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1.
J Assist Reprod Genet ; 41(3): 623-634, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38244152

RESUMEN

With the widespread application of assisted reproductive technology, the health issues of offspring conceived through assisted reproductive technology have also received increasing attention. Animal experiments and clinical studies have found subclinical adverse changes in the cardiovascular system of assisted reproductive offspring. Assisted reproductive technology itself may be just one of the many factors contributing to this phenomenon, with epigenetics playing an important role. Ultrasound technology can be used to assess the morphological structure and function of the cardiovascular system in assisted reproductive offspring from the fetal stage, providing the possibility to study the potential cardiovascular damage in this large population. This review aims to explore the effects and mechanisms of assisted reproductive technology on the cardiovascular system of offspring and provide a review of the research progress in ultrasound technology in this area.


Asunto(s)
Sistema Cardiovascular , Técnicas Reproductivas Asistidas , Ultrasonografía , Técnicas Reproductivas Asistidas/efectos adversos , Sistema Cardiovascular/diagnóstico por imagen
2.
Arterioscler Thromb Vasc Biol ; 41(2): 601-613, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33356385

RESUMEN

Cardiovascular disease is one of the major contributors to global disease burden. Atherosclerosis is an inflammatory process that involves the accumulation of lipids and fibrous elements in the large arteries, forming an atherosclerotic plaque. Rupture of unstable plaques leads to thrombosis that triggers life-threatening complications such as myocardial infarction. Current diagnostic methods are invasive as they require insertion of a catheter into the coronary artery. Molecular imaging techniques, such as magnetic resonance imaging, have been developed to image atherosclerotic plaques and thrombosis due to its high spatial resolution and safety. The sensitivity of magnetic resonance imaging can be improved with contrast agents, such as iron oxide nanoparticles. This review presents the most recent advances in atherosclerosis, thrombosis, and myocardial infarction molecular imaging using iron oxide-based nanoparticles. While some studies have shown their effectiveness, many are yet to undertake comprehensive testing of biocompatibility. There are still potential hazards to address and complications to diagnosis, therefore strategies for overcoming these challenges are required.


Asunto(s)
Enfermedades Cardiovasculares/diagnóstico por imagen , Sistema Cardiovascular/diagnóstico por imagen , Medios de Contraste , Nanopartículas Magnéticas de Óxido de Hierro , Imagen por Resonancia Magnética , Imagen Molecular , Animales , Aterosclerosis/diagnóstico por imagen , Aterosclerosis/metabolismo , Aterosclerosis/terapia , Biomarcadores/metabolismo , Enfermedades Cardiovasculares/metabolismo , Enfermedades Cardiovasculares/terapia , Sistema Cardiovascular/metabolismo , Medios de Contraste/efectos adversos , Humanos , Nanopartículas Magnéticas de Óxido de Hierro/efectos adversos , Imagen por Resonancia Magnética/efectos adversos , Imagen Molecular/efectos adversos , Infarto del Miocardio/diagnóstico por imagen , Infarto del Miocardio/metabolismo , Infarto del Miocardio/terapia , Tomografía de Emisión de Positrones , Valor Predictivo de las Pruebas , Pronóstico , Trombosis/diagnóstico por imagen , Trombosis/metabolismo , Trombosis/terapia , Tomografía Computarizada de Emisión de Fotón Único
3.
Curr Opin Hematol ; 28(3): 214-220, 2021 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-33741761

RESUMEN

PURPOSE OF REVIEW: There have been tremendous advances in the tools available for surveying blood vessels within whole organs and tissues. Here, we summarize some of the recent developments in methods for immunolabeling and imaging whole organs and provide a protocol optimized for the heart. RECENT FINDINGS: Multiple protocols have been established for chemically clearing large organs and variations are compatible with cell type-specific labeling. Heart tissue can be successfully cleared to reveal the three-dimensional structure of the entire coronary vasculature in neonatal and adult mice. Obtaining vascular reconstructions requires exceptionally large imaging files and new computational methods to process the data for accurate vascular quantifications. This is a continually advancing field that has revolutionized our ability to acquire data on larger samples as a faster rate. SUMMARY: Historically, cardiovascular research has relied heavily on histological analyses that use tissue sections, which usually sample cellular phenotypes in small regions and lack information on whole tissue-level organization. This approach can be modified to survey whole organs but image acquisition and analysis time can become unreasonable. In recent years, whole-organ immunolabeling and clearing methods have emerged as a workable solution, and new microscopy modalities, such as light-sheet microscopy, significantly improve image acquisition times. These innovations make studying the vasculature in the context of the whole organ widely available and promise to reveal fascinating new cellular behaviors in adult tissues and during repair.


