Daire Jean-Luc, Jacob Jean-Pascal, Hyacinthe Jean-Noel, Croisille Pierre, Montet-Abou Karin, Richter Sophie, Botsikas Diomidis, Lepetit-Coiffé Matthieu, Morel Denis, Vallée Jean-Paul
Radiology Department, Faculty of Medicine, University of Geneva and Geneva University Hospital, CH-1211 Geneva 14, Switzerland.
J Cardiovasc Magn Reson. 2008 Nov 3;10(1):48. doi: 10.1186/1532-429X-10-48.
The purpose of this study was to measure regional contractile function in the normal rat using cardiac cine and tagged cardiovascular magnetic resonance (CMR) during incremental low doses of dobutamine and at rest.
Five rats were investigated for invasive left ventricle pressure measurements and five additional rats were imaged on a clinical 1.5 T MR system using a cine sequence (11-20 phases per cycle, 0.28/0.28/2 mm) and a C-SPAMM tag sequence (18-25 phases per cycle, 0.63/1.79/3 mm, tag spacing 1.25 mm). For each slice, wall thickening (WT) and circumferential strains (CS) were calculated at rest and at stress (2.5, 5 and 10 microg/min/kg of dobutamine).
Good cine and tagged images were obtained in all the rats even at higher heart rate (300-440 bpm). Ejection fraction and left ventricular (LV) end-systolic volume showed significant changes after each dobutamine perfusion dose (p < 0.001). Tagged CMR had the capacity to resolve the CS transmural gradient and showed a significant increase of both WT and CS at stress compared to rest. Intra and interobserver study showed less variability for the tagged technique. In rats in which a LV catheter was placed, dobutamine produced a significant increase of heart rate, LV dP/dtmax and LV pressure significantly already at the lowest infusion dose.
Robust cardiac cine and tagging CMR measurements can be obtained in the rat under incremental dobutamine stress using a clinical 1.5 T MR scanner.
本研究的目的是在递增低剂量多巴酚丁胺期间及静息状态下,使用心脏电影和标记心血管磁共振(CMR)测量正常大鼠的局部收缩功能。
对5只大鼠进行有创左心室压力测量,另外5只大鼠在临床1.5T MR系统上使用电影序列(每个心动周期11 - 20个时相,0.28/0.28/2mm)和C-SPAMM标记序列(每个心动周期18 - 25个时相,0.63/1.79/3mm,标记间距1.25mm)进行成像。对于每个层面,计算静息状态及应激状态(2.5、5和10μg/min/kg多巴酚丁胺)下的室壁增厚(WT)和圆周应变(CS)。
即使在较高心率(300 - 440次/分钟)下,所有大鼠均获得了良好的电影和标记图像。每次多巴酚丁胺灌注剂量后,射血分数和左心室(LV)收缩末期容积均有显著变化(p < 0.001)。标记CMR能够分辨CS的透壁梯度,并且与静息状态相比,应激状态下WT和CS均显著增加。观察者内和观察者间研究显示标记技术的变异性较小。在放置了LV导管的大鼠中,多巴酚丁胺在最低输注剂量时即已使心率、LV dP/dtmax和LV压力显著增加。
使用临床1.5T MR扫描仪,在递增多巴酚丁胺应激状态下的大鼠中可获得可靠的心脏电影和标记CMR测量结果。