PMID- 20849589 OWN - NLM STAT- MEDLINE DCOM- 20101228 LR - 20240117 IS - 1532-429X (Electronic) IS - 1097-6647 (Print) IS - 1097-6647 (Linking) VI - 12 IP - 1 DP - 2010 Sep 17 TI - An isolated perfused pig heart model for the development, validation and translation of novel cardiovascular magnetic resonance techniques. PG - 53 LID - 10.1186/1532-429X-12-53 [doi] AB - BACKGROUND: Novel cardiovascular magnetic resonance (CMR) techniques and imaging biomarkers are often validated in small animal models or empirically in patients. Direct translation of small animal CMR protocols to humans is rarely possible, while validation in humans is often difficult, slow and occasionally not possible due to ethical considerations. The aim of this study is to overcome these limitations by introducing an MR-compatible, free beating, blood-perfused, isolated pig heart model for the development of novel CMR methodology. METHODS: 6 hearts were perfused outside of the MR environment to establish preparation stability. Coronary perfusion pressure (CPP), coronary blood flow (CBF), left ventricular pressure (LVP), arterial blood gas and electrolyte composition were monitored over 4 hours. Further hearts were perfused within 3T (n = 3) and 1.5T (n = 3) clinical MR scanners, and characterised using functional (CINE), perfusion and late gadolinium enhancement (LGE) imaging. Perfusion imaging was performed globally and selectively for the right (RCA) and left coronary artery (LCA). In one heart the RCA perfusion territory was determined and compared to infarct size after coronary occlusion. RESULTS: All physiological parameters measured remained stable and within normal ranges. The model proved amenable to CMR at both field strengths using typical clinical acquisitions. There was good agreement between the RCA perfusion territory measured by selective first pass perfusion and LGE after coronary occlusion (37% versus 36% of the LV respectively). CONCLUSIONS: This flexible model allows imaging of cardiac function in a controllable, beating, human-sized heart using clinical MR systems. It should aid further development, validation and clinical translation of novel CMR methodologies, and imaging sequences. FAU - Schuster, Andreas AU - Schuster A AD - King's College London BHF Centre of Excellence, NIHR Biomedical Research Centre, Guy's and St, Thomas' NHS Foundation Trust, Division of Imaging Sciences, The Rayne Institute, London, UK. FAU - Grunwald, Inga AU - Grunwald I FAU - Chiribiri, Amedeo AU - Chiribiri A FAU - Southworth, Richard AU - Southworth R FAU - Ishida, Masaki AU - Ishida M FAU - Hay, Gunnar AU - Hay G FAU - Neumann, Nicole AU - Neumann N FAU - Morton, Geraint AU - Morton G FAU - Perera, Divaka AU - Perera D FAU - Schaeffter, Tobias AU - Schaeffter T FAU - Nagel, Eike AU - Nagel E LA - eng GR - FS/10/029/28253/BHF_/British Heart Foundation/United Kingdom GR - RE/08/003/BHF_/British Heart Foundation/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20100917 PL - England TA - J Cardiovasc Magn Reson JT - Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance JID - 9815616 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 1BJ477IO2L (gadobutrol) SB - IM MH - Animals MH - Contrast Media MH - *Coronary Circulation MH - Coronary Occlusion/complications/*diagnosis/physiopathology MH - Disease Models, Animal MH - Feasibility Studies MH - *Magnetic Resonance Imaging, Cine MH - Myocardial Infarction/*diagnosis/etiology/physiopathology MH - Myocardial Perfusion Imaging/*methods MH - Myocardium/*pathology MH - Organometallic Compounds MH - Perfusion MH - Predictive Value of Tests MH - Reproducibility of Results MH - Swine MH - *Translational Research, Biomedical MH - Ventricular Function MH - Ventricular Pressure PMC - PMC2950014 EDAT- 2010/09/21 06:00 MHDA- 2010/12/29 06:00 PMCR- 2010/09/17 CRDT- 2010/09/21 06:00 PHST- 2010/06/21 00:00 [received] PHST- 2010/09/17 00:00 [accepted] PHST- 2010/09/21 06:00 [entrez] PHST- 2010/09/21 06:00 [pubmed] PHST- 2010/12/29 06:00 [medline] PHST- 2010/09/17 00:00 [pmc-release] AID - S1097-6647(23)01333-9 [pii] AID - 1532-429X-12-53 [pii] AID - 10.1186/1532-429X-12-53 [doi] PST - epublish SO - J Cardiovasc Magn Reson. 2010 Sep 17;12(1):53. doi: 10.1186/1532-429X-12-53.