Factor analysis of the left ventricle by echocardiography (FALVE): a new tool for detecting regional wall motion abnormalities

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
Frédérique FrouinBenoît Diebold

Abstract

Factor analysis of the left ventricle in echography was developed to study the regional wall motion. Two factors and associated factor images were estimated using specific constraints: one "constant" factor and another "contraction-relaxation" factor. The constant factor was encoded in green, the positive component of the contraction in red and the negative in blue. The evaluation was carried out on 12 patients with LBBB or pacemaker (group A), and on 26 others (group B). The segments were graded separately on the cine-loops by three experienced echocardiographers. Similarly, the three-color combination of the factor images was read at the endocardial border and each segment was scored. An absolute concordance was obtained for 64.8% of the segments and a relative concordance (within one grade) for 97.2%. They were 71% and 99.6% in group B. Most of the discordant cases were explained by the global motion during the cardiac cycle. The standard deviation of the difference between the mean wall motion scores was 0.38 for all the patients; it was reduced to 0.30 in group B. Factor analysis is a promising tool to study the regional wall motion. It might become useful for assessing segmental wall motion in 2D and 3D echo.

Citations

May 2, 2013·Computational and Mathematical Methods in Medicine·Luis Jiménez-ÁngelesVerónica Medina-Bañuelos
Nov 11, 2008·Academic Radiology·K Y Esther Leung, Johan G Bosch
May 16, 2018·Cardiovascular Engineering and Technology·Narjes BenameurTarek Kraiem

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