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Abstract #3931

Radiation-induced myocardial injury visualized by LGE-MRI

Brent D. Wilson 1,2 , Alexis Harrison 1,2 , Yu-Huei J. Huang 3 , Kavitha Damal 2 , Nathan S. Burgon 2 , Mark M. Haslam 2 , Martha J. Glenn 3 , David K. Gaffney 3 , Bill J. Salter 3 , Nassir F. Marrouche 1,2 , and Christopher J. McGann 1,2

1 Cardiovascular Center, University of Utah, Salt Lake City, Utah, United States, 2 Comprehensive Arrhythmia Research and Management Center, University of Utah, Salt Lake City, Utah, United States, 3 Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, United States

Recent advances in LGE-MRI technology allow us to visualize and quantify the extent of myocardial tissue injury after external beam radiation therapy (EBRT) for treatment of cancer. We evaluated the utility of 3D late gadolinium enhanced MRI to identify atrial injury secondary to EBRT and the correlation between extent of tissue damage and dose of EBRT administered. Cardiac MRI identifies subclinical injury months after EBRT and also shows a dose-dependent pattern of injury. Imaging myocardial injury resulting from radiation using MRI may be a useful modality to follow cardiac toxicity from EBRT and identify individuals who are more susceptible to CV radiation damage.

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