PMID- 28058227 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2220-3230 (Print) IS - 2220-3230 (Electronic) IS - 2220-3230 (Linking) VI - 6 IP - 4 DP - 2016 Dec 24 TI - Magnetic resonance imaging of the transplanted pediatric heart as a potential predictor of rejection. PG - 751-758 LID - 10.5500/wjt.v6.i4.751 [doi] AB - AIM: To evaluate cardiac magnetic resonance imaging (CMR) as a non-invasive tool to detect acute cellular rejection (ACR) in children after heart transplant (HT). METHODS: Thirty pediatric HT recipients underwent CMR at the time of surveillance endomyocardial biopsy (EMB) and results were compared to 14 non-transplant controls. Biventricular volumes, ejection fractions (EFs), T2-weighted signal intensities, native T1 times, extracellular volumes (ECVs) and presence of late gadolinium enhancement (LGE) were compared between patients and controls and between patients with International Society of Heart and Lung Transplantation (ISHLT) grade >/= 2R rejection and those with grade 0/1R. Heart rate (HR) and brain natriuretic peptide (BNP) were assessed as potential biomarkers. RESULTS: Significant ACR (ISHLT grade >/= 2R) was an infrequent event in our population (5/30, 17%). Ventricular volumes, EFs, LGE prevalence, ECVs, native T1 times, T2 signal intensity ratios, HR and BNP were not associated with the presence of >/= 2R ACR. CONCLUSION: In this pilot study CMR did not reliably identify ACR-related changes in pediatric HT patients. FAU - Greenway, Steven C AU - Greenway SC AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Dallaire, Frederic AU - Dallaire F AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Kantor, Paul F AU - Kantor PF AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Dipchand, Anne I AU - Dipchand AI AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Chaturvedi, Rajiv R AU - Chaturvedi RR AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Warade, Monali AU - Warade M AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Riesenkampff, Eugenie AU - Riesenkampff E AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Yoo, Shi-Joon AU - Yoo SJ AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. FAU - Grosse-Wortmann, Lars AU - Grosse-Wortmann L AD - Steven C Greenway, Department of Paediatrics, University of Calgary, Calgary, AB T2N 1N4, Canada. LA - eng PT - Journal Article PL - United States TA - World J Transplant JT - World journal of transplantation JID - 101608356 PMC - PMC5175235 OTO - NOTNLM OT - Heart OT - Magnetic resonance imaging OT - Pediatric OT - Rejection OT - Transplantation COIS- Conflict-of-interest statement: The authors of this manuscript have no conflicts of interest to disclose. EDAT- 2017/01/07 06:00 MHDA- 2017/01/07 06:01 PMCR- 2016/12/24 CRDT- 2017/01/07 06:00 PHST- 2016/07/19 00:00 [received] PHST- 2016/11/04 00:00 [revised] PHST- 2016/11/27 00:00 [accepted] PHST- 2017/01/07 06:00 [entrez] PHST- 2017/01/07 06:00 [pubmed] PHST- 2017/01/07 06:01 [medline] PHST- 2016/12/24 00:00 [pmc-release] AID - 10.5500/wjt.v6.i4.751 [doi] PST - ppublish SO - World J Transplant. 2016 Dec 24;6(4):751-758. doi: 10.5500/wjt.v6.i4.751.