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.