Winter E M, Grauss R W, Atsma D E, Hogers B, Poelmann R E, van der Geest R J, Tschöpe C, Schalij M J, Gittenberger-de Groot A C, Steendijk P
Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, the Netherlands.
Acta Physiol (Oxf). 2008 Oct;194(2):111-22. doi: 10.1111/j.1748-1716.2008.01863.x. Epub 2008 Apr 17.
Murine myocardial infarction (MI) models are increasingly used in heart failure studies. Magnetic resonance imaging (MRI) and pressure-volume loops by conductance catheter (CC) enable physiological phenotyping. We performed a comparative analysis of MRI vs. CC to assess left ventricular (LV) function in the failing mouse heart.
MI was created by LAD ligation. MRI (day 14) and CC (day 15) were used to determine LV end-diastolic volume (EDV), end-systolic volume (ESV) and ejection fraction (EF).
Pooled data yielded moderate-to-strong linear correlations: EDV: R = 0.61; ESV: R = 0.72; EF: R = 0.81. We analysed three groups, no MI (sham, n = 10), small MI (<30% of LV, n = 14) and large MI (>30%, n = 20). Volumes and EF were consistently lower by CC than by MRI, but group differences were evident for both techniques. Receiver-operating characteristic analysis indicated good sensitivity and specificity for both techniques, with superior results for MRI.
CC and MRI are highly valuable for evaluation of LV volume and function. MRI is recommended for longitudinal studies, accurate absolute volumes and anatomical information. Unique features of CC are its online signal with high temporal resolution, and advanced analysis of LV function and energetics.
小鼠心肌梗死(MI)模型在心力衰竭研究中的应用日益广泛。磁共振成像(MRI)和通过电导导管(CC)进行压力-容积环分析可实现生理表型分析。我们对MRI和CC进行了比较分析,以评估衰竭小鼠心脏的左心室(LV)功能。
通过结扎左前降支(LAD)制造MI模型。分别在第14天用MRI和第15天用CC测定左心室舒张末期容积(EDV)、收缩末期容积(ESV)和射血分数(EF)。
汇总数据显示出中度到高度的线性相关性:EDV:R = 0.61;ESV:R = 0.72;EF:R = 0.81。我们分析了三组:无MI(假手术组,n = 10)、小面积MI(<左心室的30%,n = 14)和大面积MI(>30%,n = 20)。CC测得的容积和EF始终低于MRI,但两种技术均能明显区分不同组。受试者操作特征分析表明,两种技术均具有良好的敏感性和特异性,MRI的结果更优。
CC和MRI在评估左心室容积和功能方面具有很高的价值。对于纵向研究、准确的绝对容积和解剖学信息,建议使用MRI。CC的独特之处在于其具有高时间分辨率的在线信号,以及对左心室功能和能量学的高级分析。