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Abstract #0660

Non-Invasive Assessment of Cardiac Metabolic Alterations Following LAD Occlusion Using Hyperpolarized 13C Imaging

Angus Z. Lau1, 2, Albert P. Chen3, Yiping Gu1, Jennifer Barry4, Nilesh R. Ghugre1, 2, Graham A. Wright1, 2, Charles H. Cunningham1, 2

1Imaging Research, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; 2Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada; 3GE Healthcare, Toronto, Ontario, Canada; 4Imaging Research, Sunnybrook Research Institute, Toronto, Ontario, Canada

Accurate assessment of myocardial viability early following myocardial infarction is a critical challenge in cardiology. In this study, dynamic, spatially resolved hyperpolarized 13C imaging was used to monitor longitudinal cardiac metabolic changes following AMI of different severities (45 and 90 minute LAD occlusion) in vivo in a porcine ischemia-reperfusion model. Within the region exhibiting delayed gadolinium enhancement, the 45 minute group showed a modest decrease in bicarbonate at day 2, which resolved at 7 days, while the 90 minute group showed strongly attenuated bicarbonate at both time points.

Keywords

accurate acquisition acute alterations anaerobic animal animals apex apical assessment axis balloon beginning bicarbonate biomedical biophysics breaths cardiac cardiology cells challenge chamber cine coil combination comparing computed consistent contoured core coverage critical cropped days dead decrease defects delayed described diastole dies differentiate dividing dual early enabling enhanced enhancement enhancing evaluate eventually exhibiting expiration failure female flux gadolinium gated health heart immune important in vivo increasing indexing induction infarct infarction infiltrating inflammatory instruments intravenous investigated lactate longitudinal medical metabolic minute mode model modest monitor motion myocardial myocardium native near obstruction occlusion occur oxford persisted pigs polarize polarized polarizer poorer porcine portend post prepared previously processes prognosis progression rapid receive reduction remains remote representative resolve resolved returns revealed risk salvage samples scanned scanner sciences severe short shot sigma significantly slices slight speculate started strongly studies subjected substrate surface survives therapies tissue tool towards transmit trend tuned usage variable ventricle viability viable volume week whole wright