“…Despite advances in various modalities, cardiac wall motion analysis can be a rather subjective evaluation and can have significant interobserver and intraobserver variability. 4,5,12,16 To minimize the amount of time, the effect of geometric assumptions made during regional EF calculations, and the subjective input involved in analysis of cMRI studies, a semi-automated 3D reconstruction Cardiac Image Modeling tool (CIM 4.6; University of Auckland, Auckland, New Zealand) has been developed to quantitatively assess global and regional cardiac function. 17,18 CIM is a finite element model that creates a 3D reconstruction of the heart, based on user-defined guide points that customize the computer-generated tracings of endocardium and epicardium in both long and short axis magnetic resonance (MR) time series images ( Fig.…”