KMID : 0880420200210121294
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Korean Journal of Radiology 2020 Volume.21 No. 12 p.1294 ~ p.1304
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Histological Validation of Cardiovascular Magnetic Resonance T1 Mapping for Assessing the Evolution of Myocardial Injury in Myocardial Infarction: An Experimental Study
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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
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Abstract
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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.
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KEYWORD
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Cardiovascular magnetic resonance, Cardiac, T1 mapping, Myocardial infarction, Histology
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