Appearance of microvascular obstruction on high resolution first-pass perfusion, early and late gadolinium enhancement CMR in patients with acute myocardial ... View Full Text


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Article Info

DATE

2009-12

AUTHORS

Adam N Mather, Timothy Lockie, Eike Nagel, Michael Marber, Divaka Perera, Simon Redwood, Aleksandra Radjenovic, Ansuman Saha, John P Greenwood, Sven Plein

ABSTRACT

BACKGROUND: The presence and extent of microvascular obstruction (MO) after acute myocardial infarction can be measured by first-pass gadolinium-enhanced perfusion cardiovascular magnetic resonance (CMR) or after gadolinium injection with early or late enhancement (EGE/LGE) imaging. The volume of MO measured by these three methods may differ because contrast agent diffusion into the MO reduces its apparent extent over time. Theoretically, first-pass perfusion CMR should be the most accurate method to measure MO, but this technique has been limited by lower spatial resolution than EGE and LGE as well as incomplete cardiac coverage. These limitations of perfusion CMR can be overcome using spatio-temporal undersampling methods. The purpose of this study was to compare the extent of MO by high resolution first-pass k-t SENSE accelerated perfusion, EGE and LGE. METHODS: 34 patients with acute ST elevation myocardial infarction, treated successfully with primary percutaneous coronary intervention (PPCI), underwent CMR within 72 hours of admission. k-t SENSE accelerated first-pass perfusion MR (7 fold acceleration, spatial resolution 1.5 mm x 1.5 mm x 10 mm, 8 slices acquired over 2 RR intervals, 0.1 mmol/kg Gd-DTPA), EGE (14 minutes after injection with a fixed TI of 440 ms) and LGE images (1012 minutes after injection, TI determined by a Look-Locker scout) were acquired. MO volume was determined for each technique by manual planimetry and summation of discs methodology. RESULTS: k-t SENSE first-pass perfusion detected more cases of MO than EGE and LGE (22 vs. 20 vs. 14, respectively). The extent of MO imaged by first-pass perfusion (median mass 4.7 g, IQR 6.7) was greater than by EGE (median mass 2.3 g, IQR 7.1, p = 0.002) and LGE (median mass 0.2 g, IQR 2.4, p = 0.0003). The correlation coefficient between MO mass measured by first-pass perfusion and EGE was 0.91 (p < 0.001). CONCLUSION: The extent of MO following acute myocardial infarction appears larger on high-resolution first-pass perfusion CMR than on EGE and LGE. Given the inevitable time delay between gadolinium administration and acquisition of either EGE or LGE images, high resolution first-pass perfusion imaging may be the most accurate method to quantify MO. More... »

PAGES

33

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1532-429x-11-33

DOI

http://dx.doi.org/10.1186/1532-429x-11-33

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042282734

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19698105


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

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curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1532-429x-11-33'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1532-429x-11-33'

Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1532-429x-11-33'


 

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301 Division of Imaging Sciences, The Rayne Institute, King's College London, St Thomas' Campus, UK
302 rdf:type schema:Organization
303 https://www.grid.ac/institutes/grid.9909.9 schema:alternateName University of Leeds
304 schema:name Division of Cardiovascular and Neuronal Remodelling, University of Leeds, UK
305 Division of Medical Physics, University of Leeds, UK
306 rdf:type schema:Organization
 




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