Sodium nuclear magnetic resonance imaging of acute cardiac rejection in heterotopic heart transplantation

Nuclear magnetic resonance (NMR) imaging was used to measure tissue sodium-23 in the myocardium undergoing cardiac rejection. In six dogs, the donor heart was heterotopically transplanted into the recipient's chest cavity. The dogs were then killed and sodium-23 images of the excised hearts wer...

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Veröffentlicht in:Cardiovascular research 1989-07, Vol.23 (7), p.561-566
Hauptverfasser: NISHIMURA, TSUNEHIKO, SADA, MASAHARU, SASAKI, HIDEMIKI, YAMADA, NAOAKI, YAMADA, YUKINORI, YUTANI, CHIKAO, AMEMIYA, HIROSHI, FUJITA, TSUYOSHI, AKUTSU, TETSUZO, MANABE, HISAO
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container_end_page 566
container_issue 7
container_start_page 561
container_title Cardiovascular research
container_volume 23
creator NISHIMURA, TSUNEHIKO
SADA, MASAHARU
SASAKI, HIDEMIKI
YAMADA, NAOAKI
YAMADA, YUKINORI
YUTANI, CHIKAO
AMEMIYA, HIROSHI
FUJITA, TSUYOSHI
AKUTSU, TETSUZO
MANABE, HISAO
description Nuclear magnetic resonance (NMR) imaging was used to measure tissue sodium-23 in the myocardium undergoing cardiac rejection. In six dogs, the donor heart was heterotopically transplanted into the recipient's chest cavity. The dogs were then killed and sodium-23 images of the excised hearts were obtained using a high field (1.5 Tesla) NMR imaging system. Proton NMR imaging of each excised heart was also performed and T1, T2 relaxation times were calculated. Subsequently, these data were correlated with pathological findings of mild, moderate and severe rejection. The correlation coefficients between the rejection score and the T1, T2 relaxation times and sodium NMR signal intensity were 0.79, 0.70 and 0.84, respectively. Severely rejected areas of the myocardium were visualised by increased sodium NMR signals. These findings suggest that an increase of sodium NMR intensity is mainly caused by an increase of intracellular sodium content due to irreversible myocardial necrosis. Sodium NMR allows evaluation of the location and extent of rejection of myocardium after heart transplantation.
doi_str_mv 10.1093/cvr/23.7.561
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In six dogs, the donor heart was heterotopically transplanted into the recipient's chest cavity. The dogs were then killed and sodium-23 images of the excised hearts were obtained using a high field (1.5 Tesla) NMR imaging system. Proton NMR imaging of each excised heart was also performed and T1, T2 relaxation times were calculated. Subsequently, these data were correlated with pathological findings of mild, moderate and severe rejection. The correlation coefficients between the rejection score and the T1, T2 relaxation times and sodium NMR signal intensity were 0.79, 0.70 and 0.84, respectively. Severely rejected areas of the myocardium were visualised by increased sodium NMR signals. These findings suggest that an increase of sodium NMR intensity is mainly caused by an increase of intracellular sodium content due to irreversible myocardial necrosis. Sodium NMR allows evaluation of the location and extent of rejection of myocardium after heart transplantation.</description><identifier>ISSN: 0008-6363</identifier><identifier>EISSN: 1755-3245</identifier><identifier>DOI: 10.1093/cvr/23.7.561</identifier><identifier>PMID: 2598211</identifier><identifier>CODEN: CVREAU</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Animals ; Biological and medical sciences ; cardiac rejection ; Dogs ; Graft Rejection ; Heart Septal Defects, Atrial - pathology ; Heart Transplantation - pathology ; heterotopic heart transplantation ; Intracellular Fluid - analysis ; Magnetic Resonance Imaging ; Medical sciences ; Myocardium - pathology ; Necrosis ; Orthopedic surgery ; Sodium - analysis ; sodium MRI ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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In six dogs, the donor heart was heterotopically transplanted into the recipient's chest cavity. The dogs were then killed and sodium-23 images of the excised hearts were obtained using a high field (1.5 Tesla) NMR imaging system. Proton NMR imaging of each excised heart was also performed and T1, T2 relaxation times were calculated. Subsequently, these data were correlated with pathological findings of mild, moderate and severe rejection. The correlation coefficients between the rejection score and the T1, T2 relaxation times and sodium NMR signal intensity were 0.79, 0.70 and 0.84, respectively. Severely rejected areas of the myocardium were visualised by increased sodium NMR signals. These findings suggest that an increase of sodium NMR intensity is mainly caused by an increase of intracellular sodium content due to irreversible myocardial necrosis. Sodium NMR allows evaluation of the location and extent of rejection of myocardium after heart transplantation.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>cardiac rejection</subject><subject>Dogs</subject><subject>Graft Rejection</subject><subject>Heart Septal Defects, Atrial - pathology</subject><subject>Heart Transplantation - pathology</subject><subject>heterotopic heart transplantation</subject><subject>Intracellular Fluid - analysis</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Myocardium - pathology</subject><subject>Necrosis</subject><subject>Orthopedic surgery</subject><subject>Sodium - analysis</subject><subject>sodium MRI</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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source MEDLINE; Oxford University Press Journals Digital Archive Legacy
subjects Animals
Biological and medical sciences
cardiac rejection
Dogs
Graft Rejection
Heart Septal Defects, Atrial - pathology
Heart Transplantation - pathology
heterotopic heart transplantation
Intracellular Fluid - analysis
Magnetic Resonance Imaging
Medical sciences
Myocardium - pathology
Necrosis
Orthopedic surgery
Sodium - analysis
sodium MRI
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thorax
Transplantation, Heterotopic
Tricuspid Valve Insufficiency - pathology
title Sodium nuclear magnetic resonance imaging of acute cardiac rejection in heterotopic heart transplantation
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