Ex vivo diffusion tensor MRI reflects microscopic structural remodeling associated with aging and disease progression

Wen Li1, Ming Lu, Suhanti Banerjee

  • 1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.

NMR in Biomedicine
|May 13, 2009
PubMed

Insights

Diffusion tensor magnetic resonance imaging (DTMRI) can noninvasively detect microscopic changes in aging and dilated cardiomyopathy (DCM) hearts. This technique reveals structural remodeling, including extracellular space expansion and calcium deposition, without contrast agents.

Area of Science:

  • Cardiovascular Imaging
  • Biomedical Engineering
  • Pathology

Background:

  • Dilated cardiomyopathy (DCM) is a significant cause of heart disease mortality.
  • Aging is an underappreciated factor contributing to cardiac pathology.
  • Accurate assessment of cardiac remodeling in aging and DCM is crucial for treatment guidance.

Purpose of the Study:

  • To investigate the utility of Diffusion Tensor Magnetic Resonance Imaging (DTMRI) for characterizing microscopic structural changes in aging and DCM hearts.
  • To correlate DTMRI findings with histological and CT imaging data.

Main Methods:

  • DTMRI was performed on aging (6 and 9 months) DCM (TO-2) hamsters and age-matched controls (F1 beta).
  • Quantitative analysis of diffusion parameters (diffusivity, anisotropy) was conducted.
  • X-ray CT imaging and histological analysis were used for validation.

Main Results:

  • Both aging and DCM hearts exhibited increased diffusivity and reduced diffusion anisotropy.
  • DTMRI identified specific pixel characteristics (decreased radial diffusivity, increased FA) in DCM hearts.
  • These DTMRI findings correlated with regions of calcium deposition and expanded extracellular space observed histologically.

Conclusions:

  • DTMRI shows promise for noninvasively assessing tissue-level structural remodeling in aging and DCM.
  • The technique can potentially delineate cellular and extracellular changes without contrast agents.
  • DTMRI may offer a valuable tool for monitoring disease progression and therapeutic response in cardiac conditions.

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