Characterization of Compacted Myocardial Abnormalities by Cardiac Magnetic Resonance With Native T1 Mapping in Left Ventricular Non-Compaction Patients　– A Comparison With Late Gadolinium Enhancement –

Hongmei Zhou; Xue Lin; Ligang Fang; Xihai Zhao; Haiyan Ding; Wei Chen; Ruiyi Xu; Xiaoyin Bai; Yining Wang; Quan Fang

doi:10.1253/circj.CJ-15-1269

Imaging

Characterization of Compacted Myocardial Abnormalities by Cardiac Magnetic Resonance With Native T1 Mapping in Left Ventricular Non-Compaction Patients　– A Comparison With Late Gadolinium Enhancement –

Hongmei Zhou, Xue Lin, Ligang Fang, Xihai Zhao, Haiyan Ding, Wei Chen, Ruiyi Xu, Xiaoyin Bai, Yining Wang, Quan Fang

Author information

Hongmei Zhou
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Xue Lin
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Ligang Fang
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Xihai Zhao
Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University School of Medicine
Haiyan Ding
Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University School of Medicine
Wei Chen
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Ruiyi Xu
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Xiaoyin Bai
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Yining Wang
Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Quan Fang
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

Keywords: Cardiac magnetic resonance, Fibrosis, Left ventricular non-compaction, Late gadolinium enhancement, Native T1 mapping

JOURNAL FREE ACCESS FULL-TEXT HTML

2016 Volume 80 Issue 5 Pages 1210-1216

DOI https://doi.org/10.1253/circj.CJ-15-1269

Browse “Advance online publication” version

Details

Abstract

Background:Native T1 mapping is an emerging cardiac magnetic resonance technique for quantitative evaluation of cardiomyopathies. This study aimed to investigate the usefulness of native T1 mapping in characterizing myocardial abnormalities in left ventricular non-compaction (LVNC) by comparing it with late gadolinium enhancement (LGE).Methods and Results:The study group of 31 LVNC patients and 8 normal controls underwent cardiovascular magnetic resonance to acquire the native T1 maps and LGE images. Of the 31 LVNC patients, 14 had LGE. The mean native T1 value of the normal controls, LGE(−) and LGE(+) patients was 1,098.8±40.8 ms, 1140.6±32.8 ms, and 1181.4±53.7 ms, respectively. Significant differences were found in native T1 between any 2 groups (F=9.74, P<0.001). In discriminating the presence of LGE in LVNC patients, the odds ratio and corresponding 95% confidence interval (CI) of native T1 were, respectively, 2.966 (95% CI: 1.123–7.835, P=0.028) and 4.348 (95% CI: 1.155–16.363, P=0.030) before and after adjusting for confounding factors with an increment of 1 standard deviation.Conclusions:The finding that LGE(−) patients had elevated native T1 compared with normal controls suggested native T1 mapping can be used earlier than LGE imaging to detect myocardial fibrosis in LVNC patients. Furthermore, higher native T1 values in LGE(+) patients than in the LGE(−) group suggested native T1 mapping is more sensitive than LGE imaging for identifying myocardial fibrosis in LVNC patients. (Circ J 2016; 80: 1210–1216)

Corresponding author

Register with J-STAGE for free!