Keywords: Heart, Toxicity, 4D fMRI, Doxorubicin, cardiomyopathyCardiomyopathy caused by anti-cancer anthracyclines, such as Doxorubicin (Dox), is one major cause for long-term morbidity and mortality among cancer survivors. Patients can develop cardiomyopathy leading to heart failure decades after successful cancer treatment with Dox. There is an urgent need for early detection of sub-clinical pathogenesis of Dox-induced cardiotoxicity for early intervention before irreversible cardiac tissue damage occurs. Cellular mechanistic investigations showed that mitochondrial dysfunctions are central to the Dox-induced cardiotoxicity. We have developed a time-and-motion-resolved 4D Oxy-wavelet MRI capable of detecting early Dox-induced mitochondrial dysfunction in the heart before irreversible myocardial damage occurred.
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