Mahon L Maguire1, Mala Rohling2, Megan Masters2, Debra McAndrew1, Paul Riley2, and Jurgen E Schneider1
1Radcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom, 2Department of Physiology, Anatomy, and Genetics, University of Oxford, Oxford, United Kingdom
Synopsis
The neonatal mouse heart has been reported to regenerate
following myocardial injury during the first days of life. Research into this
regenerative capability is being actively pursued for translation into the
clinic. This study presents cardiac cine
imaging of one-day old mice using retrospectively gated, accelerated MR imaging
with recovery. Images were acquired
with 78x78x500 μm resolution. Left
ventricular functional parameters were derived from the images and are
presented. This proof of concept study
demonstrates that cardiac functional MR imaging with recovery in newborn mice
is practical. It also allows the
investigation of myocardial regeneration during the first days of life.Purpose
Unlike the adult mouse heart, the neonatal heart
has been reported to regenerate following myocardial injury during the few days after birth
1. With ischaemic heart disease being a leading
cause of death in the developed world, research into the mechanisms of cardiac
regeneration has been actively pursued with the aim to translation to the
clinic
2. In the mouse, this
regenerative ability is lost by one week of age
1. In order to
dissect the molecular and genetic basis of cardiac regeneration, the ability to
quantify lesion size and rate of resolution is critical. MRI has long been established as the method
of choice for non-invasive functional imaging of the heart in adult mice, but for
neonates only limited work has attempted to assess cardiac function in
three-day old mice
3,4. This
study aimed to establish the framework for reproducible and reliable functional
imaging of hearts in newborn (i.e. one-day old, P1) mice, with successful
recovery. Such a method would permit
longitudinal imaging of myocardial injury models allowing monitoring of the
process of myocardial regeneration.
Methods
Neonatal wild type mice (CD1, N=5) were imaged at P1.
General anaesthesia was induced using 4% isoflurane in oxygen and the animal
placed prone in a custom designed, 3D printed, 12.5 mm animal cradle (Figure 1). Animal physiology was maintained using ~2%
isoflurane in oxygen and a heated air blanket placed over the back. Respiration was monitored using a pressure
transducer placed beneath the abdomen.
All imaging was conducted using a 9.4 T horizontal bore scanner with
Direct Drive2 console and 60 mm i.d., 1 T/m, shielded gradient set (Agilent
Technologies). A 13 mm i.d. quadrature
driven birdcage resonator (Rapid Biomedical) was used for signal
transmission/reception. Following
scouting and shimming, short axis, retrospectively gated, 2D gradient echo
multi-slice cine images were acquired covering the entire left ventricle (2x
compressed sensing acceleration)
5,6.
Imaging parameters were: matrix size 192x192, 10˚ flip angle,
TR/TE=4.6/1.9 ms, 50 frames, 6 repetitions (28800 signals). Field of view was 15x15 mm with slice
thickness of 0.5 mm. Total acquisition
time including scouting and shimming was ~30 minutes. The mice were recovered
and the entire litter returned to the mother following imaging. Twenty frames
per slice were reconstructed off-line and subjected to image analysis.
Results
The neonatal mice recovered rapidly following imaging with
all animals surviving the imaging procedure. Cine images could be successfully
reconstructed for all mice with full ventricular coverage (~6-7 slices). Image contrast and resolution were sufficient
for manual segmentation, and derivation of functional parameters (Figure 2;
Table 1).
Discussion
To the best of our knowledge, this is the first report of
successful cardiac functional imaging of P1 mice with recovery. Cardiac MR imaging of neonatal mice with
recovery has been reported for P3, although ECG electrodes were placed in the
forelimbs in order to enable cardiac gating and the mice were not recovered
3,4.
As the ability to regenerate the
myocardium following injury is lost between 4 and 7 days after birth, imaging
and recovering the mouse in the first 24 to 48 hours following birth is
desirable in order to study the process and rate of myocardial regeneration.
By employing retrospectively gated, compressed sensing
accelerated imaging, the scan time has been reduced sufficiently to allow easy
recovery of the animals following general anaesthesia without compromising
spatial resolution. The use of
retrospectively gated imaging means that ECG electrodes are not required,
thereby preventing the potential injury to the forelimbs of the mouse and
aiding recovery. The diameter of the RF
coil was chosen to be as small as was practical to fit the neonatal mouse,
anaesthetic nose cone, respiratory monitor and heating in order to maximize the
signal to noise ratio.
Extension of this work to longitudinal imaging of neonatal
mice following myocardial infarction will allow the process of cardiac
regeneration to be monitored and quantified and ultimately to shed new light onto
myocardial regeneration.
Conclusion
These proof of concept data demonstrate that cardiac functional
MR imaging with recovery in newborn mice is practical. The methods used in this study offer the
possibility to investigate the process of myocardial regeneration, and loss of
regenerative ability, during the first days of life.
Acknowledgements
The authors wish to acknowledge the work of Victoria
Thornton in the initial stages of this project.
JES is a British Heart Foundation Senior Basic Science Research Fellow
(FS/11/50/29038), and the authors acknowledge the Wellcome Trust Core Award
(grant 090532/Z/09/Z).References
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