Time series analysis of ex-vivo ischemia-reperfused heart using Q-space imaging

Genki Ichihara1, Junichi Hata2,3, Daisuke Nakashima4,5

  • 1Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan.

Scientific Reports
|August 10, 2025
PubMed

Insights

Q-space imaging (QSI) effectively detects microstructural changes after myocardial ischemia-reperfusion injury. This advanced MRI technique accurately quantifies infarct size and characteristics, even without contrast agents.

Area of Science:

  • Cardiovascular Imaging
  • Biomedical Engineering
  • Diffusion MRI

Background:

  • Cardiac MRI faces challenges in sensitivity and quantitation for myocardial infarction evaluation.
  • Microstructural alterations in myocardial ischemia-reperfusion (IR) injury require advanced imaging techniques.
  • q-space imaging (QSI) offers potential for assessing non-Gaussian diffusion patterns.

Purpose of the Study:

  • To delineate pathological microstructural alterations in myocardial IR injury using QSI.
  • To assess the capability of QSI in quantifying infarct dimensions and morphology across temporal phases.
  • To evaluate QSI's performance independent of gadolinium contrast agents.

Main Methods:

  • Rats underwent IR injury, with infarct evaluation at 2, 7, and 30 days.
  • Magnetic Resonance Imaging (MRI) utilized a 9.4-Tesla system with QSI and T1-weighted imaging (T1WI).
  • Correlation analyses were performed on left ventricular short-axis cross-sections to compare QSI and T1WI findings.

Main Results:

  • Axial diffusivity from QSI kurtosis maps strongly correlated with T1WI hyperintense areas (R² = 0.885–0.947) and infarct transmural extent.
  • QSI delineated infarct regions concordantly with histopathology, even without gadolinium contrast (R² = 0.977).
  • QSI demonstrated high accuracy in identifying pathological changes at the infarct site across different time points.

Conclusions:

  • QSI is a capable tool for identifying pathological changes in myocardial infarction.
  • QSI provides quantitative infarct assessment irrespective of gadolinium contrast administration.
  • QSI demonstrates potential for sensitive and quantitative evaluation of myocardial IR injury.

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