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Quantification of myocardial stiffness using magnetic resonance elastography in right ventricular hypertrophy: initial feasibility in dogs.
da Silveira, Juliana S; Scansen, Brian A; Wassenaar, Peter A; Raterman, Brian; Eleswarpu, Chethan; Jin, Ning; Mo, Xiaokui; White, Richard D; Bonagura, John D; Kolipaka, Arunark.
Afiliación
  • da Silveira JS; Department of Radiology, OSU College of Medicine, The Ohio State University, Columbus, OH, USA.
  • Scansen BA; Department of Veterinary Clinical Sciences, OSU College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.
  • Wassenaar PA; Department of Radiology, OSU College of Medicine, The Ohio State University, Columbus, OH, USA.
  • Raterman B; Department of Radiology, OSU College of Medicine, The Ohio State University, Columbus, OH, USA.
  • Eleswarpu C; College of Biomedical Engineering, The Ohio State University, Columbus, OH, UTSA.
  • Jin N; Siemens Medical Solutions, Malvern, PA USA.
  • Mo X; Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
  • White RD; Department of Radiology, OSU College of Medicine, The Ohio State University, Columbus, OH, USA; Department of Internal Medicine/Division of Cardiovascular Medicine, OSU College of Medicine, The Ohio State University, Columbus, OH, USA.
  • Bonagura JD; Department of Veterinary Clinical Sciences, OSU College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.
  • Kolipaka A; Department of Radiology, OSU College of Medicine, The Ohio State University, Columbus, OH, USA; Department of Internal Medicine/Division of Cardiovascular Medicine, OSU College of Medicine, The Ohio State University, Columbus, OH, USA. Electronic address: Arunark.Kolipaka@osumc.edu.
Magn Reson Imaging ; 34(1): 26-34, 2016 Jan.
Article en En | MEDLINE | ID: mdl-26471513
INTRODUCTION: Myocardial stiffness is an important determinant of cardiac function and is currently invasively and indirectly assessed by catheter angiography. This study aims to demonstrate the feasibility of quantifying right ventricular (RV) stiffness noninvasively using cardiac magnetic resonance elastography (CMRE) in dogs with severe congenital pulmonary valve stenosis (PVS) causing RV hypertrophy, and compare it to remote myocardium in the left ventricle (LV). Additionally, correlations between stiffness and selected pathophysiologic indicators from transthoracic echocardiography (TTE) and cardiac magnetic resonance imaging were explored. METHODS: In-vivo CMRE was performed on nine dogs presenting severe congenital PVS using a 1.5T MRI scanner. T1-MOLLI, T2-prepared-bSSFP, gated-cine GRE-MRE and LGE (PSIR) sequences were used to acquire a basal short-axis slice. RV and LV-free-wall (FW) stiffness measurements were compared against each other and also correlated to ventricular mass, RV and LV FW thickness, T1 and T2 relaxation times, and extracellular volume fraction (ECV). Peak transpulmonary pressure gradient and myocardial strain were also acquired on eight dogs by TTE and correlated to RV-FW systolic stiffness. Potential correlations were evaluated by Spearman's rho (rs). RESULTS: RV-FW stiffness was found to be significantly higher than the LV-FW stiffness both during end-systole (ES) (p=0.002) and end-diastole (ED) (p=0.029). Significant correlations were observed between RV-FW ES and LV-FW ED stiffness versus ECV (rs=0.75; p-value=0.05). Non-significant moderate correlations were found between LV-FW ES (rs=0.54) and RV-FW ED (rs=0.61) stiffness versus ECV. Furthermore, non-significant correlations were found between RV or LV-FW stiffness and the remaining variables (rs<0.54; p-value>0.05). CONCLUSION: This study demonstrates the feasibility of determining RV stiffness. The positive correlations between stiffness and ECV might indicate some interdependence between stiffness and myocardial extracellular matrix alterations. However, further studies are warranted to validate our initial observations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Interpretación de Imagen Asistida por Computador / Hipertrofia Ventricular Derecha / Módulo de Elasticidad / Ventrículos Cardíacos Tipo de estudio: Diagnostic_studies Límite: Animals / Humans / Male Idioma: En Revista: Magn Reson Imaging Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Interpretación de Imagen Asistida por Computador / Hipertrofia Ventricular Derecha / Módulo de Elasticidad / Ventrículos Cardíacos Tipo de estudio: Diagnostic_studies Límite: Animals / Humans / Male Idioma: En Revista: Magn Reson Imaging Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos