PMID- 28528429 OWN - NLM STAT- MEDLINE DCOM- 20180105 LR - 20181113 IS - 1875-8312 (Electronic) IS - 1569-5794 (Print) IS - 1569-5794 (Linking) VI - 33 IP - 11 DP - 2017 Nov TI - Myocardial edema in acute myocarditis: relationship of T2 relaxometry and late enhancement burden by using dual-contrast turbo spin-echo MRI. PG - 1789-1794 LID - 10.1007/s10554-017-1170-7 [doi] AB - To quantify myocardial edema by using a T2 relaxometry approach with a dual-contrast turbo spin-echo (dcTSE) sequence in patients with acute myocarditis regarding focal late gadolinium enhancement (LGE) burden. CMR T2 relaxometry was performed in 39 patients (age 41 +/- 19 years; 36% women) with LGE in a typical myocarditis pattern and in ten healthy volunteers (age 46 +/- 12; 60% woman). dcTSE sequence (echo time 29 and 75 ms, respectively) was used for T2 mapping, analysis were performed on the basis of region of interest (ROI). Myocardial T2 relaxation times (T2 RT) in patients-ROI with focal LGE were significantly (p < 0.001) higher than T2 RT in patients-ROI without apparent LGE pattern (65 ms (IQR 36-95) vs. 60 ms (IQR 26-88), respectively). T2 RT in healthy volunteers [55 ms (IQR 35-71)] were significantly lower than in patients ROI with or without focal LGE-pattern (p < 0.001, respectively). T2 RT assessed by dcTSE are significantly higher in patients segments with and without focal LGE compared to normal controls, supporting a global myocardial inflammatory process in acute myocarditis. Furthermore, this quantitative T2-mapping approach highlights the potential to identify patients with diffuse myocarditis. FAU - Mayr, A AU - Mayr A AD - University Hospital for Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. a.mayr@i-med.ac.at. FAU - Klug, G AU - Klug G AD - University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Feistritzer, H J AU - Feistritzer HJ AD - University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Reinstadler, S J AU - Reinstadler SJ AD - University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Reindl, M AU - Reindl M AD - University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Esterhammer, R AU - Esterhammer R AD - University Hospital for Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Feuchtner, G AU - Feuchtner G AD - University Hospital for Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Metzler, B AU - Metzler B AD - University Hospital for Internal Medicine III (Cardiology and Angiology), Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. FAU - Schocke, M F AU - Schocke MF AD - University Hospital for Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. LA - eng PT - Journal Article DEP - 20170520 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 15G12L5X8K (gadobenic acid) RN - 6HG8UB2MUY (Meglumine) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Contrast Media/*administration & dosage MH - Edema, Cardiac/*diagnostic imaging/pathology/physiopathology MH - Female MH - Humans MH - *Image Interpretation, Computer-Assisted MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Meglumine/administration & dosage/*analogs & derivatives MH - Middle Aged MH - Myocarditis/*diagnostic imaging/pathology/physiopathology MH - Myocardium/pathology MH - Organometallic Compounds/*administration & dosage MH - Predictive Value of Tests MH - Retrospective Studies MH - Severity of Illness Index MH - Ventricular Function, Left MH - Young Adult PMC - PMC5682853 OTO - NOTNLM OT - Acute myocarditis OT - Cardiac magnetic resonance OT - Left ventricular function OT - T2 relaxometry OT - TroponinT COIS- The authors declare that they have no conflict of interest to declare. EDAT- 2017/05/22 06:00 MHDA- 2018/01/06 06:00 PMCR- 2017/05/20 CRDT- 2017/05/22 06:00 PHST- 2017/02/14 00:00 [received] PHST- 2017/05/17 00:00 [accepted] PHST- 2017/05/22 06:00 [pubmed] PHST- 2018/01/06 06:00 [medline] PHST- 2017/05/22 06:00 [entrez] PHST- 2017/05/20 00:00 [pmc-release] AID - 10.1007/s10554-017-1170-7 [pii] AID - 1170 [pii] AID - 10.1007/s10554-017-1170-7 [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2017 Nov;33(11):1789-1794. doi: 10.1007/s10554-017-1170-7. Epub 2017 May 20.