Nivedita K. Naresh1, Cynthia Yang1, Sol Misener1, Bradley D. Allen1, Michael Markl1,2, James C. Carr1,3,4, and Daniele Procissi1
1Radiology, Northwestern University, Chicago, IL, United States, 2Biomedical Engineering, Northwestern University, Chicago, IL, United States, 3Medicine, Northwestern University, Chicago, IL, United States, 4McCormick School of Engineering, Northwestern University, Chicago, IL, United States
Synopsis
Mouse models can help investigate the molecular mechanisms underlying
complex cardiovascular diseases. Assessment of myocardial regional wall motion
plays a very important role in the diagnosis and management of several
cardiovascular diseases and can be linked to many underlying biological
processes. In this study, we evaluated the repeatability and inter-user
variability of the myocardial tissue phase mapping method in mice. We found
that myocardial tissue phase mapping can be performed with good repeatability
and little user variability in mice to reliably quantify both global and
regional myocardial velocities.
Introduction
Mouse models can help investigate the molecular mechanisms underlying
complex cardiovascular diseases. Assessment of myocardial regional wall motion
plays a very important role in the diagnosis and management of several
cardiovascular diseases and can be linked to many underlying biological
processes. Our purpose was to study the repeatability and inter-user
variability of myocardial tissue phase mapping (TPM) method and to quantify the
variability in TPM-derived global and regional velocities.Methods
10 week old female C57Bl/6 mice (n=6) were imaged at 7T. Mice were
maintained at 1.25% isoflurane and 36±10C during MRI. 2D cine black-blood
phase-contrast MRI with prospective ECG and respiratory triggering of the mouse
heart was performed at basal, mid-ventricular, and apical locations. Imaging
parameters included: TE/TR =3.4/5.2 ms, FOV=30x30 mm2, phase
resolution=50%, image resolution =117x117 µm2, flip angle=150,
slice thickness=1 mm, averages=3, in-plane VENC= 4 cm/s and through-plane VENC=
4cm/s. A segmented acquisition (1 line per heartbeat) was used and the
velocity–encoded scans were acquired in consecutive heartbeats to perform
imaging at a high temporal resolution. The scan time was 7-8 min per slice
depending on the ECG and respiratory rates. All mice were scanned on two
separate days to test for reproducibility of the TPM method. For all mice,
radial and longitudinal mean velocity-time curves were measured at base, mid,
and apex. Global peak and time-to-peak (TTP) radial and longitudinal velocities
were also quantified for all mice. For regional analysis, all velocity data
were mapped on the standard American Heart Association 16 segment LV model. Regional
peak radial and longitudinal velocities were calculated by averaging over all
LV segments in the basal, mid-ventricular and apical slices. All data was
analyzed by two users in an independent and blinded manner. Bland-Altman
analysis was used to compare the between-session repeatability and inter-user
variability of the technique. Paired t-test was used to compare the inter-scan
and inter-user variability.Results
Example magnitude and phase difference images obtained in a mouse using
the TPM method are shown in Figure 1 (A-B, C-D). Figure 2 (A-B) shows mean
radial and longitudinal velocity-time curves over all 6 mice obtained from a mid-ventricular
slice for the two sessions showing good agreement between the two scans. Figure
2 (C-D) shows mean radial and longitudinal velocity-time curves over all 6 mice
as calculated by the two users, showing little inter-user variability. Bland-Altman
plots (Figure 3) shows the repeatability of peak radial (A) and longitudinal
velocities (B) and inter-user variability of peak radial (C) and longitudinal
velocities (D). No systematic bias was observed for the velocity measurements. Table
1 compares the global and regional systolic and diastolic peak radial and
longitudinal velocities for the basal, mid-ventricular and apical slice
locations obtained from the two scans. No significant differences were observed
between the two scans globally and for all slice locations. Also no significant
differences were observed for the peak radial and longitudinal velocities
assessed by the two users.Conclusion
In conclusion, myocardial TPM can be performed with good repeatability
and little user variability in mice to reliably quantify both global and
regional myocardial velocities. Acknowledgements
No acknowledgement found.References
No reference found.