Journal of magnetic resonance imaging : JMRI
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J Magn Reson Imaging · Dec 2008
Comparative StudyHead-to-head comparison between delayed enhancement and percent infarct mapping for assessment of myocardial infarct size in a canine model.
To compare a novel method, percent-infarct-mapping (PIM), with conventional delayed enhancement (DE) of contrast for accurate myocardial viability assessment. Contrary to signal intensity (SI), the longitudinal relaxation-rate enhancement (DeltaR1) is an intrinsic parameter linearly proportional to the concentration of contrast agent (CA). Determining DeltaR1 voxel-by-voxel, after administering an infarct-avid CA, allows determination of per-voxel percentage of infarcted tissue. The feasibility of generating PIM is demonstrated in canine reperfused infarction using an infarct-avid, persistent-CA (PCA), (Gd)(ABE-DTTA). PIM is compared to the DE method using Gd(DTPA), and both to triphenyltetrazolium chloride (TTC) staining histochemistry. ⋯ The DeltaR1-based PIM method is highly reproducible and more accurate than DE for quantifying myocardial viability in vivo.