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KMID : 0880420200210121294
Korean Journal of Radiology
2020 Volume.21 No. 12 p.1294 ~ p.1304
Histological Validation of Cardiovascular Magnetic Resonance T1 Mapping for Assessing the Evolution of Myocardial Injury in Myocardial Infarction: An Experimental Study
Zhang Lu

Yang Zhi-Gang
Xu Huayan
Yang Meng-Xi
Xu Rong
Chen Lin
Sun Ran
Miao Tianyu
Zhao Jichun
Zhou Xiaoyue
Fu Chuan
Guo Yingkun
Abstract
Objective: To determine whether T1 mapping could monitor the dynamic changes of injury in myocardial infarction (MI) and be histologically validated.

Materials and Methods: In 22 pigs, MI was induced by ligating the left anterior descending artery and they underwent serial cardiovascular magnetic resonance examinations with modified Look-Locker inversion T1 mapping and extracellular volume (ECV) computation in acute (within 24 hours, n = 22), subacute (7 days, n = 13), and chronic (3 months, n = 7) phases of MI. Masson's trichrome staining was performed for histological ECV calculation. Myocardial native T1 and ECV were obtained by region of interest measurement in infarcted, peri-infarct, and remote myocardium.

Results: Native T1 and ECV in peri-infarct myocardium differed from remote myocardium in acute (1181 ¡¾ 62 ms vs. 1113 ¡¾ 64 ms, p = 0.002; 24 ¡¾ 4% vs. 19 ¡¾ 4%, p = 0.031) and subacute phases (1264 ¡¾ 41 ms vs. 1171 ¡¾ 56 ms, p < 0.001; 27 ¡¾ 4% vs. 22 ¡¾ 2%, p = 0.009) but not in chronic phase (1157 ¡¾ 57 ms vs. 1120 ¡¾ 54 ms, p = 0.934; 23 ¡¾ 2% vs. 20 ¡¾ 1%, p = 0.109). From acute to chronic MI, infarcted native T1 peaked in subacute phase (1275 ¡¾ 63 ms vs. 1637 ¡¾ 123 ms vs. 1471 ¡¾ 98 ms, p < 0.001), while ECV progressively increased with time (35 ¡¾ 7% vs. 46 ¡¾ 6% vs. 52 ¡¾ 4%, p < 0.001). Native T1 correlated well with histological findings (R2 = 0.65 to 0.89, all p < 0.001) so did ECV (R2 = 0.73 to 0.94, all p < 0.001).

Conclusion: T1 mapping allows the quantitative assessment of injury in MI and the noninvasive monitoring of tissue injury evolution, which correlates well with histological findings.
KEYWORD
Cardiovascular magnetic resonance, Cardiac, T1 mapping, Myocardial infarction, Histology
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