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Abstract #3958

Helix Angle structure appears preserved after myocardial infarction: a preclinical and ex vivo Diffusion Tensor CMR study

Sonia Nielles-Vallespin1,2, Pedro Ferreira1,2, Andrew Scott1,2, Camila Munoz1,2, Ramyah Rajakulasingam1,2, Nicoleta Baxan1, Elena Surkova1, David Firmin1, Dudley Pennell1,2, Andrew Arai3, and Ranil de Silva1
1Imperial College London, London, United Kingdom, 2Royal Brompton Hospital, London, United Kingdom, 3National Institutes of Health, Bethesda, MD, United States

Synopsis

Keywords: Biology, Models, Methods, Diffusion Tensor Imaging, Cardiovascular

Motivation: Changes in myocardial microstructure that underlie post-myocardial infarction (MI) left ventricular (LV) remodelling may contribute to progressive deterioration in cardiac function and increased risk of adverse clinical events.

Goal(s): To assess post-MI temporal alterations of myocardial microstructure.

Approach: A longitudinal Diffusion Tensor CMR (DT-CMR) pre-clinical study was performed, including healthy, 3 days and 4 months post-MI timepoints, followed by ex-vivo imaging at low and high spatial resolution.

Results: High-resolution ex-vivo DT-CMR suggests preserved helical structure within the infarct core in this swine MI model, with endocardial layers appearing more compressed than mid and epicardial layers.

Impact: Improved understanding of temporal alteration of myocardial microstructure and its dynamics post-MI as seen by in-vivo DT-CMR may facilitate diagnosis and prognostication after MI.

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