Cine DENSE MRI for circumferential and radial dyssynchrony in patients referred for cardiac resynchronization therapy

Cine DENSE (Displacement Encoding with Stimulated Echoes) MRI offers high resolution circumferential, radial, and longitudinal strain assessment. Dyssynchrony assessment using midwall circumferential strain corresponds to the predominant physiologic orientation of myofibers, and its effectiveness for cardiac resynchronization therapy (CRT) patient selection has recently been demonstrated [1]. Current echocardiographic dyssynchrony measures are based on radial or longitudinal velocity/strain.