Meeting Banner
Abstract #1867

Can Chronic Cardiac Allograft Rejection (CCAR) Be Detected Before Irreversible Vascular Changes Occur? Noninvasive Assessment of CCAR by Cellular MR Imaging in a Rat Model

Qing Ye1, Yijen L. Wu2, Lesley M. Foley2, Parker H. Mills2, T Kevin Hitchens2, Fang-Cheng Yeh2, 3, Haosen Zhang2, Danielle F. Eytan2, Li Liu2, Chien Ho2

1NMR Center for Biomedical Research and Department of Biological Sciences , Carnegie Mellon University , Pittsburgh, PA, United States; 2NMR Center for Biomedical Research and Department of Biological Sciences, Carnegie Mellon University, Pittsburgh, PA, United States; 3Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, United States

Chronic cardiac allograft rejection (CCAR) remains a major obstacle for long-term heart graft survival. Early identification the disease by noninvasive method is highly desirable. By using cellular MRI, we investigated the characteristics of CCAR progression over time in a rat model. Our preliminary results revealed that CCAR appears heterogeneous in its early stages and the accumulation of iron-labeled cells can be an indicator of the lesion formation prior to irreversible vascular changes occur. Cellular MRI is able to evaluate graft status noninvasively over time, which may be a reliable alternative for assessment of CCAR and potentially translatable to clinical work.

Keywords

abdominal able accumulation acknowledgments advances alternative angiography appear appears arrows artery assessed assessment audience believe biological biomedical body cardiac cardiovascular caused cell cells cellular characterization chronic circulation clearly clinical clinicians column complex configuration confirmed containing contributing coronary course dark days detect detected development diagnosis discriminate disease dragon early evaluate every evidence fang fewer fluorescence formation gated graft grants green growing guided hardly health heart heterogeneous ideal identification immune impacted in vivo indicated indicator infiltrates inflammatory initial injection institutes intervention involvement iron irreversible label labeled late lesion longitudinal lung macrophages mainly management microscopy middle mild milieu mills mode model molecular monitoring months national natural noninvasive obstacle occur oxide parker particles pathology perspective post practice preliminary preserved prior process progression pulmonary rats recent referents registered rejection reliable relies remains rendering resolution respiratory reveal sciences sections severe spots stages stain status supported system target therapeutic thickening tissue tracked tracking translatable translating transplantation understanding vascular visualize whole