0350
Early Non-Contrast Biomarkers of Left Ventricular Cardiomyopathy in Children with Duchenne Muscular Dystrophy
ZHAN-QIU LIU1, Nyasha Maforo2, Seraina Dual3, Ashley Prosper4, Pierangelo Renella4, Nancy Halnon5, Holden Wu4, and Daniel Ennis3
1Cardiovascular Institute, Stanford University, Stanford, CA, United States, 2Physics and Biology in Medicine Interdepartmental Program, University of California, Los Angeles, Los Angeles, CA, United States, 3Department of Radiology, Stanford University, Stanford, CA, United States, 4Department of Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 5Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA, United States
Septal Ecc was significantly lower against lateral Ecc in controls and LGE- DMD. Septal Ecc in LGE- DMD was significantly impaired against controls, correlated to changes in LVEDV and RVEDV. Septal Ecc outperformed lateral LV pre-contrast T1 and LVEF in distinguishing LGE- DMD from controls.

Figure 1: Global and Regional Ecc in Healthy Boys and LGE(-) boys with DMD. Septal Ecc was significantly lower than anterior, lateral, and inferior Ecc and the lateral Ecc was significantly higher than septal, anterior, and inferior Ecc for both the controls or LGE(-) DMD patients. Furthermore, the LGE(-) DMD patients had significantly reduced septal Ecc compared to healthy volunteers. * p-value ≤ 0.05 is significant for a comparison within either controls or LGE(-) boys with DMD. # p-value ≤ 0.05 is significant for a comparison between controls and LGE(-) patients with DMD.

Figure 2: Receiver Operator Characteristic (ROC) curves for septal Ecc, lateral LV pre-contrast T1, and LVEF from a binomial logistic regression classifier for distinguishing between LGE(-) boys with DMD from healthy boys. Larger area under the curve (AUC) values indicate better classifier performance. Regarding differentiating LGE(-) boys with DMD from healthy boys, septal Ecc outperforms each individual biomarker and the combinaiton of septal Ecc, lateral LV pre-contrast T1, and LVEF outperforms the other biomarker combinations.