Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model

Abstract Background Extracellular volume fraction (ECV) quantification with cardiovascular magnetic resonance (CMR) T1 mapping is a powerful tool for the characterization of focal or diffuse myocardial fibrosis. However, it is technically challenging to acquire high-quality T1 and ECV maps in small...

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Main Authors: Pei Han, Rui Zhang, Shawn Wagner, Yibin Xie, Eugenio Cingolani, Eduardo Marban, Anthony G. Christodoulou, Debiao Li
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Journal of Cardiovascular Magnetic Resonance
Subjects:
Online Access:https://doi.org/10.1186/s12968-020-00699-9
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author Pei Han
Rui Zhang
Shawn Wagner
Yibin Xie
Eugenio Cingolani
Eduardo Marban
Anthony G. Christodoulou
Debiao Li
author_facet Pei Han
Rui Zhang
Shawn Wagner
Yibin Xie
Eugenio Cingolani
Eduardo Marban
Anthony G. Christodoulou
Debiao Li
author_sort Pei Han
collection DOAJ
description Abstract Background Extracellular volume fraction (ECV) quantification with cardiovascular magnetic resonance (CMR) T1 mapping is a powerful tool for the characterization of focal or diffuse myocardial fibrosis. However, it is technically challenging to acquire high-quality T1 and ECV maps in small animals for preclinical research because of high heart rates and high respiration rates. In this work, we developed an electrocardiogram (ECG)-less, free-breathing ECV mapping method using motion-resolved CMR Multitasking on a 9.4 T small animal CMR system. The feasibility of characterizing diffuse myocardial fibrosis was tested in a rat heart failure model with preserved ejection fraction (HFpEF). Methods High-salt fed rats diagnosed with HFpEF (n = 9) and control rats (n = 9) were imaged with the proposed ECV Multitasking technique. A 25-min exam, including two 4-min T1 Multitasking scans before and after gadolinium injection, were performed on each rat. It allows a cardiac temporal resolution of 20 ms for a heart rate of ~ 300 bpm. Myocardial ECV was calculated from the hematocrit (HCT) and fitted T1 values of the myocardium and the blood pool. Masson's trichrome stain was used to measure the extent of fibrosis. Welch’s t-test was performed between control and HFpEF groups. Results ECV was significantly higher in the HFpEF group (22.4% ± 2.5% vs. 18.0% ± 2.1%, P = 0.0010). A moderate correlation between the ECV and the extent of fibrosis was found (R = 0.59, P = 0.0098). Conclusions Motion-resolved ECV Multitasking CMR can quantify ECV in the rat myocardium at high heart rates without ECG triggering or respiratory gating. Elevated ECV found in the HFpEF group is consistent with previous human studies and well correlated with histological data. This technique has the potential to be a viable imaging tool for myocardial tissue characterization in small animal models.
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spelling doaj.art-ae375527ac554886a843ebefbf321edc2024-04-17T04:38:37ZengElsevierJournal of Cardiovascular Magnetic Resonance1532-429X2021-02-0123111110.1186/s12968-020-00699-9Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat modelPei Han0Rui Zhang1Shawn Wagner2Yibin Xie3Eugenio Cingolani4Eduardo Marban5Anthony G. Christodoulou6Debiao Li7Department of Bioengineering, University of California, Los AngelesSmidt Heart Institute, Cedars-Sinai Medical CenterBiomedical Imaging Research Institute, Cedars-Sinai Medical CenterBiomedical Imaging Research Institute, Cedars-Sinai Medical CenterSmidt Heart Institute, Cedars-Sinai Medical CenterSmidt Heart Institute, Cedars-Sinai Medical CenterDepartment of Bioengineering, University of California, Los AngelesDepartment of Bioengineering, University of California, Los AngelesAbstract Background Extracellular volume fraction (ECV) quantification with cardiovascular magnetic resonance (CMR) T1 mapping is a powerful tool for the characterization of focal or diffuse myocardial fibrosis. However, it is technically challenging to acquire high-quality T1 and ECV maps in small animals for preclinical research because of high heart rates and high respiration rates. In this work, we developed an electrocardiogram (ECG)-less, free-breathing ECV mapping method using motion-resolved CMR Multitasking on a 9.4 T small animal CMR system. The feasibility of characterizing diffuse myocardial fibrosis was tested in a rat heart failure model with preserved ejection fraction (HFpEF). Methods High-salt fed rats diagnosed with HFpEF (n = 9) and control rats (n = 9) were imaged with the proposed ECV Multitasking technique. A 25-min exam, including two 4-min T1 Multitasking scans before and after gadolinium injection, were performed on each rat. It allows a cardiac temporal resolution of 20 ms for a heart rate of ~ 300 bpm. Myocardial ECV was calculated from the hematocrit (HCT) and fitted T1 values of the myocardium and the blood pool. Masson's trichrome stain was used to measure the extent of fibrosis. Welch’s t-test was performed between control and HFpEF groups. Results ECV was significantly higher in the HFpEF group (22.4% ± 2.5% vs. 18.0% ± 2.1%, P = 0.0010). A moderate correlation between the ECV and the extent of fibrosis was found (R = 0.59, P = 0.0098). Conclusions Motion-resolved ECV Multitasking CMR can quantify ECV in the rat myocardium at high heart rates without ECG triggering or respiratory gating. Elevated ECV found in the HFpEF group is consistent with previous human studies and well correlated with histological data. This technique has the potential to be a viable imaging tool for myocardial tissue characterization in small animal models.https://doi.org/10.1186/s12968-020-00699-9Cardiovascular MRT1 mappingExtracellular volume fractionHFpEF
spellingShingle Pei Han
Rui Zhang
Shawn Wagner
Yibin Xie
Eugenio Cingolani
Eduardo Marban
Anthony G. Christodoulou
Debiao Li
Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
Journal of Cardiovascular Magnetic Resonance
Cardiovascular MR
T1 mapping
Extracellular volume fraction
HFpEF
title Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
title_full Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
title_fullStr Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
title_full_unstemmed Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
title_short Electrocardiogram-less, free-breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion-resolved cardiovascular magnetic reesonance multitasking: a feasibility study in a heart failure with preserved ejection fraction rat model
title_sort electrocardiogram less free breathing myocardial extracellular volume fraction mapping in small animals at high heart rates using motion resolved cardiovascular magnetic reesonance multitasking a feasibility study in a heart failure with preserved ejection fraction rat model
topic Cardiovascular MR
T1 mapping
Extracellular volume fraction
HFpEF
url https://doi.org/10.1186/s12968-020-00699-9
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