Contrast-enhanced first pass myocardial perfusion imaging: Correlation between myocardial blood flow in dogs at rest and during hyperemia

作者: N. Wilke , C. Simm , J. Zhang , J. Ellermann , X. Ya

DOI: 10.1002/MRM.1910290410

关键词: Blood flowMyocardial perfusion imagingReactive hyperemiaArteryPerfusionNuclear medicinePerfusion scanningHemodynamicsDipyridamoleMedicine

摘要: The sensitivity of contrast-enhanced MR first pass perfusion imaging in detection and quantification hypoperfused myocardium was evaluated using an instrumented, closed-chest dog model where graded regional hypoperfusion induced by applying predetermined levels stenosis to the left anterior descending artery (LAD). All measurements were performed at rest under stress dipyridamole (DIP). Myocardial assessed both with radiolabeled microspheres injected immediately before administration contrast agent. Ultrafast a Turbo FLASH sequence 180 degrees inversion prepulse. A Gd-DTPA bolus into atrium T1-weighted images acquired every heart beat. Signal intensity measured from regions LAD circumflex (LCx) beds plotted against time generate signal versus curves (SI curve). Various flow indices derived according indicator dilution theory, compared without volume correction due vasodilation myocardial blood (MBF) calculated microspheres. Correlation MBF data demonstrated that different transmural can be easily visualized accurately monitored SI curves. Detection impairment improved significantly after DIP. inverse mean transit curve found yield linear correlation absolute microsphere data. These results suggest intracardiac injections exogenous agent, parametrically enhanced ultrafast MRI.

参考文章(26)
D. S. Williams, J. A. Detre, J. S. Leigh, A. P. Koretsky, Magnetic resonance imaging of perfusion using spin inversion of arterial water. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 89, pp. 212- 216 ,(1992) , 10.1073/PNAS.89.1.212
Fred S. Grodins, Basic Concepts in the Determination of vascular Volumes by Indicator-Dilution Methods Circulation Research. ,vol. 10, pp. 429- 446 ,(1962) , 10.1161/01.RES.10.3.429
Robert Vogel, Michael LeFree, Eric Bates, William O'Neill, Richard Foster, Philip Kirlin, David Smith, Bertram Pitt, Application of digital techniques to selective coronary arteriography: use of myocardial contrast appearance time to measure coronary flow reserve. American Heart Journal. ,vol. 107, pp. 153- 164 ,(1984) , 10.1016/0002-8703(84)90150-9
Udo Schmiedl, Michael E. Moseley, Marc D. Ogan, Wil M. Chew, Robert C. Brasch, Comparison of initial biodistribution patterns of Gd-DTPA and albumin-(Gd-DTPA) using rapid spin echo MR imaging. Journal of Computer Assisted Tomography. ,vol. 11, pp. 306- 313 ,(1987) , 10.1097/00004728-198703000-00023
Dudley J. Pennell, S. Richard Underwood, Donald B. Longmore, Detection of coronary artery disease using MR imaging with dipyridamole infusion. Journal of Computer Assisted Tomography. ,vol. 14, pp. 167- 170 ,(1990) , 10.1097/00004728-199003000-00001
U Sechtem, PW Pflugfelder, RD White, RG Gould, W Holt, MJ Lipton, CB Higgins, Cine MR imaging: potential for the evaluation of cardiovascular function. American Journal of Roentgenology. ,vol. 148, pp. 239- 246 ,(1987) , 10.2214/AJR.148.2.239
Stephen P.F. Gordon, Pamela S. Douglas, Patricia C. Come, Warren J. Manning, Two-dimensional and Doppler echocardiographic determinants of the natural history of mitral valve narrowing in patients with rheumatic mitral stenosis: implications for follow-up. Journal of the American College of Cardiology. ,vol. 19, pp. 968- 973 ,(1992) , 10.1016/0735-1097(92)90280-Z
Robert J. Bache, Frederick R. Cobb, Joseph C. Greenfield, Myocardial Blood Flow Distribution during Ischemia-Induced Coronary Vasodilation in the Unanesthetized Dog Journal of Clinical Investigation. ,vol. 54, pp. 1462- 1472 ,(1974) , 10.1172/JCI107894