Asunto(s)
Fenómenos Fisiológicos Cardiovasculares , Sistema Cardiovascular/anatomía & histología , Sistema Cardiovascular/diagnóstico por imagen , Diagnóstico por Imagen , Imagen Molecular , Investigación , Animales , Sistema Cardiovascular/metabolismo , Biología Computacional/métodos , Diagnóstico por Imagen/métodos , Técnica del Anticuerpo Fluorescente , Humanos , Imagenología Tridimensional/métodos , Ratones , Imagen Molecular/métodos , Especificidad de Órganos
4.
Am J Physiol Heart Circ Physiol ; 320(5): H1762-H1773, 2021 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-33710926

RESUMEN

Acute elevations in inflammatory cytokines have been demonstrated to increase aortic and left ventricular stiffness and reduce endothelial function in healthy subjects. As vascular and cardiac functions are often transiently reduced following prolonged exercise, it is possible that cytokines released during exercise may contribute to these alterations. The a priori aims of this study were to determine whether vaccine-induced increases in inflammatory cytokines would reduce vascular and left ventricular function, whether vascular alterations would drive cardiac impairments, and whether this would be potentiated by moderate exercise. In a randomized crossover fashion, 16 male participants were tested under control (CON) and inflammatory (INF) conditions, wherein INF testing occurred 8 h following administration of an influenza vaccine. On both days, participants underwent measures of echocardiography performed during light cycling (stress-echocardiography), carotid-femoral pulse wave velocity (cf-PWV), and superficial femoral flow-mediated dilation (FMD) before and after cycling for 90 min at ∼85% of their first ventilatory threshold. IL-6 increased significantly (Δ1.9 ± 1.3 pg/mL, P < 0.001), whereas TNFα was nonsignificantly augmented (Δ0.05 ± 0.11 pg/mL, P = 0.09), 8 h following vaccination. Vascular function was unaltered following cycling or inflammation (all P > 0.05). The use of echocardiography during light cycling revealed cardiac alterations traditionally expected to occur only with greater exercise loads, with reduced systolic (e.g., longitudinal strain CON: Δ3.3 ± 4.4%, INF: Δ1.7 ± 2.7%, P = 0.002) and diastolic function (e.g., E/A ratio CON: Δ-0.32 ± 0.34 a.u., INF:Δ-0.25 ± 0.27 a.u., P = 0.002) following cycling, independent of inflammation. The vaccine reduced stroke volume (SV) (main effect of condition P = 0.009) before-and-after cycling. These findings indicate that reduced cardiac function following exercise occurs largely independent of additional inflammatory load.NEW & NOTEWORHTHY This experimental investigation sought to determine the role of inflammation on the occurrence of cardiovascular alterations following exercise. Despite successfully stimulating systemic inflammation via vaccination, vascular and cardiac functions were largely unaltered. Prolonged exercise itself reduced cardiac function assessed via echocardiography performed during light exercise stress. This demonstrates a potential advantage to using stress-echocardiography for measuring exercise-induced cardiac fatigue, as typical resting measures following similar exercise exposures commonly suggest no effect.


Asunto(s)
Sistema Cardiovascular/fisiopatología , Ejercicio Físico , Inflamación/fisiopatología , Vacunas contra la Influenza/administración & dosificación , Rigidez Vascular , Función Ventricular Izquierda , Adaptación Fisiológica , Adulto , Ciclismo , Sistema Cardiovascular/diagnóstico por imagen , Sistema Cardiovascular/metabolismo , Velocidad de la Onda del Pulso Carotídeo-Femoral , Estudios Cruzados , Citocinas/sangre , Ecocardiografía de Estrés , Prueba de Esfuerzo , Voluntarios Sanos , Humanos , Inflamación/sangre , Inflamación/diagnóstico por imagen , Mediadores de Inflamación/sangre , Masculino , Distribución Aleatoria , Factores Sexuales , Factores de Tiempo , Vacunación , Adulto Joven
5.
Radiology ; 301(2): 263-277, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34491130

RESUMEN

Despite the global coronavirus pandemic, cardiovascular imaging continued to evolve throughout 2020. It was an important year for cardiac CT and MRI, with increasing prominence in cardiovascular research, use in clinical decision making, and in guidelines. This review summarizes key publications in 2020 relevant to current and future clinical practice. In cardiac CT, these have again predominated in assessment of patients with chest pain and structural heart diseases, although more refined CT techniques, such as quantitative plaque analysis and CT perfusion, are also maturing. In cardiac MRI, the major developments have been in patients with cardiomyopathy and myocarditis, although coronary artery disease applications remain well represented. Deep learning applications in cardiovascular imaging have continued to advance in both CT and MRI, and these are now closer than ever to routine clinical adoption. Perhaps most important has been the rapid deployment of MRI in enhancing understanding of the impact of COVID-19 infection on the heart. Although this review focuses primarily on articles published in Radiology, attention is paid to other leading journals where published CT and MRI studies will have the most clinical and scientific value to the practicing cardiovascular imaging specialist.


