PMID- 24787702 OWN - NLM STAT- MEDLINE DCOM- 20150511 LR - 20161125 IS - 2047-2412 (Electronic) IS - 2047-2404 (Linking) VI - 15 IP - 9 DP - 2014 Sep TI - Echocardiographic integrated backscatter for the differentiation between aortic valve calcification and valvular myxoid degeneration in rats. PG - 1042-7 LID - 10.1093/ehjci/jeu067 [doi] AB - AIMS: Calcification is an independent predictor of mortality in aortic valve (AV) stenosis. Echocardiographic calibrated integrated backscatter (cIB) is a promising parameter for quantifying AV calcification. However, the ability of cIB to differentiate between calcification and valvular thickening has been questioned. Therefore, we aimed to use cIB to study AV calcification compared with non-calcified AV thickening in rats, with histology as reference. METHODS AND RESULTS: Twenty male Wistar rats were studied. Group 1 (N = 6) received subcutaneous (SC) serotonin injections (60 mg/kg/day) for 12 weeks to induce myxoid non-calcified AV thickening. Group 2 (N = 7) received vitamin D3 (25,000 UI/kg/day) SC to induce AV calcification, and Group 3 (N = 7) received only vehicle SC for 10 weeks. cIB of the AV was calculated at the end of the study, followed by measurement of the percentage of the histological AV calcification. At the end of the study, cIB values and calcification percentages were significantly higher in vitamin D3-injected rats compared with serotonin-injected rats and controls. There was no significant difference in cIB values between serotonin-injected rats and controls (vitamin D3: 21.5 +/- 3.0 dB*; serotonin: 11.8 +/- 3.1 dB; control: 10.3 +/- 3.4 dB; *P < 0.05). The percentage of histological calcification was significantly higher in the vitamin D3 group compared with the other groups. Serotonin-injected rats developed significant AV thickening. CONCLUSION: Increased cIB values of the AV are related to increased calcification at histology and not to myxoid non-calcified valvular thickening. Therefore, cIB may be considered as a sensitive technique to quantify calcification of AV rather than for detecting non-calcified valvular thickening. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author 2014. For permissions please email: journals.permissions@oup.com. FAU - Gillis, Kris AU - Gillis K AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium kgillis@vub.ac.be. FAU - Bala, Gezim AU - Bala G AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Roosens, Bram AU - Roosens B AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Remory, Isabel AU - Remory I AD - In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - De Raeve, Hendrik AU - De Raeve H AD - Department of Pathology, UZ Brussel, Jette, Belgium. FAU - Tierens, Simon AU - Tierens S AD - In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Hernot, Sophie AU - Hernot S AD - In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Van Camp, Guy AU - Van Camp G AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Droogmans, Steven AU - Droogmans S AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. FAU - Cosyns, Bernard AU - Cosyns B AD - Department of Cardiology, Centrum Voor Hart-en Vaatziekten (CHVZ), UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium In Vivo Cellular and Molecular Imaging Laboratory (ICMI), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Jette, Belgium. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140430 PL - England TA - Eur Heart J Cardiovasc Imaging JT - European heart journal. Cardiovascular Imaging JID - 101573788 RN - Aortic Valve, Calcification of SB - IM MH - Animals MH - Aortic Valve/diagnostic imaging/*pathology MH - Aortic Valve Stenosis/*diagnostic imaging MH - Calcinosis/*diagnostic imaging MH - Diagnosis, Differential MH - Disease Models, Animal MH - Echocardiography/*methods MH - Heart Valve Diseases/*diagnostic imaging MH - Male MH - Rats MH - Rats, Wistar OTO - NOTNLM OT - Cardiovascular calcifications OT - Echocardiography OT - Integrated backscatter OT - Small animals EDAT- 2014/05/03 06:00 MHDA- 2015/05/12 06:00 CRDT- 2014/05/03 06:00 PHST- 2014/05/03 06:00 [entrez] PHST- 2014/05/03 06:00 [pubmed] PHST- 2015/05/12 06:00 [medline] AID - jeu067 [pii] AID - 10.1093/ehjci/jeu067 [doi] PST - ppublish SO - Eur Heart J Cardiovasc Imaging. 2014 Sep;15(9):1042-7. doi: 10.1093/ehjci/jeu067. Epub 2014 Apr 30.