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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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