Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study

Abstract A reliable, non-invasive diagnostic method is needed for early detection and serial monitoring of cardiotoxicity, a well-known side effect of chemotherapy. This study aimed to assess the feasibility of T1-mapping cardiac magnetic resonance imaging (CMR) for evaluating subclinical myocardial...

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Autores principales: Yoo Jin Hong, Heae Surng Park, Jeffrey Kihyun Park, Kyunghwa Han, Chul Hwan Park, Tai Kyung Kim, Sae Jong Yoo, Ji Yeon Lee, Pan Ki Kim, Jin Hur, Hye-Jeong Lee, Young Jin Kim, Young Joo Suh, Mun Young Paek, Byoung Wook Choi
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/06139a1fd4ca4381befb9ddb7f6637e7
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spelling oai:doaj.org-article:06139a1fd4ca4381befb9ddb7f6637e72021-12-02T16:06:12ZEarly Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study10.1038/s41598-017-02627-x2045-2322https://doaj.org/article/06139a1fd4ca4381befb9ddb7f6637e72017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02627-xhttps://doaj.org/toc/2045-2322Abstract A reliable, non-invasive diagnostic method is needed for early detection and serial monitoring of cardiotoxicity, a well-known side effect of chemotherapy. This study aimed to assess the feasibility of T1-mapping cardiac magnetic resonance imaging (CMR) for evaluating subclinical myocardial changes in a doxorubicin-induced cardiotoxicity rabbit model. Adult male New Zealand White rabbits were injected twice-weekly with doxorubicin and subjected to CMR on a clinical 3T MR system before and every 2–4 weeks post-drug administration. Native T1 and extracellular volume (ECV) values were measured at six mid-left ventricle (LV) and specific LV lesions. Histological assessments evaluated myocardial injury and fibrosis. Three pre-model and 11 post-model animals were included. Myocardial injury was observed from 3 weeks. Mean LV myocardium ECV values increased significantly from week 3 before LV ejection fraction decreases (week 6), and ECVs of the RV upper/lower insertion sites and papillary muscle exceeded those of the LV. The mean native T1 value in the mid-LV increased significantly increased from week 6, and LV myocardium ECV correlated strongly with the degree of fibrosis (r = 0.979, p < 0.001). Myocardial T1 mapping, particularly ECV values, reliably and non-invasively detected early cardiotoxicity, allowing serial monitoring of chemotherapy-induced cardiotoxicity.Yoo Jin HongHeae Surng ParkJeffrey Kihyun ParkKyunghwa HanChul Hwan ParkTai Kyung KimSae Jong YooJi Yeon LeePan Ki KimJin HurHye-Jeong LeeYoung Jin KimYoung Joo SuhMun Young PaekByoung Wook ChoiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-10 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yoo Jin Hong
Heae Surng Park
Jeffrey Kihyun Park
Kyunghwa Han
Chul Hwan Park
Tai Kyung Kim
Sae Jong Yoo
Ji Yeon Lee
Pan Ki Kim
Jin Hur
Hye-Jeong Lee
Young Jin Kim
Young Joo Suh
Mun Young Paek
Byoung Wook Choi
Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
description Abstract A reliable, non-invasive diagnostic method is needed for early detection and serial monitoring of cardiotoxicity, a well-known side effect of chemotherapy. This study aimed to assess the feasibility of T1-mapping cardiac magnetic resonance imaging (CMR) for evaluating subclinical myocardial changes in a doxorubicin-induced cardiotoxicity rabbit model. Adult male New Zealand White rabbits were injected twice-weekly with doxorubicin and subjected to CMR on a clinical 3T MR system before and every 2–4 weeks post-drug administration. Native T1 and extracellular volume (ECV) values were measured at six mid-left ventricle (LV) and specific LV lesions. Histological assessments evaluated myocardial injury and fibrosis. Three pre-model and 11 post-model animals were included. Myocardial injury was observed from 3 weeks. Mean LV myocardium ECV values increased significantly from week 3 before LV ejection fraction decreases (week 6), and ECVs of the RV upper/lower insertion sites and papillary muscle exceeded those of the LV. The mean native T1 value in the mid-LV increased significantly increased from week 6, and LV myocardium ECV correlated strongly with the degree of fibrosis (r = 0.979, p < 0.001). Myocardial T1 mapping, particularly ECV values, reliably and non-invasively detected early cardiotoxicity, allowing serial monitoring of chemotherapy-induced cardiotoxicity.
format article
author Yoo Jin Hong
Heae Surng Park
Jeffrey Kihyun Park
Kyunghwa Han
Chul Hwan Park
Tai Kyung Kim
Sae Jong Yoo
Ji Yeon Lee
Pan Ki Kim
Jin Hur
Hye-Jeong Lee
Young Jin Kim
Young Joo Suh
Mun Young Paek
Byoung Wook Choi
author_facet Yoo Jin Hong
Heae Surng Park
Jeffrey Kihyun Park
Kyunghwa Han
Chul Hwan Park
Tai Kyung Kim
Sae Jong Yoo
Ji Yeon Lee
Pan Ki Kim
Jin Hur
Hye-Jeong Lee
Young Jin Kim
Young Joo Suh
Mun Young Paek
Byoung Wook Choi
author_sort Yoo Jin Hong
title Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
title_short Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
title_full Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
title_fullStr Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
title_full_unstemmed Early Detection and Serial Monitoring of Anthracycline-Induced Cardiotoxicity Using T1-mapping Cardiac Magnetic Resonance Imaging: An Animal Study
title_sort early detection and serial monitoring of anthracycline-induced cardiotoxicity using t1-mapping cardiac magnetic resonance imaging: an animal study
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/06139a1fd4ca4381befb9ddb7f6637e7
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