## Abstract The long‐lasting signal enhancement by Gd‐DTPA in areas of myocardial infarction has been conventionally explained by low perfusion and an enhanced Gd distribution volume. To test whether binding of Gd to myocardial constituents is an additional factor contributing to this effect, Gd‐DT
The contributory role of interstitial water in Gd-DTPA-enhanced MRI in myocardial infarction
✍ Scribed by Shin-ichi Inoue; Yo Murakami; Koichi Ochiai; Jun Kitamura; Yutaka Ishibashi; Hideaki Kawamitsu; Kazuro Sugimura; Toshio Shimada
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 191 KB
- Volume
- 9
- Category
- Article
- ISSN
- 1053-1807
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✦ Synopsis
We studied the mechanism underlying regional enhancement of myocardial infarction using T1-weighted MRI with gadolinium (Gd)-DTPA. Anterior myocardial infarction (MI) was produced by left anterior descending coronary artery ligation in three groups of rats as follows: 60 minutes occlusion (occlusion group, N ؍ 6), 60 minutes occlusion plus 120 minutes reperfusion (reperfusion group, N ؍ 8), and sham-operated (control, N ؍ 6). In Gd-DTPA-enhanced MRI, MI was demarcated as a hypoenhanced region in the occlusion group and as a homogeneous hyperenhanced region in the reperfusion group. Both Gd-DTPA tissue concentration and tissue water content in the anterior wall were highest in the reperfusion group (P F 0.05), a finding suggestive of microscopically observed interstitial edema. The data suggest that regional accumulation of Gd-DTPA in the reperfused group can be explained by increased interstitial water content, contributing to the delayed washout of the water-soluble contrast medium.
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Gd-DTPA kinetics in arterial blood was investigated by dynamic MRI in 47 patients with malignant and benign mammary tumors. Signal enhancement was monitored for 10 min after the beginning of a 1-min infusion of 0.1 mmol/kg Gd-DTPA. Kinetics in blood was biexponential with median half-lives of 21 sec
## Abstract The partition coefficient of Gd‐DTPA (λ) is elevated in infarcted relative to normal myocardium. Although MRI following an infusion of Gd‐DTPA allows for the quantification of λ, infarct imaging is more routinely performed using a bolus. In this study we sought to determine how image de
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