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Abstract #4916

Diffusion-weighted imaging of reperfused acute myocardial infarction: effect of intravenous gadolinium-based contrast agent administration

Shuguang Han1, Dan Wang1, Jiali Wang1, Lu Han2, Peng Wu2, Yongjun Cheng2, Chunfeng Hu1, and Kai Xu1
1Department of Radiology, The Afliated Hospital of Xuzhou Medical University, XUZHOU, China, 2Philips Healthcare, Shanghai, China, Shanghai, China

Synopsis

Keywords: Myocardium, Diffusion/other diffusion imaging techniques, acute myocardial infarction, reperfusion injury

Motivation: Cardiac diffusion-weighted(DW)imaging has proven to be an effective approach to explore ischemia reperfusion myocardium damage and inflammation induced by treatment after reperfusion.

Goal(s): The objective of this study was to investigate whether contrast agent (CA) administration significantly affects DWI in the evaluation of reperfused acute myocardial infarction.

Approach: The apparent diffusion coefficient (ADC) values,signal intensity(SI) and contrast-to-noise ratio(CNR) pre- and post-contrast were measured in the intramyocardial hemorrhage (IMH),edema area and remote regions, respectively.

Results: The ADC values in IMH and edema area were not significantly changed between pre- and post-contrast (P>0.05), while the SI of remote myocardium was inhibited and CNRs were reduced.

Impact: To better assess ischemia reperfusion myocardium damage, DWI is recommended to perform as much as possible before the gadolinium-based contrast agent administration.

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Keywords