Asunto(s)
Enfermedades Cardiovasculares/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Tomografía Computarizada por Rayos X/métodos , Sistema Cardiovascular/diagnóstico por imagen , Humanos
6.
Annu Rev Biomed Eng ; 22: 103-126, 2020 06 04.
Artículo en Inglés | MEDLINE | ID: mdl-32155346

RESUMEN

Magnetic resonance imaging (MRI) has become an important tool for the clinical evaluation of patients with cardiac and vascular diseases. Since its introduction in the late 1980s, quantitative flow imaging with MRI has become a routine part of standard-of-care cardiothoracic and vascular MRI for the assessment of pathological changes in blood flow in patients with cardiovascular disease. More recently, time-resolved flow imaging with velocity encoding along all three flow directions and three-dimensional (3D) anatomic coverage (4D flow MRI) has been developed and applied to enable comprehensive 3D visualization and quantification of hemodynamics throughout the human circulatory system. This article provides an overview of the use of 4D flow applications in different cardiac and vascular regions in the human circulatory system, with a focus on using 4D flow MRI in cardiothoracic and cerebrovascular diseases.


Asunto(s)
Enfermedades Cardiovasculares/diagnóstico por imagen , Imagenología Tridimensional/métodos , Imagen por Resonancia Magnética/métodos , Algoritmos , Disección Aórtica/diagnóstico por imagen , Aorta Torácica/diagnóstico por imagen , Coartación Aórtica/diagnóstico por imagen , Válvula Aórtica/diagnóstico por imagen , Malformaciones Arteriovenosas/diagnóstico por imagen , Aterosclerosis/diagnóstico por imagen , Velocidad del Flujo Sanguíneo/fisiología , Sistema Cardiovascular/diagnóstico por imagen , Circulación Cerebrovascular , Hemodinámica , Humanos , Procesamiento de Imagen Asistido por Computador , Aneurisma Intracraneal/diagnóstico por imagen , Síndrome de Marfan/diagnóstico por imagen
7.
J Nucl Cardiol ; 28(5): 2100-2111, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34105040

RESUMEN

Although the year 2020 was different from other years in many respects, the Journal of Nuclear Cardiology published excellent articles pertaining to imaging in patients with cardiovascular disease due to the dedication of the investigators in our field all over the world. In this review, we will summarize a selection of these articles to provide a concise review of the main advancements that have recently occurred in the field and provide the reader with an opportunity to review a wide selection of articles. We will focus on publications dealing with positron emission tomography, computed tomography, and magnetic resonance and hope that you will find this review helpful.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Tomografía de Emisión de Positrones/métodos , Tomografía Computarizada por Rayos X/métodos , Técnicas de Imagen Cardíaca/métodos , Técnicas de Imagen Cardíaca/normas , Sistema Cardiovascular/fisiopatología , Humanos , Imagen por Resonancia Magnética/tendencias , Tomografía de Emisión de Positrones/tendencias , Tomografía Computarizada por Rayos X/tendencias
8.
Philos Trans A Math Phys Eng Sci ; 379(2204): 20200207, 2021 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-34218675

RESUMEN

Subject motion in positron emission tomography (PET) is a key factor that degrades image resolution and quality, limiting its potential capabilities. Correcting for it is complicated due to the lack of sufficient measured PET data from each position. This poses a significant barrier in calculating the amount of motion occurring during a scan. Motion correction can be implemented at different stages of data processing either during or after image reconstruction, and once applied accurately can substantially improve image quality and information accuracy. With the development of integrated PET-MRI (magnetic resonance imaging) scanners, internal organ motion can be measured concurrently with both PET and MRI. In this review paper, we explore the synergistic use of PET and MRI data to correct for any motion that affects the PET images. Different types of motion that can occur during PET-MRI acquisitions are presented and the associated motion detection, estimation and correction methods are reviewed. Finally, some highlights from recent literature in selected human and animal imaging applications are presented and the importance of motion correction for accurate kinetic modelling in dynamic PET-MRI is emphasized. This article is part of the theme issue 'Synergistic tomographic image reconstruction: part 2'.


