Higgins C B, Herfkens R, Lipton M J, Sievers R, Sheldon P, Kaufman L, Crooks L E
Am J Cardiol. 1983 Jul;52(1):184-8. doi: 10.1016/0002-9149(83)90093-0.
Nuclear magnetic resonance (NMR) imaging was used to study 24-hour-old acute myocardial infarctions in 8 dogs. Images and measurements of excised hearts were obtained in a 6.5 ml bore-resistive NMR imager (0.35 Tesla). Spin echo NMR imaging in each instance demonstrated the area of infarction as a region of increased signal intensity compared with that in normal myocardium. The T1 and T2 values of the area of infarction were greater than those of normal myocardium in all dogs. For each dog the T1 value was greater for the infarct region; however, the group mean value for T1 (ms) of the infarct region (728 +/- 94) was not significantly greater than that for the normal region (650 +/- 87). The T2 value (ms) was discriminate for all dogs, and the mean value for the infarct region (48 +/- 2) was significantly different (p less than 0.01) from the value for normal myocardium (42 +/- 1). The percent water content of the infarct (79 +/- 1%) was significantly greater (p less than 0.01) than that of normal regions (76 +/- 1%). The linear relationship between T2 value and percent water content showed a good correlation coefficient (r = 0.90; p less than 0.01). NMR imaging detects acute myocardial infarction as a positive image without contrast media. Increased signal intensity of the infarct is related to increased hydrogen density and increased T2 relaxation time.
利用核磁共振(NMR)成像技术对8只犬24小时龄的急性心肌梗死进行了研究。在一台6.5毫升孔径的电阻式NMR成像仪(0.35特斯拉)中获取了切除心脏的图像和测量数据。每次自旋回波NMR成像均显示梗死区域为与正常心肌相比信号强度增加的区域。在所有犬中,梗死区域的T1和T2值均大于正常心肌。对于每只犬,梗死区域的T1值更大;然而,梗死区域的T1(毫秒)组均值(728±94)并不显著高于正常区域(650±87)。所有犬的T2值(毫秒)具有鉴别性,梗死区域的均值(48±2)与正常心肌的值(42±1)有显著差异(p<0.01)。梗死区域的水含量百分比(79±1%)显著高于正常区域(76±1%)(p<0.01)。T2值与水含量百分比之间的线性关系显示出良好的相关系数(r = 0.90;p<0.01)。NMR成像无需使用造影剂即可将急性心肌梗死检测为阳性图像。梗死区域信号强度增加与氢密度增加和T2弛豫时间延长有关。