Hanne Hakkarainen1, Jaana Rysä2, Anna-Kaisa Ruotsalainen1, Anna-Liisa Levonen1, and Timo Liimatainen1,3
1A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 2School of Pharmacy, University of Eastern Finland, Kuopio, Finland, 3Imaging Center, Kuopio University Hospital, Kuopio, Finland
Synopsis
High
resolution cine-MRI was applied for examining aortic valve function and atherosclerotic
plaque accumulation in the valves in mice on a high fat diet. The end
systolic images of the aortic valves of these mice showed clear signs of atherosclerotic fat accumulation
and dysfunction of the valves. This implies that the cine-MRI method provides a
noninvasive tool for monitoring atherosclerotic plaques in the mouse aortic
valves. Introduction
Aortic valve disease is a condition where the
three-leaved valve between heart left ventricle and aorta is not working
properly. It may be either not opening fully causing obstruction to blood flow
(aortic valve stenosis) or it is not closing properly resulting in a leakage
and backward blood flow (aortic valve regurgitation)
1. The non-invasive
cardiac MRI has been found potential in imaging aortic valve stenosis and
regurgitation, but there is a room for improvement in the image resolution to
be able to accurately detect the accumulation of atherosclerotic plaque and
calcification in the valve
2,3,4. In this study, high resolution cine-imaging
was applied for detecting atherosclerotic plaque accumulation in the aortic
valves in hyperlipidemic mice undergoing high fat diet.
Materials and Methods
6 LDLR-/-ApoB100/100 mice
were on a high fat diet (42 % of calories from fat) for 5 months. In addition,
one C57BL/6 control mouse was included in this study for comparison. The mice were imaged at 7T Bruker
Pharmascan using volume transmitter and surface receiver coil. The MRI scans
consisted of 6-8 cine-images covering the whole heart from apex to aorta to examine
the heart function. Parameters for cine imaging were the following; TR =8 ms,
TE = 2 ms, FOV = 4 x 4 cm
2, matrix size 192 x 192, 1 slice, slice
thickness 1 mm, 10-12 frames depending on heart rate, and 2 averages. The size
of the left ventricle was determined from the end diastolic and end systolic
images from each slice and combined to obtain the end diastolic and end
systolic volumes (EDV and ESV, respectively. From these the ejection fraction
(EF) was calculated: EF = 1-EDV/ESV. End systolic aortic valve function was
examined by imaging the cross section of the aorta at valve level using cine
sequence with slice thickness of 0.6 mm. Other parameters were the following; TR
= 8 ms, TE = 2 ms, FOV = 1,5 x 3 cm
2, matrix size 192 x 192, 1 slice,
and 3 averages. From these images, the area of aortic valve orifice was
determined and compared to the total area of aorta.
Results and Discussion
From the cine images, the aorta
wall and the accumulated atherosclerotic plaque was clearly separated. The
valve function was limited (Figure 1.) suggesting stenosis/regurgitation in the
mice with high fat diet. The area of the orifice was 43 ± 5 % (mean ± SEM) of the total area of aorta
in these mice. EF of 6 mice was 60 ± 2 % (mean ± SEM) being lower than reported
values from normal mice
5.
Conclusion
We were able to clearly visualize the
dysfunction of the aortic valves and accumulated atherosclerotic plaque to the mouse
aortic valve. The cine-MRI provides a non-invasive tool to monitor aortic atherosclerotic
plaques.
Acknowledgements
Academy of Finland (JR), Sigrid Juselius
Foundation (TL), and Instrumentarium Science Foundation (HH).References
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