Asunto(s)
Algoritmos , Imagen por Resonancia Magnética/estadística & datos numéricos , Imagen Multimodal/estadística & datos numéricos , Tomografía de Emisión de Positrones/estadística & datos numéricos , Animales , Artefactos , Encéfalo/diagnóstico por imagen , Sistema Cardiovascular/diagnóstico por imagen , Bases de Datos Factuales , Humanos , Interpretación de Imagen Asistida por Computador/estadística & datos numéricos , Movimiento (Física) , Movimiento , Contracción Miocárdica , Neoplasias/diagnóstico por imagen , Respiración , Programas Informáticos
9.
Sensors (Basel) ; 21(2)2021 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-33435375

RESUMEN

Vascular diseases are becoming an epidemic with an increasing aging population and increases in obesity and type II diabetes. Point-of-care (POC) diagnosis and monitoring of vascular diseases is an unmet medical need. Photoacoustic imaging (PAI) provides label-free multiparametric information of deep vasculature based on strong absorption of light photons by hemoglobin molecules. However, conventional PAI systems use bulky nanosecond lasers which hinders POC applications. Recently, light-emitting diodes (LEDs) have emerged as cost-effective and portable optical sources for the PAI of living subjects. However, state-of-art LED arrays carry significantly lower optical energy (<0.5 mJ/pulse) and high pulse repetition frequencies (PRFs) (4 KHz) compared to the high-power laser sources (100 mJ/pulse) with low PRFs of 10 Hz. Given these tradeoffs between portability, cost, optical energy and frame rate, this work systematically studies the deep tissue PAI performance of LED and laser illuminations to help select a suitable source for a given biomedical application. To draw a fair comparison, we developed a fiberoptic array that delivers laser illumination similar to the LED array and uses the same ultrasound transducer and data acquisition platform for PAI with these two illuminations. Several controlled studies on tissue phantoms demonstrated that portable LED arrays with high frame averaging show higher signal-to-noise ratios (SNRs) of up to 30 mm depth, and the high-energy laser source was found to be more effective for imaging depths greater than 30 mm at similar frame rates. Label-free in vivo imaging of human hand vasculature studies further confirmed that the vascular contrast from LED-PAI is similar to laser-PAI for up to 2 cm depths. Therefore, LED-PAI systems have strong potential to be a mobile health care technology for diagnosing vascular diseases such as peripheral arterial disease and stroke in POC and resource poor settings.


Asunto(s)
Sistema Cardiovascular , Diabetes Mellitus Tipo 2 , Técnicas Fotoacústicas , Anciano , Sistema Cardiovascular/diagnóstico por imagen , Diagnóstico por Imagen , Humanos , Iluminación , Fantasmas de Imagen
10.
Int J Mol Sci ; 22(6)2021 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-33806852

RESUMEN

Cardiovascular malformations and diseases are common but complex and often not yet fully understood. To better understand the effects of structural and microstructural changes of the heart and the vasculature on their proper functioning, a detailed characterization of the microstructure is crucial. In vivo imaging approaches are noninvasive and allow visualizing the heart and the vasculature in 3D. However, their spatial image resolution is often too limited for microstructural analyses, and hence, ex vivo imaging is preferred for this purpose. Ex vivo X-ray microfocus computed tomography (microCT) is a rapidly emerging high-resolution 3D structural imaging technique often used for the assessment of calcified tissues. Contrast-enhanced microCT (CE-CT) or phase-contrast microCT (PC-CT) improve this technique by additionally allowing the distinction of different low X-ray-absorbing soft tissues. In this review, we present the strengths of ex vivo microCT, CE-CT and PC-CT for quantitative 3D imaging of the structure and/or microstructure of the heart, the vasculature and their substructures in healthy and diseased state. We also discuss their current limitations, mainly with regard to the contrasting methods and the tissue preparation.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Microtomografía por Rayos X/métodos , Animales , Biomarcadores , Vasos Sanguíneos/diagnóstico por imagen , Vasos Sanguíneos/metabolismo , Anomalías Cardiovasculares/diagnóstico por imagen , Sistema Cardiovascular/patología , Medios de Contraste , Corazón/anatomía & histología , Corazón/diagnóstico por imagen , Válvulas Cardíacas/diagnóstico por imagen , Válvulas Cardíacas/patología , Humanos , Imagenología Tridimensional/métodos , Miocardio/metabolismo
11.
NMR Biomed ; 33(9): e4359, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32648316

