Imaging of ischemia and infarction in blood-perfused pig hearts using 87Rb MRI

V V Kupriyanov1, B Xiang, J Sun

  • 1Institute for Biodiagnostics, National Research Council, Winnipeg, Canada. Kupriyanov@ibd.nrc.ca

Insights

Rubidium-87 MRI effectively detects heart damage from blocked arteries. Blood perfusion does not hinder this imaging technique for identifying ischemic and infarct areas in the heart.

Area of Science:

  • Cardiovascular Imaging
  • Nuclear Cardiology
  • Medical Physics

Background:

  • Assessing myocardial ischemia and infarction is crucial for cardiovascular disease management.
  • Rubidium-87 (Rb-87) magnetic resonance imaging (MRI) offers a potential method for quantifying these conditions.
  • Previous studies have not fully established the efficacy of Rb-87 MRI in blood-perfused hearts.

Purpose of the Study:

  • To evaluate the utility of Rb-87 MRI in detecting and quantifying myocardial ischemia and infarcts in a blood-perfused pig heart model.
  • To compare Rb-87 uptake and image intensity in ischemic versus remote myocardial regions.
  • To validate Rb-87 MRI findings against histological infarct size measurements.

Main Methods:

  • Blood-perfused pig hearts underwent left anterior descending artery (LAD) occlusion for 70 or 120 minutes, followed by reperfusion.
  • Rb-87 uptake and MRI were performed to assess myocardial perfusion and damage.
  • Histological analysis using triphenyltetrazolium chloride (TTC) staining was used to determine infarct size.

Main Results:

  • Rb-87 uptake and image intensity were significantly reduced in the ischemic anterior wall compared to the remote posterior wall during LAD occlusion.
  • Reperfusion led to damaged areas with reduced Rb-87 intensity, correlating with occlusion duration.
  • MRI-derived infarct sizes closely corresponded to histological measurements, with minor variations.

Conclusions:

  • Rb-87 MRI accurately identifies ischemic and infarct regions in blood-perfused hearts.
  • The presence of blood does not impede the diagnostic capability of Rb-87 MRI for assessing myocardial damage.
  • This technique holds promise for non-invasive evaluation of myocardial injury in clinical settings.