PMID- 24718787 OWN - NLM STAT- MEDLINE DCOM- 20150106 LR - 20220317 IS - 1875-8312 (Electronic) IS - 1569-5794 (Print) IS - 1569-5794 (Linking) VI - 30 IP - 5 DP - 2014 Jun TI - Infarct density distribution by MRI in the porcine model of acute and chronic myocardial infarction as a potential method transferable to the clinic. PG - 937-48 LID - 10.1007/s10554-014-0408-x [doi] AB - To study the feasibility of a myocardial infarct (MI) quantification method [signal intensity-based percent infarct mapping (SI-PIM)] that is able to evaluate not only the size, but also the density distribution of the MI. In 14 male swine, MI was generated by 90 min of closed-chest balloon occlusion followed by reperfusion. Seven (n = 7) or 56 (n = 7) days after reperfusion, Gd-DTPA-bolus and continuous-infusion enhanced late gadolinium enhancement (LGE) MRI, and R1-mapping were carried out and post mortem triphenyl-tetrazolium-chloride (TTC) staining was performed. MI was quantified using binary [2 or 5 standard deviation (SD)], SI-PIM and R1-PIM methods. Infarct fraction (IF), and infarct-involved voxel fraction (IIVF) were determined by each MRI method. Bias of each method was compared to the TTC technique. The accuracy of MI quantification did not depend on the method of contrast administration or the age of the MI. IFs obtained by either of the two PIM methods were statistically not different from the IFs derived from the TTC measurements at either MI age. IFs obtained from the binary 2SD method overestimated IF obtained from TTC. IIVF among the three different PIM methods did not vary, but with the binary methods the IIVF gradually decreased with increasing the threshold limit. The advantage of SI-PIM over the conventional binary method is the ability to represent not only IF but also the density distribution of the MI. Since the SI-PIM methods are based on a single LGE acquisition, the bolus-data-based SI-PIM method can effortlessly be incorporated into the clinical image post-processing procedure. FAU - Varga-Szemes, Akos AU - Varga-Szemes A AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, MCLM 556, Birmingham, AL, 35294-0005, USA. FAU - Simor, Tamas AU - Simor T FAU - Lenkey, Zsofia AU - Lenkey Z FAU - van der Geest, Rob J AU - van der Geest RJ FAU - Kirschner, Robert AU - Kirschner R FAU - Toth, Levente AU - Toth L FAU - Brott, Brigitta C AU - Brott BC FAU - Elgavish, Ada AU - Elgavish A FAU - Elgavish, Gabriel A AU - Elgavish GA LA - eng GR - R42 HL080886/HL/NHLBI NIH HHS/United States GR - R42 HL084844/HL/NHLBI NIH HHS/United States GR - 5R42 HL080886/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140410 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 RN - 0 (Contrast Media) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Animals MH - Contrast Media MH - Disease Models, Animal MH - Gadolinium DTPA MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging/*methods MH - Male MH - Myocardial Infarction/*pathology MH - Random Allocation MH - Staining and Labeling MH - Swine PMC - PMC4144864 MID - NIHMS584535 COIS- Conflict of interest: AVS and ZL are employees, RK and LT were employees, TS is consultant, and AE and GAE are officers and consultants, of Elgavish Paramagnetics Inc. EDAT- 2014/04/11 06:00 MHDA- 2015/01/07 06:00 PMCR- 2015/06/01 CRDT- 2014/04/11 06:00 PHST- 2013/12/11 00:00 [received] PHST- 2014/03/20 00:00 [accepted] PHST- 2014/04/11 06:00 [entrez] PHST- 2014/04/11 06:00 [pubmed] PHST- 2015/01/07 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 10.1007/s10554-014-0408-x [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2014 Jun;30(5):937-48. doi: 10.1007/s10554-014-0408-x. Epub 2014 Apr 10.