This study investigated the dynamic alteration of myocardium creatine in infarct hearts using CEST MRI. Seven pigs underwent cine, Cr CEST and LGE imaging 3 and 14 days after MI. Significant increase of stroke volume and ejection fraction and decrease of infarct angle were observed at day 14 compared to that at day 3. Meanwhile, Cr CEST signals increased significantly in the infarct and its adjacent myocardium, and negatively correlated with infarct angle. The improved metabolic activity was associated with function recovery, indicating that Cr CEST MRI is promising to provide complementary information for heart remodeling at the molecular level.
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