RESUMEN

BACKGROUND: In vivo imaging of oxidative stress can facilitate the understanding and treatment of cardiovascular diseases. We evaluated nitroxide-enhanced MRI with 3-carbamoyl-proxyl (3CP) for the detection of myocardial oxidative stress. METHODS: Three mouse models of cardiac oxidative stress were imaged, namely angiotensin II (Ang II) infusion, myocardial infarction (MI), and high-fat high-sucrose (HFHS) diet-induced obesity (DIO). For the Ang II model, mice underwent MRI at baseline and after 7 days of Ang II (n = 8) or saline infusion (n = 8). For the MI model, mice underwent MRI at baseline (n = 10) and at 1 (n = 8), 4 (n = 9), and 21 (n = 8) days after MI. For the HFHS-DIO model, mice underwent MRI at baseline (n = 20) and 18 weeks (n = 13) after diet initiation. The 3CP reduction rate, Kred , computed using a tracer kinetic model, was used as a metric of oxidative stress. Dihydroethidium (DHE) staining of tissue sections was performed on Day 1 after MI. RESULTS: For the Ang II model, Kred was higher after 7 days of Ang II versus other groups (p < 0.05). For the MI model, Kred , in the infarct region was significantly elevated on Days 1 and 4 after MI (p < 0.05), whereas Kred in the noninfarcted region did not change after MI. DHE confirmed elevated oxidative stress in the infarct zone on Day 1 after MI. After 18 weeks of HFHS diet, Kred was higher in mice after diet versus baseline (p < 0.05). CONCLUSIONS: Nitroxide-enhanced MRI noninvasively quantifies tissue oxidative stress as one component of a multiparametric preclinical MRI examination. These methods may facilitate investigations of oxidative stress in cardiovascular disease and related therapies.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Sistema Cardiovascular/patología , Imagen por Resonancia Magnética , Óxidos de Nitrógeno/química , Estrés Oxidativo , Adenosina , Angiotensina II , Animales , Óxidos N-Cíclicos/química , Dieta Alta en Grasa , Sacarosa en la Dieta , Modelos Animales de Enfermedad , Masculino , Ratones Endogámicos C57BL , Infarto del Miocardio/diagnóstico por imagen , Infarto del Miocardio/patología , Obesidad/diagnóstico por imagen , Obesidad/patología , Perfusión , Pirrolidinas/química
12.
J Cardiovasc Magn Reson ; 22(1): 58, 2020 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-32772930

RESUMEN

During the peak phase of the COVID-19 pandemic, alterations of standard operating procedures were necessary for health systems to protect patients and healthcare workers and ensure access to vital hospital resources. As the peak phase passes, re-activation plans are required to safely manage increasing clinical volumes. In the context of cardiovascular magnetic resonance (CMR), re-activation objectives include continued performance of urgent CMR studies and resumption of CMR in patients with semi-urgent and elective indications in an environment that is safe for both patients and health care workers.


Asunto(s)
Betacoronavirus , Enfermedades Cardiovasculares/diagnóstico por imagen , Infecciones por Coronavirus/prevención & control , Imagen por Resonancia Magnética/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Guías de Práctica Clínica como Asunto , COVID-19 , Sistema Cardiovascular/diagnóstico por imagen , Humanos , Valor Predictivo de las Pruebas , SARS-CoV-2 , Sociedades Médicas
13.
J Nucl Cardiol ; 27(3): 921-930, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32410058

RESUMEN

In 2019, the Journal of Nuclear Cardiology published excellent articles pertaining to imaging in patients with cardiovascular disease. In this review we will summarize a selection of these articles to provide a concise review of the main advancements that have recently occurred in the field and provide the reader with an opportunity to review a wide selection of articles. In this first article of this 2-part series we will focus on publications dealing with positron emission tomography, computed tomography and magnetic resonance. We will specifically discuss imaging as it relates to coronary artery disease, atherosclerosis and inflammation, coronary artery calcification, cardiomyopathies, cardiac implantable electronic devices, prosthetic valves, and left ventricular assist devices. The second part of this review will place emphasis on myocardial perfusion imaging using single-photon emission computed tomography.


Asunto(s)
Técnicas de Imagen Cardíaca , Cardiología/métodos , Imagen por Resonancia Magnética/métodos , Medicina Nuclear/métodos , Tomografía de Emisión de Positrones/métodos , Tomografía Computarizada por Rayos X/métodos , Aterosclerosis/diagnóstico por imagen , Cardiomiopatías/diagnóstico por imagen , Enfermedades Cardiovasculares/complicaciones , Enfermedades Cardiovasculares/diagnóstico por imagen , Sistema Cardiovascular/diagnóstico por imagen , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Infecciones por VIH/complicaciones , Válvulas Cardíacas , Humanos , Inflamación/diagnóstico por imagen , Imagen de Perfusión Miocárdica/métodos , Tomografía Computarizada de Emisión de Fotón Único
14.
Radiographics ; 40(7): 1866-1892, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33136488

