Nahrendorf M, Hiller K-H, Hu K, Ertl G, Haase A, Bauer W R
Physikalisches Institut (EP5), Universität Würzburg, Am Hubland, 97074 Würzburg, Germany.
Med Image Anal. 2003 Sep;7(3):369-75. doi: 10.1016/s1361-8415(03)00011-2.
The aim of this study was to test the feasibility of cine magnetic resonance imaging (MRI) for assessment of the infarcted rat and mouse heart and to compare the results with established methods. These models have been proven to predict genesis and prevention of heart failure in patients. The value of cine MRI was tested in studies investigating interventions to change the course of the remodeling process. MRI was performed for determination of left ventricular (LV) volumes and mass, myocardial infarct (MI) size and cardiac output. LV wet weight was determined after MRI. Rats underwent conventional hemodynamic measurements for determination of cardiac output and LV volumes by electromagnetic flowmeter and pressure-volume curves. Infarct size was determined by histology. MRI-acquired MI-size (18.5+/-2%) was smaller than that found by histology (22.8+/-2.5%, p<0.05) with close correlation (r=0.97). There was agreement in LV mass between MRI and wet weight (r=0.97, p<0.05) and in the MRI- and flowmeter measurements of cardiac output (r=0.80, p<0.05). Volume by MRI differed from pressure-volume curves with good correlation (r=0.96, p<0.05). In a serial study of mice after coronary ligation, LV hypertrophy at 8 weeks was detected (Sham 105.1+/-7.9 mg, MI 144.4+/-11.7 mg, p<0.05). Left ventricles were enlarged in infarcted mice (end-diastolic volume, week 8: Sham 63.5+/-4 microl, MI 94.2 microl, p<0.05). In conclusion, cine MRI is a valuable diagnostic tool applicable to the rat and mouse model of MI. Being non-invasive and exact it offers new insights into the remodeling process after MI because serial measurements are possible. The technique was applied to study several interventions and proved its usefulness.
本研究的目的是测试电影磁共振成像(MRI)评估梗死大鼠和小鼠心脏的可行性,并将结果与既定方法进行比较。这些模型已被证明可预测患者心力衰竭的发生和预防。在研究改变重塑过程进程的干预措施时,对电影MRI的价值进行了测试。进行MRI以测定左心室(LV)容积和质量、心肌梗死(MI)大小及心输出量。MRI检查后测定LV湿重。大鼠接受传统血流动力学测量,通过电磁流量计和压力-容积曲线测定心输出量和LV容积。通过组织学确定梗死面积。MRI获得的MI大小(18.5±2%)小于组织学发现的大小(22.8±2.5%,p<0.05),两者具有密切相关性(r=0.97)。MRI测定的LV质量与湿重之间具有一致性(r=0.97,p<0.05),MRI与流量计测量的心输出量之间也具有一致性(r=0.80,p<0.05)。MRI测定的容积与压力-容积曲线不同,但具有良好的相关性(r=0.96,p<0.05)。在对冠状动脉结扎后的小鼠进行的系列研究中,检测到8周时LV肥厚(假手术组105.1±7.9 mg,MI组144.4±11.7 mg,p<0.05)。梗死小鼠的左心室增大(舒张末期容积,第8周:假手术组63.5±4 μl,MI组94.2 μl,p<0.05)。总之,电影MRI是一种适用于MI大鼠和小鼠模型的有价值的诊断工具。由于可以进行系列测量,它具有非侵入性且准确的特点,为MI后的重塑过程提供了新的见解。该技术已应用于研究多种干预措施,并证明了其有用性。