Comparison of Methods for Late Gadolinium Enhanced Imaging in Cardiac MRI

Author

Lu Mao

Statistical analysis

The following columns are used for analysis:

x
Study ID
Device Type
Likert Score SS MDE SSFP- R1 (PN)
Likert Score SS MDE SPGR- R1 (PN)
Likert Score Segmented MDE SPGR- R1 (PN)
Likert Score SS MDE SSFP R-2 (JS)
Likert Score SS MDE SPGR R-2 (JS)
Likert Score Segmented MDE SPGR R-2 (JS)
LGE accuracy - Detection on SSFP SS MDE (compare to gold standard - segmented SPGR) - R1 (PN)
LGE accuracy - Detection SPGR SS MDE (compare to gold standard - segmented SPGR) - R1 (PN)
LGE accuracy - Detection SS SSFP (compare to gold standard - segmented SPGR) - R2 (JS)
LGE accuracy - Detection SS SPGR (compare to gold standard - segmented SPGR) - R2 (JS)
SNR Blood -SS-SSFP
SNR Myocardium-SS-SSFP
CNR blood-myo (Signal Blood - Signal Myo / SD Blood) SS-SSFP
SNR Blood SS-SPGR
SNR Myocardium SS-SPGR
CNR blood-myo (Signal Blood - Signal Myo / SD Blood) SS-SPGR
SNR Blood Seg-SPGR
SNR Myocardium Seg SPGR
CNR blood-myo (Signal Blood - Signal Myo / SD Blood) Seg-SPGR
Device Type n
ICD 10
No Device 3
PM 3
S-ICD 3

Inter-rater agreement

The inter-reader agreement between PN and JS is measured by the intra-class correlation coefficient (ICC) and its 95% confidence interval (CI). The results are summarized below.

Likert_SSFP Likert_SPGR Likert_Seg LGE_SSFP LGE_SPGR
0.907 (0.78, 0.963), p<0.001 0.52 (0.109, 0.782), p=0.008 0.743 (0.454, 0.892), p<0.001 0.801 (0.561, 0.918), p<0.001 0.699 (0.379, 0.871), p<0.001

The overall ICC (95% CI) is 0.847 (0.779, 0.896), p<0.001, suggesting strong inter-reader agreement.

Likert scores and LGE

The mean Likert score (1-5) and LGE score (1-4) are summarized by mean (SD, standard deviation) and compared across methods by repeated measures ANOVA test.

All (n=19)
Variable Reader SSFP SPGR Seg P
Likert PN 3.1 (1.4) 2.1 (0.8) 1.6 (0.7) <0.001
Likert JS 3.3 (1.4) 1.9 (0.7) 1.7 (0.7) <0.001
LGE PN 2.7 (1.1) 1.9 (0.7) NA 0.005
LGE JS 2.9 (0.9) 1.7 (0.7) NA <0.001
ICD (n=13)
Variable Reader SSFP SPGR Seg P
Likert PN 3.9 (0.8) 2.3 (0.8) 1.8 (0.7) <0.001
Likert JS 4 (1) 2.1 (0.8) 1.7 (0.8) <0.001
LGE PN 3.3 (0.6) 2.1 (0.6) NA <0.001
LGE JS 3.3 (0.8) 1.8 (0.8) NA <0.001
PM (n=3)
Variable Reader SSFP SPGR Seg P
Likert PN 1.3 (0.6) 1.3 (0.6) 1.3 (0.6) 1
Likert JS 1.7 (0.6) 1.3 (0.6) 2 (1) 0.64
LGE PN 1.3 (0.6) 1.7 (1.2) NA 0.423
LGE JS 2 (1) 1.3 (0.6) NA 0.184

SNR blood, myo, and CNR blood-myo

Similarly, SNR blood, myo, and CNR blood-myo are summarized by mean (SD) and tested across methods by repeated measures ANOVA.

All (n=19)
Variable SSFP SPGR Seg P
SNRblood 9.4 (10.2) 11.2 (2.4) 16.8 (6.4) 0.007
SNRmyo 3.4 (3.1) 2.4 (1.7) 2.9 (2.3) 0.25
CNR 7.9 (9.4) 9.4 (2.3) 14.5 (5.6) 0.006
ICD (n=13)
Variable SSFP SPGR Seg P
SNRblood 4.9 (5.6) 10.9 (2.7) 16.2 (6.3) <0.001
SNRmyo 3.9 (3.7) 2.6 (1.8) 3.2 (2.3) 0.306
CNR 3.5 (4) 9 (2.3) 13.8 (6.1) <0.001
PM (n=3)
Variable SSFP SPGR Seg P
SNRblood 22.4 (16) 11 (1.6) 21 (9.7) 0.495
SNRmyo 2.5 (1.7) 1 (1.1) 1.9 (3.8) 0.475
CNR 20.4 (15.7) 10.1 (1.9) 18.5 (5.1) 0.464

There are significant differences in SNRblood and CNR, with SSFP < SPGR < Seg. There is no significant difference in SNRmyo.