Stuckey Daniel J, Carr Carolyn A, Tyler Damian J, Aasum Ellen, Clarke Kieran
Department of Physiology, Cardiac Metabolism Research Group, Anatomy and Genetics, University of Oxford, Oxford, UK.
Magn Reson Med. 2008 Sep;60(3):582-7. doi: 10.1002/mrm.21677.
The aim of this study was to determine whether high-temporal-resolution (HTR) cardiac cine-MRI could be used to identify subtle alterations in contractility and diastolic function in rodent models of disease. Following standard 45-min in vivo MRI measurements of left ventricular (LV) volumes, a single mid-ventricular slice was selected for 3-min HTR imaging. Cavity volume was measured every 2.4 ms, yielding approximately 60 images through the cardiac cycle. From these images, peak ejection and filling rates were calculated and two separate filling phases (comparable with the early (E) and late (A) phases of a Doppler echocardiogram) were identified during diastole. Repeated HTR imaging of the same animals on sequential days indicated reproducibility of E'/A' ratios of 11%. In chronically infarcted rat hearts, HTR imaging revealed lower peak ejection rates (PERs), peak early filling rates (E') and E'/A' ratios, and higher peak late filling rates (A') than in sham-operated rats. Diabetic db/db mouse hearts had the same function as controls when using standard cine-MRI, yet HTR imaging identified significantly lower PERs, early filling rates and E'/A' ratios in diabetic mouse hearts. In conclusion, the HTR MRI technique revealed changes in function that were below the limits of detection of standard cine-MRI.
本研究的目的是确定高时间分辨率(HTR)心脏电影磁共振成像(cine-MRI)是否可用于识别疾病啮齿动物模型中收缩性和舒张功能的细微改变。在对左心室(LV)容积进行标准的45分钟体内MRI测量后,选择单个心室中层切片进行3分钟的HTR成像。每2.4毫秒测量一次腔室容积,在心动周期中产生大约60张图像。从这些图像中,计算出峰值射血率和充盈率,并在舒张期识别出两个单独的充盈阶段(与多普勒超声心动图的早期(E)和晚期(A)阶段相当)。对同一动物连续几天进行重复的HTR成像表明,E'/A'比值的可重复性为11%。在慢性梗死大鼠心脏中,与假手术大鼠相比,HTR成像显示峰值射血率(PERs)、早期峰值充盈率(E')和E'/A'比值较低,而晚期峰值充盈率(A')较高。当使用标准电影MRI时,糖尿病db/db小鼠心脏的功能与对照组相同,但HTR成像显示糖尿病小鼠心脏的PERs、早期充盈率和E'/A'比值显著降低。总之,HTR MRI技术揭示了标准电影MRI检测极限以下的功能变化。