{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:29:27Z","timestamp":1791822567941,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T00:00:00Z","timestamp":1729814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiac magnetic resonance elastography (MRE) shows promise in assessing the mechanofunctional properties of the heart but faces clinical challenges, mainly synchronization with cardiac cycle, breathing, and external harmonic stimulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the reproducibility of in vivo cardiac multifrequency MRE (MMRE) for assessing diastolic left ventricular (LV) stiffness and viscosity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Type<\/jats:title>\n                    <jats:p>Prospective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>This single\u2010center study included a total of 28 participants (mean age, 56.6\u2009\u00b1\u200923.0\u2009years; 16 male) consisting of randomly selected healthy participants (mean age, 44.6\u2009\u00b1\u200920.1\u2009years; 9 male) and patients with aortic stenosis (mean age, 78.3\u2009\u00b1\u20093.8\u2009years; 7 male).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Field Strength\/Sequence<\/jats:title>\n                    <jats:p>3\u2009T, 3D multifrequency MRE with a single\u2010shot spin\u2010echo planar imaging sequence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Assessment<\/jats:title>\n                    <jats:p>Each participant underwent two cardiac MMRE examinations on the same day. Full 3D wave fields were acquired in diastole at frequencies of 80, 90, and 100\u2009Hz during a total of three breath\u2010holds. Shear wave speed (SWS) and penetration rate (PR) were reconstructed as a surrogate for tissue stiffness and inverse viscous loss. Epicardial and endocardial ROIs were manually drawn by two independent readers to segment the LV myocardium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Tests<\/jats:title>\n                    <jats:p>\n                      Shapiro\u2013Wilk test, Bland\u2013Altman analysis and intraclass correlation coefficient (ICC).\n                      <jats:italic>P<\/jats:italic>\n                      \u2010value &lt;0.05 were considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Bland\u2013Altman analyses and intraclass correlation coefficients (ICC\u2009=\u20090.96 for myocardial stiffness and ICC\u2009=\u20090.93 for viscosity) indicated near\u2010perfect test\u2013retest repeatability among examinations on the same day. The mean SWS for scan and re\u2010scan diastolic LV myocardium were 2.42\u2009\u00b1\u20090.24\u2009m\/s and 2.39\u2009\u00b1\u20090.23\u2009m\/s; the mean PR were 1.24\u2009\u00b1\u20090.17\u2009m\/s and 1.22\u2009\u00b1\u20090.14\u2009m\/s. Inter\u2010reader variability showed good to excellent agreement for myocardial stiffness (ICC\u2009=\u20090.92) and viscosity (ICC\u2009=\u20090.85).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Conclusion<\/jats:title>\n                    <jats:p>Cardiac MMRE is a promising and reproducible method for noninvasive assessment of diastolic LV stiffness and viscosity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technical Efficacy<\/jats:title>\n                    <jats:p>1<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmri.29640","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T03:06:05Z","timestamp":1729825565000},"page":"2146-2154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Reproducibility of Cardiac Multifrequency\n                    <scp>MR<\/scp>\n                    Elastography in Assessing Left Ventricular Stiffness and Viscosity"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5152-7660","authenticated-orcid":false,"given":"Johannes","family":"Castelein","sequence":"first","affiliation":[{"name":"Department of Radiology University Medical Center Groningen  Groningen The Netherlands"},{"name":"Department of Biomedical Sciences, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda S.","family":"Duus","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pernille S.","family":"B\u00e6kke","sequence":"additional","affiliation":[{"name":"The Heart Centre Copenhagen University Hospital, Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingolf","family":"Sack","sequence":"additional","affiliation":[{"name":"Department of Radiology Charite\u2014Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias S.","family":"Anders","sequence":"additional","affiliation":[{"name":"Department of Radiology Charite\u2014Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Kettless","sequence":"additional","affiliation":[{"name":"Deparment of Research and Collaboration Siemens Healthcare A\/S  Ballerup Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam E.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Radiology Copenhagen University Hospital, Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudi A. J. O.","family":"Dierckx","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and Molecular Imaging University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole","family":"De Backer","sequence":"additional","affiliation":[{"name":"The Heart Centre Copenhagen University Hospital, Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels G.","family":"Vejlstrup","sequence":"additional","affiliation":[{"name":"The Heart Centre Copenhagen University Hospital, Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten A. V.","family":"Lund","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"},{"name":"The Heart Centre Copenhagen University Hospital, Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8072-1243","authenticated-orcid":false,"given":"Ronald J. 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