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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2017
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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) |
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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 |
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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 |
work_keys_str_mv |
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