Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Baker Department of Cardiometabolic Health, The University of Melbourne, Melbourne, Victoria, Australia.
Am J Physiol Heart Circ Physiol. 2024 Jan 1;326(1):H1-H24. doi: 10.1152/ajpheart.00437.2023. Epub 2023 Nov 3.
Cardiovascular magnetic resonance (CMR) imaging has become an essential technique for the assessment of cardiac function and morphology, and is now routinely used to monitor disease progression and intervention efficacy in the clinic. Cardiac fibrosis is a common characteristic of numerous cardiovascular diseases and often precedes cardiac dysfunction and heart failure. Hence, the detection of cardiac fibrosis is important for both early diagnosis and the provision of guidance for interventions/therapies. Experimental mouse models with genetically and/or surgically induced disease have been widely used to understand mechanisms underlying cardiac fibrosis and to assess new treatment strategies. Improving the appropriate applications of CMR to mouse studies of cardiac fibrosis has the potential to generate new knowledge, and more accurately examine the safety and efficacy of antifibrotic therapies. In this review, we provide ) a brief overview of different types of cardiac fibrosis, ) general background on magnetic resonance imaging (MRI), ) a summary of different CMR techniques used in mice for the assessment of cardiac fibrosis including experimental and technical considerations (contrast agents and pulse sequences), and ) provide an overview of mouse studies that have serially monitored cardiac fibrosis during disease progression and/or therapeutic interventions. Clinically established CMR protocols have advanced mouse CMR for the detection of cardiac fibrosis, and there is hope that discovery studies in mice will identify new antifibrotic therapies for patients, highlighting the value of both reverse translation and bench-to-bedside research.
心血管磁共振(CMR)成像已成为评估心脏功能和形态的重要技术,目前已常规用于监测临床疾病进展和干预效果。心脏纤维化是许多心血管疾病的共同特征,通常先于心脏功能障碍和心力衰竭。因此,心脏纤维化的检测对于早期诊断和干预/治疗指导都很重要。通过基因和/或手术诱导疾病的实验小鼠模型已被广泛用于了解心脏纤维化的机制,并评估新的治疗策略。改善 CMR 在心脏纤维化的小鼠研究中的适当应用,有可能产生新知识,并更准确地检查抗纤维化治疗的安全性和疗效。在这篇综述中,我们提供了:1)不同类型的心脏纤维化的简要概述;2)磁共振成像(MRI)的一般背景;3)用于评估心脏纤维化的不同 CMR 技术在小鼠中的总结,包括实验和技术考虑因素(对比剂和脉冲序列);4)提供了在疾病进展和/或治疗干预期间对心脏纤维化进行连续监测的小鼠研究概述。临床确立的 CMR 方案已经推进了用于检测心脏纤维化的小鼠 CMR,并且有希望在小鼠中进行的发现研究能够为患者确定新的抗纤维化疗法,突出了反向翻译和基础到临床研究的价值。
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