Nacif Marcelo Souto, Raman Fabio S, Gai Neville, Jones Jacquin, van der Geest Rob J, T Sibley Christopher, Liu Songtao, David A Bluemke
MD, PhD, Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil, National Institutes of Health Clinical Center, National Institute of Biomedical Imaging and Bioengineering, Bethesda, MD, USA.
Biomedical Engineer, National Institutes of Health Clinical Center, National Institute of Biomedical Imaging and Bioengineering, Bethesda, MD, USA.
Radiol Bras. 2018 Jan-Feb;51(1):13-19. doi: 10.1590/0100-3984.2016.0071.
To compare an albumin-bound gadolinium chelate (gadofosveset trisodium) and an extracellular contrast agent (gadobenate dimeglumine), in terms of their effects on myocardial longitudinal (T1) relaxation time and partition coefficient.
Study subjects underwent two imaging sessions for T1 mapping at 3 tesla with a modified look-locker inversion recovery (MOLLI) pulse sequence to obtain one pre-contrast T1 map and two post-contrast T1 maps (mean 15 and 21 min, respectively). The partition coefficient was calculated as Δ /Δ , where is 1/T1.
A total of 252 myocardial and blood pool T1 values were obtained in 21 healthy subjects. After gadolinium administration, the myocardial T1 was longer for gadofosveset than for gadobenate, the mean difference between the two contrast agents being -7.6 ± 60 ms ( = 0.41). The inverse was true for the blood pool T1, which was longer for gadobenate than for gadofosveset, the mean difference being 56.5 ± 67 ms ( < 0.001). The partition coefficient (λ) was higher for gadobenate than gadofosveset (0.41 vs. 0.33), indicating slower blood pool washout for gadofosveset than for gadobenate.
Myocardial T1 times did not differ significantly between gadobenate and gadofosveset. At typical clinical doses of the contrast agents, partition coefficients were significantly lower for the intravascular contrast agent than for the extravascular agent.
比较白蛋白结合钆螯合物(钆布醇三钠)和细胞外造影剂(钆贝葡胺)对心肌纵向(T1)弛豫时间和分配系数的影响。
研究对象在3特斯拉场强下采用改良的Look-Locker反转恢复(MOLLI)脉冲序列进行两次T1 mapping成像检查,以获取一次造影前T1图和两次造影后T1图(分别平均为15分钟和21分钟)。分配系数计算为Δ /Δ ,其中 为1/T1。
21名健康受试者共获得252个心肌和血池T1值。给予钆剂后,钆布醇组心肌T1长于钆贝葡胺组,两种造影剂之间的平均差异为-7.6±60毫秒( = 0.41)。血池T1情况相反,钆贝葡胺组血池T1长于钆布醇组,平均差异为56.5±67毫秒( < 0.001)。钆贝葡胺的分配系数(λ)高于钆布醇(0.41对0.33),表明钆布醇的血池清除速度比钆贝葡胺慢。
钆贝葡胺和钆布醇之间的心肌T1时间无显著差异。在造影剂的典型临床剂量下,血管内造影剂的分配系数显著低于血管外造影剂。