RESUMEN

Infection with severe acute respiratory syndrome coronavirus 2 results in coronavirus disease 2019 (COVID-19), which was declared an official pandemic by the World Health Organization on March 11, 2020. COVID-19 has been reported in most countries, and as of August 15, 2020, there have been over 21 million cases of COVID-19 reported worldwide, with over 800 000 COVID-19-associated deaths. Although COVID-19 predominantly affects the respiratory system, it has become apparent that many other organ systems can also be involved. Imaging plays an essential role in the diagnosis of all manifestations of the disease and its related complications, and proper utilization and interpretation of imaging examinations is crucial. A comprehensive understanding of the diagnostic imaging hallmarks, imaging features, multisystem involvement, and evolution of imaging findings is essential for effective patient management and treatment. In part 1 of this article, the authors described the viral pathogenesis, diagnostic imaging hallmarks, and manifestations of the pulmonary and peripheral and central vascular systems of COVID-19. In part 2 of this article, the authors focus on the key imaging features of the varied pathologic manifestations of COVID-19, involving the cardiac, neurologic, abdominal, dermatologic and ocular, and musculoskeletal systems, as well as the pediatric and pregnancy-related manifestations of the virus. Online supplemental material is available for this article. ©RSNA, 2020.


Asunto(s)
Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/diagnóstico por imagen , Neumonía Viral/complicaciones , Neumonía Viral/diagnóstico por imagen , Adolescente , Adulto , Anciano , Enfermedades Asintomáticas , Betacoronavirus , Encéfalo/diagnóstico por imagen , COVID-19 , Sistema Cardiovascular/diagnóstico por imagen , Niño , Infecciones por Coronavirus/diagnóstico , Femenino , Tracto Gastrointestinal/diagnóstico por imagen , Humanos , Recién Nacido , Pulmón/diagnóstico por imagen , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/diagnóstico , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico por imagen , Radiografía , SARS-CoV-2 , Evaluación de Síntomas , Tomografía Computarizada por Rayos X
15.
Magn Reson Med ; 81(4): 2759-2773, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30350880

RESUMEN

PURPOSE: To develop histology-informed simulations of diffusion tensor cardiovascular magnetic resonance (DT-CMR) for typical in-vivo pulse sequences and determine their sensitivity to changes in extra-cellular space (ECS) and other microstructural parameters. METHODS: We synthesised the DT-CMR signal from Monte Carlo random walk simulations. The virtual tissue was based on porcine histology. The cells were thickened and then shrunk to modify ECS. We also created idealised geometries using cuboids in regular arrangement, matching the extra-cellular volume fraction (ECV) of 16-40%. The simulated voxel size was 2.8 × 2.8 × 8.0 mm3 for pulse sequences covering short and long diffusion times: Stejskal-Tanner pulsed-gradient spin echo, second-order motion-compensated spin echo, and stimulated echo acquisition mode (STEAM), with clinically available gradient strengths. RESULTS: The primary diffusion tensor eigenvalue increases linearly with ECV at a similar rate for all simulated geometries. Mean diffusivity (MD) varies linearly, too, but is higher for the substrates with more uniformly distributed ECS. Fractional anisotropy (FA) for the histology-based geometry is higher than the idealised geometry with low sensitivity to ECV, except for the long mixing time of the STEAM sequence. Varying the intra-cellular diffusivity (DIC ) results in large changes of MD and FA. Varying extra-cellular diffusivity or using stronger gradients has minor effects on FA. Uncertainties of the primary eigenvector orientation are reduced using STEAM. CONCLUSIONS: We found that the distribution of ECS has a measurable impact on DT-CMR parameters. The observed sensitivity of MD and FA to ECV and DIC has potentially interesting applications for interpreting in-vivo DT-CMR parameters.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Imagen de Difusión Tensora , Interpretación de Imagen Asistida por Computador/métodos , Imagen por Resonancia Magnética , Algoritmos , Animales , Anisotropía , Simulación por Computador , Corazón/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador/métodos , Método de Montecarlo , Movimiento (Física) , Células Musculares/metabolismo , Miocitos Cardíacos/metabolismo , Fantasmas de Imagen , Programas Informáticos , Porcinos
16.
Magn Reson Med ; 81(4): 2450-2463, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30450749

