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The proportions of <jats:styled-content style=\"fixed-case\">KE<\/jats:styled-content> in each direction to the sum of all <jats:styled-content style=\"fixed-case\">KE<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">KE<jats:sub>r\u00f8z<\/jats:sub><\/jats:styled-content>): %<jats:styled-content style=\"fixed-case\">KE<jats:sub>r<\/jats:sub><\/jats:styled-content>, %<jats:styled-content style=\"fixed-case\">KE<jats:sub>\u00f8<\/jats:sub><\/jats:styled-content>, %<jats:styled-content style=\"fixed-case\">KE<jats:sub>z<\/jats:sub><\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content> fraction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Test<\/jats:title><jats:p>Student's <jats:italic>t<\/jats:italic> test, multivariable regression. Statistical significance: <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In rTOF group, LV KE<jats:sub>z<\/jats:sub> remained normal in systole (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.565) and diastole (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.210), whereas diastolic LV %KE<jats:sub>z<\/jats:sub> (62%\u2009\u00b1\u200914% vs. 72%\u2009\u00b1\u20097%) and systolic LV %KE<jats:sub>\u00f8<\/jats:sub> (9%\u2009\u00b1\u20096% vs. 20%\u2009\u00b1\u20097%) were significantly decreased. The KE<jats:sub>r<\/jats:sub> and %KE<jats:sub>r<\/jats:sub> of both ventricles significantly increased in the rTOF group (RV in diastole: 6\u2009\u00b1\u20093 vs. 3\u2009\u00b1\u20091\u2009\u03bcJ and 54%\u2009\u00b1\u200913% vs. 27%\u2009\u00b1\u20097%). The rTOF group exhibited significantly higher RV\/LV ratios of %KE<jats:sub>r<\/jats:sub> (systole: 1.3\u2009\u00b1\u20090.3 vs. 1.0\u2009\u00b1\u20090.3) and %KE<jats:sub>\u00f8<\/jats:sub> (systole: 1.6\u2009\u00b1\u20090.8 vs. 1.0\u2009\u00b1\u20090.3) and significantly lower ratios of %KE<jats:sub>z<\/jats:sub> in systole (0.7\u2009\u00b1\u20090.2 vs. 1.0\u2009\u00b1\u20090.1) and diastole (0.5\u2009\u00b1\u20090.2 vs. 0.9\u2009\u00b1\u20090.1). In multivariable regression analysis, the RV peak systolic KE<jats:sub>r\u00f8z<\/jats:sub>, RV systolic KE<jats:sub>z<\/jats:sub>, and LV diastolic %KE<jats:sub>\u00f8<\/jats:sub> were independently associated with PR fraction in the rTOF group (adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.479).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusion<\/jats:title><jats:p>In rTOF patients, the adaptation of the KE proportion occurred earlier than that of the KE amplitude, and the biventricular balance of %KE was disrupted. PR may cause differential KE adaptation in RV and LV. TPM\u2010derived KE may be useful in investigation of myocardial adaptation in rTOF patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Evidence Level<\/jats:title><jats:p>2<\/jats:p><\/jats:sec><jats:sec><jats:title>Technical Efficacy<\/jats:title><jats:p>Stage 3<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.28420","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T12:14:31Z","timestamp":1662984871000},"page":"1492-1504","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Differential Adaptation of Biventricular Myocardial Kinetic Energy in Patients With Repaired Tetralogy of Fallot Assessed by <scp>MR<\/scp> Tissue Phase Mapping"],"prefix":"10.1002","volume":"57","author":[{"given":"Shi\u2010Ying","family":"Ke","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering and Environmental Sciences National Tsing Hua University  Hsinchu 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