Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test

Background: To establish the reference values of native T1 and extracellular volume (ECV) in patients without structural heart disease and had a negative adenosine stress 3T cardiac magnetic resonance. Methods: Short-axis T1 mapping images were acquired using a modified Look-Locker inversion recover...

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Main Authors: Weerapat Kositanurit, Nonthikorn Theerasuwipakorn, Yongkasem Vorasettakarnkij, Kanokvalee Ponkanist, Chonthicha Lerdkhonsan, Monravee Tumkosit, David C. Wendell, Pairoj Chattranukulchai
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:International Journal of Cardiology: Heart & Vasculature
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Online Access:http://www.sciencedirect.com/science/article/pii/S235290672300012X
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author Weerapat Kositanurit
Nonthikorn Theerasuwipakorn
Yongkasem Vorasettakarnkij
Kanokvalee Ponkanist
Chonthicha Lerdkhonsan
Monravee Tumkosit
David C. Wendell
Pairoj Chattranukulchai
author_facet Weerapat Kositanurit
Nonthikorn Theerasuwipakorn
Yongkasem Vorasettakarnkij
Kanokvalee Ponkanist
Chonthicha Lerdkhonsan
Monravee Tumkosit
David C. Wendell
Pairoj Chattranukulchai
author_sort Weerapat Kositanurit
collection DOAJ
description Background: To establish the reference values of native T1 and extracellular volume (ECV) in patients without structural heart disease and had a negative adenosine stress 3T cardiac magnetic resonance. Methods: Short-axis T1 mapping images were acquired using a modified Look-Locker inversion recovery technique before and after administration of 0.15 mmol/kg gadobutrol to calculate both native T1 and ECV. To compare the agreement between measurement strategies, regions of interest (ROI) were drawn in all 16 segments then averaged to represent mean global native T1. Additionally, an ROI was drawn in the mid-ventricular septum on the same image to represent the mid-ventricular septal native T1. Results: Fifty-one patients (mean 65 years, 65 % women) were included. Mean global native T1 averaged from all 16 segments and a mid-ventricular septal native T1 were not significantly different (1221.2 ± 35.2 vs 1228.4 ± 43.7 ms, p = 0.21). Men had lower mean global native T1 (1195 ± 29.8 vs 1235.5 ± 29.4 ms, p < 0.001) than women. Both mean global and mid-ventricular septal native T1 were not correlated with age (r = 0.21, p = 0.13 and r = 0.18, p = 0.19, respectively). The calculated ECV was 26.6 ± 2.7 %, which was not influenced by either gender or age. Conclusions: We report the first study to validate the native T1 and ECV reference ranges, factors influencing T1, and the validation across measurement methods in older Asian patients without structural heart disease and had a negative adenosine stress test. These references allow for better detection of abnormal myocardial tissue characteristics in clinical practice.
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spelling doaj.art-e0154ed058994c0f9f660eb4c434ea6c2023-04-01T08:50:21ZengElsevierInternational Journal of Cardiology: Heart & Vasculature2352-90672023-04-0145101181Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress testWeerapat Kositanurit0Nonthikorn Theerasuwipakorn1Yongkasem Vorasettakarnkij2Kanokvalee Ponkanist3Chonthicha Lerdkhonsan4Monravee Tumkosit5David C. Wendell6Pairoj Chattranukulchai7Department of Physiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDivision of Cardiovascular Medicine, Faculty of Medicine, Chulalongkorn University, Cardiac Center, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDivision of Hospital and Ambulatory Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDepartment of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDepartment of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDepartment of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandDuke Cardiovascular Magnetic Resonance Center, Division of Cardiology, Duke University Medical Center, Durham, NC 27708, USADivision of Cardiovascular Medicine, Faculty of Medicine, Chulalongkorn University, Cardiac Center, King Chulalongkorn Memorial Hospital, Bangkok 10330, Thailand; Corresponding author at: Division of Cardiovascular Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Cardiac Center, King Chulalongkorn Memorial Hospital, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand.Background: To establish the reference values of native T1 and extracellular volume (ECV) in patients without structural heart disease and had a negative adenosine stress 3T cardiac magnetic resonance. Methods: Short-axis T1 mapping images were acquired using a modified Look-Locker inversion recovery technique before and after administration of 0.15 mmol/kg gadobutrol to calculate both native T1 and ECV. To compare the agreement between measurement strategies, regions of interest (ROI) were drawn in all 16 segments then averaged to represent mean global native T1. Additionally, an ROI was drawn in the mid-ventricular septum on the same image to represent the mid-ventricular septal native T1. Results: Fifty-one patients (mean 65 years, 65 % women) were included. Mean global native T1 averaged from all 16 segments and a mid-ventricular septal native T1 were not significantly different (1221.2 ± 35.2 vs 1228.4 ± 43.7 ms, p = 0.21). Men had lower mean global native T1 (1195 ± 29.8 vs 1235.5 ± 29.4 ms, p < 0.001) than women. Both mean global and mid-ventricular septal native T1 were not correlated with age (r = 0.21, p = 0.13 and r = 0.18, p = 0.19, respectively). The calculated ECV was 26.6 ± 2.7 %, which was not influenced by either gender or age. Conclusions: We report the first study to validate the native T1 and ECV reference ranges, factors influencing T1, and the validation across measurement methods in older Asian patients without structural heart disease and had a negative adenosine stress test. These references allow for better detection of abnormal myocardial tissue characteristics in clinical practice.http://www.sciencedirect.com/science/article/pii/S235290672300012XNative T1 mappingExtracellular volume3 TeslaCardiac magnetic resonance
spellingShingle Weerapat Kositanurit
Nonthikorn Theerasuwipakorn
Yongkasem Vorasettakarnkij
Kanokvalee Ponkanist
Chonthicha Lerdkhonsan
Monravee Tumkosit
David C. Wendell
Pairoj Chattranukulchai
Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
International Journal of Cardiology: Heart & Vasculature
Native T1 mapping
Extracellular volume
3 Tesla
Cardiac magnetic resonance
title Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
title_full Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
title_fullStr Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
title_full_unstemmed Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
title_short Reference values of myocardial native T1 and extracellular volume in patients without structural heart disease and had negative 3T cardiac magnetic resonance adenosine stress test
title_sort reference values of myocardial native t1 and extracellular volume in patients without structural heart disease and had negative 3t cardiac magnetic resonance adenosine stress test
topic Native T1 mapping
Extracellular volume
3 Tesla
Cardiac magnetic resonance
url http://www.sciencedirect.com/science/article/pii/S235290672300012X
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