RESUMEN

PURPOSE: To evaluate the accuracy and repeatability of a free-breathing, non-electrocardiogram (ECG), continuous myocardial T1 and extracellular volume (ECV) mapping technique adapted from the Multitasking framework. METHODS: The Multitasking framework is adapted to quantify both myocardial native T1 and ECV with a free-breathing, non-ECG, continuous acquisition T1 mapping method. We acquire interleaved high-spatial resolution image data and high-temporal resolution auxiliary data following inversion-recovery pulses at set intervals and perform low-rank tensor imaging to reconstruct images at 344 inversion times, 20 cardiac phases, and 6 respiratory phases. The accuracy and repeatability of Multitasking T1 mapping in generating native T1 and ECV maps are compared with conventional techniques in a phantom, a simulation, 12 healthy subjects, and 10 acute myocardial infarction patients. RESULTS: In phantoms, Multitasking T1 mapping correlated strongly with the gold-standard spin-echo inversion recovery (R2 = 0.99). A simulation study demonstrated that Multitasking T1 mapping has similar myocardial sharpness to the fully sampled ground truth. In vivo native T1 and ECV values from Multitasking T1 mapping agree well with conventional MOLLI values and show good repeatability for native T1 and ECV mapping for 60 seconds, 30 seconds, or 15 seconds of data. Multitasking native T1 and ECV in myocardial infarction patients correlate positively with values from MOLLI. CONCLUSION: Multitasking T1 mapping can quantify native T1 and ECV in the myocardium with free-breathing, non-ECG, continuous scans with good image quality and good repeatability in vivo in healthy subjects, and correlation with MOLLI T1 and ECV in acute myocardial infarction patients.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Corazón/diagnóstico por imagen , Imagen por Resonancia Magnética , Infarto del Miocardio/diagnóstico por imagen , Miocardio/patología , Respiración , Adulto , Simulación por Computador , Medios de Contraste , Electrocardiografía , Femenino , Voluntarios Sanos , Humanos , Interpretación de Imagen Asistida por Computador/métodos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Movimiento (Física) , Fantasmas de Imagen , Valor Predictivo de las Pruebas , Estudios Prospectivos , Reproducibilidad de los Resultados
17.
J Magn Reson Imaging ; 49(6): 1786-1799, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30635978

RESUMEN

BACKGROUND: Characterizing the flow of the Fontan circuit, and correlating flow characteristics with the development of complications, is an important clinical challenge. Past work has analyzed the flow characteristics of Fontan circulation on a component-by-component basis. 4D flow MRI with radial projections allows for large volumetric coverage, and therefore can be used to analyze the flow through many codependent cardiovascular components in a single imaging session. PURPOSE: To describe flow characteristics across the entire Fontan circuit and to compare these with the flow characteristics in healthy volunteers. STUDY TYPE: Prospective. SUBJECTS: Eleven single ventricle patients with a Fontan connection and 15 healthy controls. SEQUENCE: Phase contrast with vastly undersampled isotropic projection reconstruction (PC-VIPR) at a field strength of 3 T. ASSESSMENT: Cavopulmonary and ventricular flow distributions, blood flow kinetic energy, vorticities, efficiency indices, and other flow parameters were analyzed using Ensight and MatLab. STATISTICAL TESTS: The results were compared across Fontan subjects, between respiratory phases, and between Fontan subjects and healthy volunteers using a Student's t-test for unequal sample sizes and linear regression. RESULTS: Cava-specific pulmonary flow distributions of Fontan patients varied significantly between respiratory phases (P < 0.05). Ventricular kinetic energy (KE) was significantly higher in Fontan patients than it was in healthy controls, leading to a lower cardiac efficiency metric in the Fontan group. A significant diastolic KE time-shift was also observed in the Fontan patient group. Peak diastolic KE was significantly higher in the single ventricle of patients with right ventricle morphology than it was in left ventricle morphology patients. DATA CONCLUSION: Radial 4D flow MRI can be used for comprehensive analysis of single ventricle Fontan flow characteristics. LEVEL OF EVIDENCE: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019.


Asunto(s)
Procedimiento de Fontan , Cardiopatías Congénitas/cirugía , Corazón/diagnóstico por imagen , Imagen por Resonancia Magnética , Adolescente , Adulto , Sistema Cardiovascular/diagnóstico por imagen , Circulación Coronaria , Voluntarios Sanos , Cardiopatías Congénitas/diagnóstico por imagen , Humanos , Imagenología Tridimensional , Estudios Prospectivos , Adulto Joven
18.
J Magn Reson Imaging ; 49(1): 69-80, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30291650

