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Abstract #0481

Diffusion MRI Tractography of the Developing Human Fetal Heart

Choukri Mekkaoui1, Prashob Porayette2, Marcel Parolin Jackowski3, William Kostis4, Guangping Dai5, Stephen Sanders, David E. Sosnovik4

1Harvard Medical School - Massachusetts General Hospital - Athinoula A Martinos center for Biomedical, Boston, MA, United States; 2Cardiology, Children's Hospital Boston, Boston, MA, United States; 3University of So Paulo, So Paulo, Brazil; 4Harvard Medical School - Massachusetts General Hospital - Athinoula A Martinos center for Biomedical, Charlestown, MA, United States; 5Massachusetts General Hospital, Charlestown, MA, United States

There is increased interest in the use of stem cells and tissue scaffolds to regenerate lost myocardium. Diffusion MRI tractography of the developing human fetal heart may provide valuable insights to optimize the regeneration of myocardium in the adult heart. We show that myofiber anisotropy develops in the human fetal heart well after it has looped and started to contract. This suggests that implanted stem cells may also be able to endogenously align themselves to form fiber tracts and subsequently sheets. The use of scaffolds therefore may not be a prerequisite for successful cell therapy.

Keywords

able adult ages align anisotropy appropriate architecture arrangement audience augment begins biomedical birth cardiology cell cells characteristic characterization children clinicians completed completely contract creating crossing currently days dense density described developing development develops diffusion distinct encoding endogenously evaluated fetal fiber five fixed form fractional general gestation gestational heart hearts helical highly histological hospital human identical implanted index injured insights intact intense isotropic lateral looped lost magnification maturation measuring mechanics medical microscopy myocardium natal optimize pathology pattern post potential prerequisite previously process progressive regenerate regeneration registry remained representation resolution sanders scaffolds scanned school scientists sections sheet sheets sixth spin stained started stem strategies structural structurally structure studied subsequently successful suggests suppressed target template tensor therapy tissue tracts undeveloped valuable ventricle virtually wall week weeks