Autor: |
Elizabeth W. Thompson, Srikant Kamesh Iyer, Michael P. Solomon, Zhaohuan Li, Qiang Zhang, Stefan Piechnik, Konrad Werys, Sophia Swago, Brianna F. Moon, Zachary B. Rodgers, Anya Hall, Rishabh Kumar, Nosheen Reza, Jessica Kim, Alisha Jamil, Benoit Desjardins, Harold Litt, Anjali Owens, Walter R. T. Witschey, Yuchi Han |
Jazyk: |
angličtina |
Rok vydání: |
2021 |
Předmět: |
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Zdroj: |
Journal of Cardiovascular Magnetic Resonance, Vol 23, Iss 1, Pp 1-9 (2021) |
Druh dokumentu: |
article |
ISSN: |
1532-429X |
DOI: |
10.1186/s12968-021-00813-5 |
Popis: |
Abstract Background Hypertrophic cardiomyopathy (HCM) is characterized by increased left ventricular wall thickness, cardiomyocyte hypertrophy, and fibrosis. Adverse cardiac risk characterization has been performed using late gadolinium enhancement (LGE), native T1, and extracellular volume (ECV). Relaxation time constants are affected by background field inhomogeneity. T1ρ utilizes a spin-lock pulse to decrease the effect of unwanted relaxation. The objective of this study was to study T1ρ as compared to T1, ECV, and LGE in HCM patients. Methods HCM patients were recruited as part of the Novel Markers of Prognosis in Hypertrophic Cardiomyopathy study, and healthy controls were matched for comparison. In addition to cardiac functional imaging, subjects underwent T1 and T1ρ cardiovascular magnetic resonance imaging at short-axis positions at 1.5T. Subjects received gadolinium and underwent LGE imaging 15–20 min after injection covering the entire heart. Corresponding basal and mid short axis LGE slices were selected for comparison with T1 and T1ρ. Full-width half-maximum thresholding was used to determine the percent enhancement area in each LGE-positive slice by LGE, T1, and T1ρ. Two clinicians independently reviewed LGE images for presence or absence of enhancement. If in agreement, the image was labeled positive (LGE + +) or negative (LGE −−); otherwise, the image was labeled equivocal (LGE + −). Results In 40 HCM patients and 10 controls, T1 percent enhancement area (Spearman’s rho = 0.61, p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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