PMID- 36741851 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230207 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Stress CMR T1-mapping technique for assessment of coronary microvascular dysfunction in a rabbit model of type II diabetes mellitus: Validation against histopathologic changes. PG - 1066332 LID - 10.3389/fcvm.2022.1066332 [doi] LID - 1066332 AB - BACKGROUND: Coronary microvascular dysfunction (CMD) is an early character of type 2 diabetes mellitus (T2DM), and is indicative of adverse events. The present study aimed to validate the performance of the stress T1 mapping technique on cardiac magnetic resonance (CMR) for identifying CMD from a histopathologic perspective and to establish the time course of CMD-related parameters in a rabbit model of T2DM. METHODS: New Zealand white rabbits (n = 30) were randomly divided into a control (n = 8), T2DM 5-week (n = 6), T2DM 10-week (n = 9), and T2DM 15-week (n = 7) groups. The CMR protocol included rest and adenosine triphosphate (ATP) stress T1-mapping imaging using the 5b(20b)3b-modified look-locker inversion-recovery (MOLLI) schema to quantify stress T1 response (stress DeltaT1), and first-pass perfusion CMR to quantify myocardial perfusion reserve index (MPRI). After the CMR imaging, myocardial tissue was subjected to hematoxylin-eosin staining to evaluate pathological changes, Masson trichrome staining to measure collagen volume fraction (CVF), and CD31 staining to measure microvascular density (MVD). The associations between CMR parameters and pathological findings were determined using Pearson correlation analysis. RESULTS: The stress DeltaT1 values were 6.21 +/- 0.59%, 4.88 +/- 0.49%, 3.80 +/- 0.40%, and 3.06 +/- 0.54% in the control, T2DM 5-week, 10-week, and 15-week groups, respectively (p < 0.001) and were progressively weakened with longer duration of T2DM. Furthermore, a significant correlation was demonstrated between the stress DeltaT1 vs. CVF and MVD (r = -0.562 and 0.886, respectively; p < 0.001). CONCLUSION: The stress T1 response correlated well with the histopathologic measures in T2DM rabbits, indicating that it may serve as a sensitive CMD-related indicator in early T2DM. CI - Copyright (c) 2023 Ma, Liu, Hu, Chen, Liang, Zhou, Shang and Wang. FAU - Ma, Peisong AU - Ma P AD - Department of Radiology, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. AD - Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. FAU - Liu, Juan AU - Liu J AD - Department of Ultrasound, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. FAU - Hu, Yurou AU - Hu Y AD - Department of Radiology, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. FAU - Chen, Lin AU - Chen L AD - Department of Radiology, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. FAU - Liang, Hongqin AU - Liang H AD - Department of Radiology, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. FAU - Zhou, Xiaoyue AU - Zhou X AD - MR Collaboration, Siemens Healthineers Ltd., Shanghai, China. FAU - Shang, Yongning AU - Shang Y AD - Department of Ultrasound, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. FAU - Wang, Jian AU - Wang J AD - Department of Radiology, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. LA - eng PT - Journal Article DEP - 20230120 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC9895118 OTO - NOTNLM OT - T1-mapping OT - adenosine triphosphate OT - cardiovascular magnetic resonance OT - coronary microvascular dysfunction OT - microvascular density OT - type 2 diabetes mellitus COIS- XZ was employed by Siemens Healthineers Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/02/07 06:00 MHDA- 2023/02/07 06:01 PMCR- 2023/01/20 CRDT- 2023/02/06 03:36 PHST- 2022/10/10 00:00 [received] PHST- 2022/12/28 00:00 [accepted] PHST- 2023/02/06 03:36 [entrez] PHST- 2023/02/07 06:00 [pubmed] PHST- 2023/02/07 06:01 [medline] PHST- 2023/01/20 00:00 [pmc-release] AID - 10.3389/fcvm.2022.1066332 [doi] PST - epublish SO - Front Cardiovasc Med. 2023 Jan 20;9:1066332. doi: 10.3389/fcvm.2022.1066332. eCollection 2022.