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Abstract #0617

Interventional molecular MRI of early myocardial injury in a pig model of ischemia and reperfusion

Simon Reiss1, Timo Heidt2, Julien Thielmann2, Alexander Maier2, Constantin von zur Mühlen2, and Michael Bock1
1Division of Medical Physics, Dept. of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 2Dept. of Cardiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

Synopsis

Keywords: Myocardium, Heart

Motivation: Cardiac MRI has become the gold standard for non-invasive characterization of myocardial tissue. However, current MRI techniques only indirectly represent cardiac inflammation.

Goal(s): To assess if interventional molecular MRI allows for visualization of the cellular processes during the inflammatory response after myocardial infarction.

Approach: Iron-labeled P-selectin contrast agent was injected in pigs after 40 minutes of myocardial ischemia. To increase sensitivity, the contrast agent was injected into the coronary artery via an MR-guided intervention.

Results: Infarcted myocardial segments could be visualized using the iron-labeled contrast agent by increased R2* values both in vivo and ex vivo.

Impact: The intracoronary injection of molecular contrast agents using interventional MRI can add valuable information for preclinical studies of the early cellular processes after myocardial ischemia.

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