PMID- 24151119 OWN - NLM STAT- MEDLINE DCOM- 20141215 LR - 20151119 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 39 IP - 5 DP - 2014 May TI - Assessment of nonischemic fibrosis in hypertrophic cardiomyopathy: comparison of gadopentetate dimeglumine and gadobenate dimeglumine for enhanced cardiovascular magnetic resonance imaging. PG - 1153-60 LID - 10.1002/jmri.24264 [doi] AB - PURPOSE: To compare whether the higher relaxivity contrast agent gadobenate is superior for the identification of nonischemic late gadolinium enhancement (LGE) in hypertrophic cardiomyopathy (HCM) compared to standard relaxivity agents such as gadopentetate. MATERIALS AND METHODS: Fifteen patients with HCM and positive LGE based on routine cardiac magnetic resonance (CMR) with 0.2 mmol/kg gadopentetate were enrolled. Each patient thereafter underwent a second enhanced CMR exam with 0.2 mmol/kg gadobenate using the same CMR protocol. LGE was assessed in a short axis stack acquired after contrast administration using an inversion recovery gradient echo sequence. Two independent blinded readers quantified LGE by manual planimetry. The signal intensities of injured myocardium, remote myocardium, left ventricular cavity, and air were measured in identical locations using anatomical landmarks and dedicated software. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated. RESULTS: No adverse events related to contrast administration occurred. Gadobenate dimeglumine showed a higher SNR of injured myocardium (45.4 +/- 24.0 vs. 31.1 +/- 16.6, P = 0.002) and a higher CNR between remote and injured myocardium (37.6 +/- 25.0 vs. 26.5 +/- 17.6, P = 0.006) compared to gadopentetate dimeglumine. The amount of LGE (based on the same postprocessing criteria and definitions) was higher with gadobenate dimeglumine (12.7 +/- 8.5 g vs. 9.4 +/- 5.6 g, P = 0.005). There was no difference in intra- and interobserver variability between gadopentetate dimeglumine and gadobenate dimeglumine. CONCLUSION: CMR with the high relaxivity contrast agent gadobenate dimeglumine reveals significantly more tissue with LGE in patients with HCM. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Rudolph, Andre AU - Rudolph A AD - Working Group on Cardiovascular Magnetic Resonance, Experimental Clinical Research Center, a joint cooperation between the Charite Medical Faculty and the Max-Delbruck Center for Molecular Medicine, Berlin, Germany; HELIOS Klinikum Berlin-Buch, Department of Cardiology and Nephrology, Berlin, Germany. FAU - von Knobelsdorff-Brenkenhoff, Florian AU - von Knobelsdorff-Brenkenhoff F FAU - Wassmuth, Ralf AU - Wassmuth R FAU - Prothmann, Marcel AU - Prothmann M FAU - Utz, Wolfgang AU - Utz W FAU - Schulz-Menger, Jeanette AU - Schulz-Menger J LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20131022 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 15G12L5X8K (gadobenic acid) RN - 6HG8UB2MUY (Meglumine) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Adult MH - Cardiomyopathy, Hypertrophic/*pathology MH - Contrast Media MH - Female MH - Fibrosis MH - *Gadolinium DTPA MH - Humans MH - Image Enhancement/methods MH - Image Interpretation, Computer-Assisted/*methods MH - Magnetic Resonance Imaging/*methods MH - Male MH - Meglumine/*analogs & derivatives MH - Middle Aged MH - Myocardial Ischemia/pathology MH - Observer Variation MH - *Organometallic Compounds MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Stroke Volume MH - Young Adult OTO - NOTNLM OT - gadobenate dimeglumine OT - hypertrophic cardiomyopathy OT - late gadolinium enhancement EDAT- 2013/10/24 06:00 MHDA- 2014/12/17 06:00 CRDT- 2013/10/24 06:00 PHST- 2012/07/06 00:00 [received] PHST- 2013/05/16 00:00 [accepted] PHST- 2013/10/24 06:00 [entrez] PHST- 2013/10/24 06:00 [pubmed] PHST- 2014/12/17 06:00 [medline] AID - 10.1002/jmri.24264 [doi] PST - ppublish SO - J Magn Reson Imaging. 2014 May;39(5):1153-60. doi: 10.1002/jmri.24264. Epub 2013 Oct 22.