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Abstract #0391

23Na Chemical Shift Imaging & Late Gadolinium Enhanced (LGE) MRI of Acute Ischemia Reperfusion Myocardial Injury

MAGNA25Eissa N. E. Aguor1, 2, Fatih Arslan1, Gustav J. Strijkers3, Marcel G. J. Nederhoff1, Cees W. van de Kolk1, Gerard Pasterkamp1, Pieter doevendans1, 2, Cees J. van Echteld1

1University Medical Center, Utrecht, Netherlands; 2The Netherlands Heart Institute (ICIN), Utrecht, Netherlands; 3Eindhoven University of Technology

LGE MRI is commonly used to assess infarct size, however provides little information on the physiological state of the injured myocytes. In this respect, 23Na MRI and particularly imaging of intracellular (Nai) and extracellular (Nae) sodium concentrations is known to provide additional information on cellular integrity and ion homeostasis after myocardial ischemia. In this study, we assessed the ability of 23Na CSI complemented by 1H LGE MRI in isolated rat heart to characterize the injured myocardium as soon as 2 hours after the IR injury, which was induced while the rats were still alive.

Keywords

ability abstract accurate acquisition acute added addressed agreement alive alone anterior application assess assessment axis balance best border bottom buffer cardiac cell cellular characterize chemical circulation combined commonly complemented complex complicated confirmed consistent continuous contrast core coronary correlated correlation cutoff damage delineated delineation discriminating distribution disturbed domain edema either elevated enhanced enhancement estimation estimations example extracellular filtering flash flow furthermore gadolinium gated heart hearts homeostasis hours importance in vivo indicative induced infarct infarction inferior influenced initiated injured injury institute integrity intensity interstitial intracellular investigate irreversible isolated known late makes male marker matrix measured medical minutes model myocardial myocardium normalized pathological perfused perfusion physiological post predictor presence previously promising prospectively prove quantified rats reduced remain remote removal respectively reversible segment segmentation selected semiautomatic sensitive setup severity short similarly slice slices sodium soon space spatial spectral stained staining still subsequently suggests technology threshold thresholds tool underwent unique unstained valuable viability volume wall washout whereas zone