RESUMEN

BACKGROUND: One of the primary biomechanical factors influencing arterial health is their deformation across the cardiac cycle, or cyclic strain, which is often associated with arterial stiffness. Deleterious changes in the cardiovascular system, e.g., increased arterial stiffness, can remain undetected until the system is challenged, such as under a cardiac stressor like dobutamine. PURPOSE: To quantify cyclic strain in mice at different locations along the arterial tree prior to and during dobutamine infusion, while evaluating the effects of sex and age. STUDY TYPE: Control/cohort study. ANIMAL MODEL: Twenty C57BL/6 mice; male, female; ∼12 and 24 weeks of age; n = 5 per group. FIELD STRENGTH/SEQUENCE: 7T; CINE MRI with 12 frames, velocity compensation, and prospective cardiac gating. ASSESSMENT: Prior to and during the infusion of dobutamine, Green-Lagrange circumferential cyclic strain was calculated from perimeter measurements derived from CINE data acquired at the carotid artery, suprarenal and infrarenal abdominal aorta, and iliac artery. STATISTICAL TESTS: Analysis of variance (ANOVA) followed by post-hoc tests was used to evaluate the influence of dobutamine, anatomical location, sex, and age. RESULTS: Heart rates did not differ between groups prior to or during dobutamine infusion (P = 0.87 and P = 0.08, respectively). Dobutamine increased cyclic strain in each group. Within a group, increases in strain were similar across arteries. At the suprarenal aorta, strain was reduced in older mice at baseline (young 27.6 > mature 19.3%, P = 0.01) and during dobutamine infusion (young 53.0 > mature 36.2%, P = 0.005). In the infrarenal aorta, the response (dobutamine - baseline) was reduced in older mice (young 21.9 > mature 13.5%, P = 0.04). DATA CONCLUSION: Dobutamine infusion increases circumferential cyclic strain throughout the arterial tree of mice. This effect is quantifiable using CINE MRI. The results demonstrate that strain prior to and during dobutamine is influenced by anatomical location, sex, and age. LEVEL OF EVIDENCE: 3 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;49:69-80.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Dobutamina/administración & dosificación , Corazón/diagnóstico por imagen , Imagen por Resonancia Cinemagnética , Rigidez Vascular , Animales , Aorta/diagnóstico por imagen , Aorta/efectos de los fármacos , Fenómenos Biomecánicos , Femenino , Corazón/efectos de los fármacos , Frecuencia Cardíaca , Masculino , Ratones , Ratones Endogámicos C57BL , Factores Sexuales
19.
J Nucl Cardiol ; 26(2): 524-535, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30603892

RESUMEN

In this review, we summarize key articles that have been published in the Journal of Nuclear Cardiology in 2018 pertaining to nuclear cardiology with advanced multi-modality and hybrid imaging including positron emission tomography, cardiac-computed tomography, and magnetic resonance. In an upcoming review, we will summarize key articles that relate to the progress made in the field of single-photon emission computed tomography. We hope that these sister reviews will be useful to the reader to navigate the literature in our field.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Imagen por Resonancia Magnética , Tomografía de Emisión de Positrones/métodos , Tomografía Computarizada por Rayos X , Animales , Cardiología , Angiografía Coronaria , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Vasos Coronarios/diagnóstico por imagen , Corazón , Insuficiencia Cardíaca/diagnóstico por imagen , Humanos , Imagen de Perfusión Miocárdica , Medicina Nuclear , Cardiomiopatía de Takotsubo/diagnóstico por imagen , Tomografía Computarizada de Emisión de Fotón Único
20.
MAGMA ; 32(5): 567-579, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31124010

RESUMEN

OBJECTIVES: An approach is presented for high-field MRI studies of the cardiovascular system (CVS) of a marine crustacean, the edible crab Cancer pagurus, submerged in highly conductive seawater. MATERIALS AND METHODS: Structure and function of the CVS were investigated at 9.4 T. Cardiac motion was studied using self-gated CINE MRI. Imaging protocols and radio-frequency coil arrangements were tested for anatomical imaging. Haemolymph flow was quantified using phase-contrast angiography. Signal-to-noise-ratios and flow velocities in afferent and efferent branchial veins were compared with Student's t test (n = 5). RESULTS: Seawater induced signal losses were dependent on imaging protocols and RF coil setup. Internal cardiac structures could be visualized with high spatial resolution within 8 min using a gradient-echo technique. Variations in haemolymph flow in different vessels could be determined over time. Maximum flow was similar within individual vessels and corresponded to literature values from Doppler measurements. Heart contractions were more pronounced in lateral and dorso-ventral directions than in the anterior-posterior direction. DISCUSSION: Choosing adequate imaging protocols in combination with a specific RF coil arrangement allows to monitor various parts of the crustacean CVS with exceptionally high spatial resolution despite the adverse effects of seawater at 9.4 T.


Asunto(s)
Sistema Cardiovascular/diagnóstico por imagen , Angiografía por Resonancia Magnética , Imagen por Resonancia Cinemagnética , Animales , Braquiuros , Femenino , Corazón/diagnóstico por imagen , Hemolinfa , Procesamiento de Imagen Asistido por Computador , Masculino , Microscopía de Contraste de Fase , Oxígeno , Agua de Mar , Relación Señal-Ruido
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