Persistent decline in longitudinal and radial strain after coronary microembolization detected on velocity encoded

Demetrius L Dicks1, Marcus Carlsson, Einar Heiberg

  • 1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California 94143-2205, USA.

Abstract

Insights

Phase contrast MRI effectively measures changes in myocardial strain after coronary microembolization. Both longitudinal and radial strain show a persistent decline in the week following the procedure.

Area of Science:

  • Cardiovascular Imaging
  • Myocardial Mechanics
  • Interventional Cardiology

Background:

  • Coronary microembolization can impair myocardial function.
  • Assessing microinfarcts and their functional impact is crucial for understanding cardiac injury.
  • Non-invasive imaging techniques are needed to evaluate these changes.

Purpose of the Study:

  • To evaluate the efficacy of velocity-encoded phase contrast (PC) MRI in quantifying myocardial strain alterations following coronary microembolization.
  • To assess the longitudinal and radial strain changes in the affected myocardium.

Main Methods:

  • Utilized a combined X-ray and MR (XMR) system for selective coronary catheterization and microembolization in swine.
  • Quantified myocardial strain using PC-MRI and microinfarction with delayed enhancement (DE) MRI at 1 hour and 1 week post-embolization.
  • Correlated MRI findings with postmortem histochemical staining for microinfarction.

Main Results:

  • Coronary microembolization significantly reduced both longitudinal and radial myocardial strain in the area at risk.
  • Longitudinal strain decreased from -11.5% at baseline to 1.8% at 1 hour and -3.9% at 1 week.
  • Radial strain decreased from 23.6% at baseline to 12.5% at 1 hour and 4.8% at 1 week.
  • DE-MRI accurately identified microinfarction size compared to histology.

Conclusions:

  • Velocity-encoded PC-MRI is a sensitive tool for detecting regional myocardial strain changes after coronary embolization.
  • Persistent decline in longitudinal and radial strain is observed in microinfarcted regions over a 1-week period.

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