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Abstract #1781

Identification of viable myocardium within infarct scar by high-resolution manganese-enhanced MRI

Dounia El Hamrani1, Nestor Pallares-Lupon2, Fanny Vaillant2, Alexis Rotondi1, Marion Constantin2, Virginie Loyer2, Stéphane Bloquet2, Olivier Bernus2, Richard Walton2, and Bruno Quesson1
1IHU Liryc, Univ. Bordeaux, CNRS, CRMSB, UMR 5536, Bordeaux, France, 2IHU Liryc, Univ. Bordeaux, INSERM, CRCTB, U1045, Bordeaux, France

Synopsis

Keywords: Myocardium, Contrast Agent, manganese-enhanced MRI

Motivation: Manganese-enhanced MRI (MEMRI) appears to be an interesting alternative to late-gadolinium enhancement (LGE) since manganese ions can enter cardiomyocytes through calcium channels, thus allowing intracellular characterization of living cells.

Goal(s): This study aims to evaluate the sensitivity of 3D-MEMRI for the characterizing MI scars heterogeneity compared to the clinical gold standard LGE.

Approach: Manganese has a long retention time in cardiomyocytes, allowing a longer acquisition time exploited to improve the spatial resolution of 3D MR images (~1 mm3 isotropic).

Results: This study confirms the potential of 3D-MEMRI as a more specific method than the clinical gold standard LGE for characterizing MI scars heterogeneity.

Impact: The ability of high-resolution 3D manganese-enhanced MRI (3D-MEMRI) to produce a finer characterization of the heterogeneity of the scar constitutes an important step forward in the management of myocardial infarction in the context of cardiac arrhythmias

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Keywords