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Table 1 Comparison between different imaging modalities that assess strain

From: The potential role of feature tracking in adult congenital heart disease: advantages and disadvantages in measuring myocardial deformation by cardiovascular magnetic resonance

  FT-CMR Myocardial tagging Speckle tracking Echo
Advantages Unrestricted by acoustic window
Employs existing cine imaging
Rapid semi-automated analysis
Unaffected by through plane motion. Widely available
Low cost
Rapid acquisition
Rapid semi-automated analysis
High temporal resolution
Limitations Temporal resolution
Intervendor variability
Through plane motion
Dependent on access to CMR
Requires breath-hold cines
Arrhythmia
Temporal resolution
Tags fade in diastole
Need for acquisition of additional sequences
Limited availability
Requires breath-hold
Complex, time-consuming analysis with dedicated software
Acoustic window
Intervendor variability
Through plane motion (3D then affected by temporal resolution)
Frame rate Lower Lower Higher
Temporal resolution HR dependent (if HR is 60, it is 30-40 ms). 35 ms. 12.5–25 ms.
Spatial resolution 1–2 × 1–2 mm in plane resolution. 1–2 × 2–3 mm in plane resolution. Pixel size is about 0.3 mm.