Haiyan Ding1, 2, Michael Schr3, 4, Elliot R. McVeigh2, Henry Halperin5, M. Muz Zviman6, Roy Beinart6, Daniel A. Herzka7
1Biomedical Engineering, Tsinghua University, Beijing, China; 2Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, United States; 3Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, United States; 4Philips Healthcare, Cleveland, OH, United States; 5Medicine, Cardiology, Johns Hopkins University, Baltimore, MD, United States; 6Medicine, Cardiology, Johns Hopkins School of Medicine, Baltimore, MD, United States; 7Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States
T2 relaxation time correlates with pathologic processes within infarcted myocardial tissue, such as edema, hemorrhage and microvascular obstruction (MVO). Recently, edema detection (T2 elevation) through quantitative mapping has been shown more robust than qualitative clinical T2 W imaging. Myocardial hemorrhage (T2 reduction) evolves secondary to severe vessel obstruction. We hypothesize that following myocardial infarction (MI) and reperfusion both variations in myocardial edema and hemorrhage are detectable and distinguishable with high resolution quantitative T2 mapping. Quantitative T2 imaging should allow for detection/segmentation of hemorrhage without the temporal variability imposed by contrast-enhanced imaging.