Published in:
01-04-2010
Advances in Imaging of Cardiac Allograft Rejection
Authors:
Thomas Christen, Koichi Shimizu, Peter Libby
Published in:
Current Cardiovascular Imaging Reports
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Issue 2/2010
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Abstract
Endomyocardial biopsy with its inherent invasiveness and morbidity calls for the development of noninvasive imaging methods to evaluate heart transplant recipients. While conventional imaging technologies report on anatomical and metabolic changes in heart grafts, macrophage-targeted imaging could allow disease detection before gross anatomical and functional changes have occurred. One important approach in magnetic resonance–based molecular imaging exploits an increased T2/T2* relaxation effect, occurring when phagocytic cells localized in the heart graft take up iron-oxide nanoparticles. This methodology of nanoparticle reporting on immune cell accumulation in the graft combined with precise functional and morphological information of cardiac MRI has potential to supplant endomyocardial biopsy. The use of multifunctional nanoparticles fit for multiple imaging modalities (magnetic, optical, and nuclear) will help improve methods of ex vivo and in vitro imaging of allograft rejection and also further our knowledge of allograft rejection by providing a tool for nondestructive serial in vivo assessment.