PMID- 24989685 OWN - NLM STAT- MEDLINE DCOM- 20150701 LR - 20161125 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 40 IP - 6 DP - 2014 Dec TI - Assessment of myocardial partition coefficient of gadolinium (lambda) in dilated cardiomyopathy and its impact on segmental and global systolic function. PG - 1336-41 LID - 10.1002/jmri.24515 [doi] AB - PURPOSE: 1) To assess the myocardial partition coefficient (lambda) of gadolinium quantified using T1 mapping in dilated cardiomyopathy (DCM); and 2) to assess the impact of increased lambda on left ventricular (LV) circumferential strain and ejection fraction in DCM. MATERIALS AND METHODS: Seventeen patients with DCM and 11 controls were prospectively included. All patients and controls underwent a 1.5 T MRI using: 1) cine to quantify LV volumes and function; 2) tagging to quantify circumferential strain in mid-LV; 3) T1 mapping before and 9 minutes after contrast injection to quantify R1, DeltaR1, and lambda; and 4) inversion recovery 3D Flash was used to assess late gadolinium enhancement (LGE) 10 minutes after Gd DOTA injection (0.2 mmol/kg). We used Student's t-test to compare means, Pearson's test for correlation assessment, and a mixed linear model to integrate the dependency between myocardial segments. RESULTS: No difference in median lambda was measured between patients with (0.52 [interquartile range = 0.48-0.56]) and without enhancement on LGE (0.51 [0.47-0.54]; P = 0.07). Circumferential strain value measured in each segment was correlated with the lambda measured in the corresponding segment (r = 0.55; P < 0.0001). Multivariate analysis revealed a significant link between the lambda in each segment and circumferential strain (0.002 +/- 0.001; P = 0.009) and also with ejection fraction (-0.001 +/- 0.0008; P = 0.04). CONCLUSION: In DCM, lambda correlates independently with circumferential strain and ejection fraction, suggesting that there is a link between lambda and systolic function. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Jacquier, Alexis AU - Jacquier A AD - Department of Radiology, Aix Marseille Universite, Hopital Universitaire la Timone, Marseille, France; Centre de Resonance Magnetique Biologique et Medicale (CRMBM), UMR CNRS n degrees 6612, Aix Marseille Universite, Faculte de Medecine de Marseille, Marseille, France. FAU - Kallifatidis, Alexandros AU - Kallifatidis A FAU - Guibert, Nicolas AU - Guibert N FAU - Giorgi, Roch AU - Giorgi R FAU - Falque, Claire AU - Falque C FAU - Thuny, Franck AU - Thuny F FAU - Croisille, Pierre AU - Croisille P FAU - Clarysse, Patrick AU - Clarysse P FAU - Maurel, Boris AU - Maurel B FAU - Flavian, Antonin AU - Flavian A FAU - Gaubert, Jean-Yves AU - Gaubert JY FAU - Moulin, Guy AU - Moulin G FAU - Habib, Gilbert AU - Habib G LA - eng PT - Controlled Clinical Trial PT - Journal Article DEP - 20131125 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 - 6HG8UB2MUY (Meglumine) RN - L0ND3981AG (gadoterate meglumine) SB - IM MH - Aged MH - Cardiomyopathy, Dilated/complications/*diagnosis/*metabolism MH - Compressive Strength MH - Computer Simulation MH - Contrast Media/pharmacokinetics MH - Elastic Modulus MH - Female MH - Humans MH - Image Interpretation, Computer-Assisted/methods MH - Male MH - Meglumine/*pharmacokinetics MH - Metabolic Clearance Rate MH - Middle Aged MH - *Models, Cardiovascular MH - Organometallic Compounds/*pharmacokinetics MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Stress, Mechanical MH - Stroke Volume MH - Tensile Strength MH - Tissue Distribution MH - Ventricular Dysfunction, Left/diagnosis/*etiology/*metabolism OTO - NOTNLM OT - MRI OT - contrast media OT - dilated cardiomyopathy OT - fibrosis OT - myocardium EDAT- 2014/07/06 06:00 MHDA- 2015/07/02 06:00 CRDT- 2014/07/04 06:00 PHST- 2013/07/31 00:00 [received] PHST- 2013/10/03 00:00 [accepted] PHST- 2014/07/04 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2015/07/02 06:00 [medline] AID - 10.1002/jmri.24515 [doi] PST - ppublish SO - J Magn Reson Imaging. 2014 Dec;40(6):1336-41. doi: 10.1002/jmri.24515. Epub 2013 Nov 25.