论文标题

小鼠心脏评估的高级MRI

Advanced MRI for cardiac assessment in mice

论文作者

Buonincontri, Guido

论文摘要

心力衰竭是西方世界死亡的主要原因。小鼠是多种疾病的广泛使用模型,该模型是由遗传修饰或手术干预引起的。在小鼠中进行实验时,体内磁共振成像(MRI)可用于评估心脏解剖结构和功能多种水平。心脏周期的每个阶段(用Cine MRI获得)的心室大小的体积测量可用作心力衰竭的敏感量度。 Cine MRI此处适用于心脏病的遗传模型,包括用药理学操纵的压力测试。由于对功能评估的收购持续时间是一个关键限制,因此提出和验证了一种新方法,使Cine MRI更快地提出并验证,以保持标准精度。该方法利用了压缩感测和并行成像的组合以及径向采集K空间。在径向获得时,涡流诱导的伪影将通过一种新方案进行追溯校正。可以通过使用造影剂的剂量来测量组织生存能力,并通过使用造影剂的后期增强(LGE)成像来测量。注射后,药物迅速从健康组织中洗出,尽管在梗塞区域的动力学较慢。有效地进行LGE的一种新型方法,并针对组织学进行了验证。该方法应用于对梗塞新方法的评估。最后,提出了一种在单个检查中对小鼠心脏进行多模式评估的新方法。该方法包括Cine和LGE MRI以及用刺激的回声(密集)MRI的位移编码的心肌中的机械应变度量,并评估具有正电子发射断层扫描(PET)的细胞代谢。在评估新的梗塞保护剂中证明了这种方法。

Heart failure is a leading cause of mortality in the Western world. The mouse is a widely used model for a number of diseases, induced by genetic modification or surgical intervention. When performing experiments in mice, in vivo magnetic resonance imaging (MRI) can be used to evaluate heart anatomy and function at multiple levels. Volumetric measurements of ventricle size at each phase of the heart cycle (obtained with cine MRI) can be used as a sensitive measure for heart failure. Cine MRI is applied here to genetic models of heart disease, including stress tests with pharmacological manipulation. As the long duration of the acquisition for functional assessment is a critical limitation, a new method to make cine MRI twelve times faster is presented and validated, maintaining standard accuracy. The method utilises a combination of compressed sensing and parallel imaging with a radial acquisition of k-space. Eddy-current induced artifacts, present when acquiring radially, are corrected retrospectively with a novel scheme. Tissue viability can be measured with late gadolinium enhancement (LGE) imaging, where a contrast agent is utilised. After injection, the agent rapidly washes out of healthy tissue, though has a slower kinetic in infarcted regions. A novel method to perform LGE efficiently is presented and validated against histology. This method is applied to the evaluation of a new treatment for infarction. Finally, a novel method to perform a multi-modal assessment of the mouse heart within a single exam is presented. The method includes cine and LGE MRI as well as a measure of mechanical strain in the myocardium with displacement encoding with stimulated echoes (DENSE) MRI and assessment of cellular metabolism with positron emission tomography (PET). This method is demonstrated in the evaluation of a new protective agent for infarction.

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