Department of Medical Physics and Engineering, Area of Medical Imaging Technology and Science, Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
Division of Clinical Radiology Service, Kyoto University Hospital, Kyoto 606-8507, Japan.
Tomography. 2023 Apr 18;9(2):871-882. doi: 10.3390/tomography9020071.
This study validates the usefulness of myocardial strain analysis with cardiac cine magnetic resonance imaging (MRI) by evaluating the changes in the cardiac function and myocardial strain values longitudinally in a myocardial disease model. Six eight-week-old male Wistar rats were used as a model of myocardial infarction (MI). Cine images were taken in the short axis, two-chamber view longitudinal axis, and four-chamber view longitudinal axis directions in rats 3 and 9 days after MI and in control rats, with preclinical 7-T MRI. The control images and the images on days 3 and 9 were evaluated by measuring the ventricular ejection fraction (EF) and the strain values in the circumferential (CS), radial (RS), and longitudinal directions (LS). The CS decreased significantly 3 days after MI, but there was no difference between the images on days 3 and 9. The two-chamber view LS was -9.7 ± 2.1% at 3 days and -13.9 ± 1.4% at 9 days after MI. The four-chamber view LS was -9.9 ± 1.5% at 3 days and -11.9 ± 1.3% at 9 days after MI. Both the two- and four-chamber LS values were significantly decreased 3 days after MI. Myocardial strain analysis is, therefore, useful for assessing the pathophysiology of MI.
本研究通过评估心肌疾病模型中心脏功能和心肌应变值的纵向变化,验证了心脏电影磁共振成像(MRI)心肌应变分析的有用性。将 6 只 8 周龄雄性 Wistar 大鼠作为心肌梗死(MI)模型。在 MI 后 3 天和 9 天以及对照大鼠中,使用临床前 7-T MRI 在短轴、两腔视图长轴和四腔视图长轴方向上采集心脏电影图像。通过测量心室射血分数(EF)和圆周(CS)、径向(RS)和纵向(LS)方向的应变值来评估对照图像和第 3 天和第 9 天的图像。MI 后 3 天 CS 显著下降,但第 3 天和第 9 天的图像之间没有差异。MI 后 3 天和 9 天的两腔视图 LS 分别为-9.7±2.1%和-13.9±1.4%。MI 后 3 天和 9 天的四腔视图 LS 分别为-9.9±1.5%和-11.9±1.3%。MI 后 3 天,两腔和四腔 LS 值均显著降低。因此,心肌应变分析有助于评估 MI 的病理生理学。