Nam Bo Da, Kim Sung Mok, Jung Hye Na, Kim Yiseul, Choe Yeon Hyeon
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea.
Int J Cardiovasc Imaging. 2018 Nov;34(11):1769-1777. doi: 10.1007/s10554-018-1385-2. Epub 2018 May 30.
To compare inversion time (TI) parameters, native T1, and extracellular volume (ECV) on cardiac magnetic resonance (CMR) imaging between patients with cardiac amyloidosis (CA) or hypertrophic cardiomyopathy (HCMP). Forty six patients with biopsy-confirmed CA and 30 patients with HCMP who underwent CMR were included. T1 and TI values were measured in the septum and cavity of the left ventricle on T1 mapping and TI scout images. TI values were selected at nulling point for each myocardium and blood pool. Native T1, ECV, and TI interval values were significantly different between the CA (1170.5 ± 86.4 ms, 56.7 ± 12.2, - 11.5 ± 28.4 ms) and HCMP (1059.5 ± 63.4 ms, 28.5 ± 5.8, 66.2 ± 25.4 ms) (all p < 0.001). The diagnostic performance of the TI interval (area under the ROC curve, 0.975) was not inferior to that of the ECV (0.980, p = 0.776), and it was superior to that of the native T1 (0.845, p = 0.004). The diagnostic performance of TI interval was comparable to that of ECV for differential diagnosis between CA and HCMP. TI interval showed the feasibility as quantitative CMR parameter when T1 mapping images are not available.
比较心脏淀粉样变性(CA)或肥厚型心肌病(HCMP)患者心脏磁共振成像(CMR)上的反转时间(TI)参数、固有T1和细胞外容积(ECV)。纳入46例经活检确诊为CA且接受CMR检查的患者以及30例HCMP患者。在T1映射和TI定位图像上测量左心室间隔和心腔的T1和TI值。选择每个心肌和血池的零点处的TI值。CA组(1170.5±86.4ms,56.7±12.2,-11.5±28.4ms)和HCMP组(1059.5±63.4ms,28.5±5.8,66.2±25.4ms)之间的固有T1、ECV和TI间隔值存在显著差异(所有p<0.001)。TI间隔的诊断性能(ROC曲线下面积,0.975)不低于ECV(0.980,p=0.776),且优于固有T1(0.845,p=0.004)。TI间隔在CA和HCMP鉴别诊断中的诊断性能与ECV相当。当无法获得T1映射图像时,TI间隔作为定量CMR参数显示出可行性。