefficient (RC), intraclass correlation coefficient (ICC) and 95% confidence interval comparing scan A vs B are tabulated in Table 12. Bland-Altman plots are shown in Figure 1.

Table 12: Repeatability analysis of T1 and T2.
map Bias RC ICC (95% CI) P-value
MOLLI 19.8 78.3 0.616 (0.527, 0.692) p<0.001
SMART 7.5 114.7 0.516 (0.405, 0.612) p<0.001
T2 0.9 6.5 0.59 (0.494, 0.672) p<0.001
T2fast 0.3 10.7 0.304 (0.175, 0.423) p<0.001

Figure 1: Bland-Altman analysis of repeatability for T1 and T2

Between-system reproducibility

The bias, reproducibility coefficient (RC), intraclass correlation coefficient (ICC) and 95% confidence interval comparing scan A vs B are tabulated in Table 13. Bland-Altman plots are shown in Figure 2.

Table 13: Between-system reproducibility analysis of T1 and T2.
map Bias RC ICC (95% CI) P-value
MOLLI 4.4 113.3 0.601 (0.515, 0.675) p<0.001
SMART -4.3 148.7 0.45 (0.344, 0.545) p<0.001
T2 -0.4 10.4 0.41 (0.307, 0.503) p<0.001
T2fast -0.5 12.4 0.395 (0.285, 0.495) p<0.001

Figure 2: Bland-Altman analysis of between-system reproducibility for T1 and T2

Between-sequence reproducibility

The bias, reproducibility coefficient (RC), intraclass correlation coefficient (ICC) and 95% confidence interval comparing MOLLI vs SMART and T2 vs T2fast are tabulated in Table 14. Bland-Altman plots are shown in Figure 3. (Non-inter-system: priority scan A \(\to\) B; inter-system: priority scan B \(\to\) A.) Bias for MOLLI vs SMART is substantial: SMART values are bigger, causing lack of agreement.

Table 14: Between-sequence reproducibility analysis of T1 and T2.
Bias RC ICC (95% CI) P-value
MOLLI vs SMART -228.6 142.9 -0.641 (-0.679, -0.601) p=1
T2 vs T2-fast -1.5 9.5 0.598 (0.554, 0.64) p<0.001

Figure 3: Bland-Altman analysis of between-sequence reproducibility for T1 and T2

Between-recon reproducibility

The bias, reproducibility coefficient (RC), intraclass correlation coefficient (ICC) and 95% confidence interval comparing MOLLI: Std vs DL, T2: Std vs DL, and T2: DL vs GE are tabulated in Table 15. Bland-Altman plots are shown in Figure 4. (Non-inter-system: priority scan A \(\to\) B; inter-system: priority scan B \(\to\) A.) There is strong agreement within the three pairs of comparisons.

Table 15: Between-recon reproducibility analysis of T1 and T2.
Bias RC ICC (95% CI) P-value
MOLLI: Std vs DL -0.7 41.5 0.944 (0.936, 0.95) p<0.001
T2: Std vs DL 0.1 3.1 0.951 (0.944, 0.956) p<0.001
T2: DL vs GE -0.6 3.8 0.906 (0.893, 0.918) p<0.001

Figure 4: Bland-Altman analysis of between-recon reproducibility for T1 and T2

Between-reader reproducibility

The bias, reproducibility coefficient (RC), intraclass correlation coefficient (ICC) and 95% confidence interval comparing RVS vs AF for MOLLI and T2 are tabulated in Table 16. Bland-Altman plots are shown in Figure 5. (Non-inter-system: priority scan A \(\to\) B; inter-system: priority scan B \(\to\) A.) The inter-reader agreement is strong.

Table 16: Between-reader (RVS vs AF) reproducibility analysis of MOLLI and T2.
Bias RC ICC (95% CI) P-value
MOLLI 1.6 70.2 0.807 (0.765, 0.842) p<0.001
T2 0.8 6.4 0.711 (0.654, 0.76) p<0.001

Figure 5: Bland-Altman analysis of between-reader (RVS vs AF) reproducibility for MOLLI and T2

References

Fleiss, Joseph L. 1971. “Measuring Nominal Scale Agreement Among Many Raters.” Psychological Bulletin 76 (5): 378–82. https://doi.org/10.1037/h0031619.