Imaging of reperfused intramyocardial hemorrhage with cardiovascular magnetic resonance susceptibility weighted imaging (SWI)

To report initial experience with TE-averaged susceptibility weighted imaging (SWI) in normal subjects and acute myocardial infarction (AMI) patients for the detection of intramyocardial hemorrhage (IMH). 15 healthy control and 11 AMI subjects were studied at 1.5T before contrast agent administratio...

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Veröffentlicht in:PloS one 2015-04, Vol.10 (4), p.e0123560-e0123560
Hauptverfasser: Goldfarb, James W, Hasan, Usama
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description To report initial experience with TE-averaged susceptibility weighted imaging (SWI) in normal subjects and acute myocardial infarction (AMI) patients for the detection of intramyocardial hemorrhage (IMH). 15 healthy control and 11 AMI subjects were studied at 1.5T before contrast agent administration with a dark blood double inversion recovery multiple spoiled gradient-echo sequence. Magnitude, susceptibility weighted and TE-averaged images were reconstructed from raw data. Contrast and signal-difference-to-noise were measured and compared between methods for IMH detection. There were six patients with microvascular obstruction (MVO) and four patients with IMH detected by TE-averaged SWI imaging. All patients with IMH on SWI scans had MVO on late gadolinium-enhanced (LGE) imaging. There was a three-fold increase in IMH contrast with SWI compared to magnitude images. IMH contrast decreased and signal-to-noise increased with increased TE averages. TE-averaged SWI imaging is a promising method for myocardial tissue characterization in the setting of AMI for the detection of IMH. Along with gray-scale colormap inversion, it combines not only magnitude and phase information, but also images across TEs to provide a single image sensitive to IMH with characteristics similar to LGE imaging.
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Along with gray-scale colormap inversion, it combines not only magnitude and phase information, but also images across TEs to provide a single image sensitive to IMH with characteristics similar to LGE imaging.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25875478</pmid><doi>10.1371/journal.pone.0123560</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Comparative analysis
Contrast media
Control methods
Gadolinium
Heart attack
Hemorrhage
Hemorrhage - pathology
Humans
Image contrast
Image reconstruction
Infarction
Inversion
Magnetic permeability
Magnetic resonance
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Microvasculature
Middle Aged
Myocardial infarction
Myocardial Infarction - pathology
Myocardial Reperfusion
Myocardial Revascularization
Myocardium - pathology
Noise
Patients
Signal-To-Noise Ratio
title Imaging of reperfused intramyocardial hemorrhage with cardiovascular magnetic resonance susceptibility weighted imaging (SWI)
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