T2 fluctuations in ischemic and post-ischemic viable porcine myocardium in vivo

J Cardiovasc Magn Reson. 2006;8(3):469-74. doi: 10.1080/10976640600572897.

Abstract

T2 relaxation can augment delayed-enhancement viability imaging because it is sensitive to tissue edema and microcirculatory oxygen state. We demonstrate the T2 'signatures' of sub-lethal ischemia and stunning in porcine myocardium perfused by the distal left anterior descending artery, by imaging during percutaneous balloon occlusion for 25 minutes and subsequent reperfusion (n = 9). Muscle displayed ischemic dysfunction and partial post-ischemic functional recovery (p < or = 0.0004), concommitant with an elevated post-ischemic T2 (deltaT2 = 27 +/- 18%, p = 0.005). TTC staining verified muscle viability. The T2 fluctuations may reflect hyperemia and tissue cellular edema in accord with the known pathophysiology of ischemic and post-ischemic yet viable muscle.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Coronary Circulation
  • Disease Models, Animal
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging / methods*
  • Myocardial Contraction
  • Myocardial Ischemia / pathology*
  • Myocardial Reperfusion Injury / pathology*
  • Myocardial Stunning / pathology*
  • Swine