Value of Right and Left Ventricular T1 and T2 Blood Pool Mapping in Patients with Chronic Thromboembolic Hypertension before and after Balloon Pulmonary Angioplasty.

CMR CTEPH T1 mapping T2 mapping parametric imaging

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
07 Mar 2023
Historique:
received: 04 02 2023
revised: 02 03 2023
accepted: 04 03 2023
medline: 30 3 2023
entrez: 29 3 2023
pubmed: 30 3 2023
Statut: epublish

Résumé

Parametric imaging has taken a steep rise in recent years and non-cardiac applications are of increasing interest. Therefore, the aim of our study was to assess right (RV) and left ventricular (LV) blood pool T1 and T2 values in patients with chronic thromboembolic pulmonary hypertension (CTEPH) compared to control subjects and their correlation to pulmonary hemodynamic. 26 patients with CTEPH (mean age 64.8 years ± 12.8 SD; 15 female), who underwent CMR and right heart catheterization (RHC) before and 6-months after balloon pulmonary angioplasty (BPA), were retrospectively included. Ventricular blood pool values were measured, compared to control subjects (mean age 40.5 years ± 12.8 SD; 16 female) and correlated to invasive measures (CI, mPAP, PVR). In both, control subjects and CTEPH patients, RVT1 and RVT2 were significantly reduced compared to LVT1 and LVT2. Compared to control subjects, RVT2 was significantly reduced in CTEPH patients ( Ventricular blood pool T2 mapping might be novel non-invasive CMR imaging marker for assessment of disease severity, prognosis, follow-up and even therapy monitoring in PH.

Sections du résumé

BACKGROUND BACKGROUND
Parametric imaging has taken a steep rise in recent years and non-cardiac applications are of increasing interest. Therefore, the aim of our study was to assess right (RV) and left ventricular (LV) blood pool T1 and T2 values in patients with chronic thromboembolic pulmonary hypertension (CTEPH) compared to control subjects and their correlation to pulmonary hemodynamic.
METHODS METHODS
26 patients with CTEPH (mean age 64.8 years ± 12.8 SD; 15 female), who underwent CMR and right heart catheterization (RHC) before and 6-months after balloon pulmonary angioplasty (BPA), were retrospectively included. Ventricular blood pool values were measured, compared to control subjects (mean age 40.5 years ± 12.8 SD; 16 female) and correlated to invasive measures (CI, mPAP, PVR).
RESULTS RESULTS
In both, control subjects and CTEPH patients, RVT1 and RVT2 were significantly reduced compared to LVT1 and LVT2. Compared to control subjects, RVT2 was significantly reduced in CTEPH patients (
CONCLUSION CONCLUSIONS
Ventricular blood pool T2 mapping might be novel non-invasive CMR imaging marker for assessment of disease severity, prognosis, follow-up and even therapy monitoring in PH.

Identifiants

pubmed: 36983095
pii: jcm12062092
doi: 10.3390/jcm12062092
pmc: PMC10052780
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Fritz C Roller (FC)

Department of Diagnostic and Interventional Radiology, Justus-Liebig-University Giessen, Klinikstraße 33, 35392 Giessen, Germany.
German Center for Lung Research (DZL), 35392 Giessen, Germany.

Armin Schüßler (A)

Department of Diagnostic and Interventional Radiology, Justus-Liebig-University Giessen, Klinikstraße 33, 35392 Giessen, Germany.
German Center for Lung Research (DZL), 35392 Giessen, Germany.

Nils Kremer (N)

German Center for Lung Research (DZL), 35392 Giessen, Germany.
Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Institute for Lung Health (ILH), Cardio-Pulmonary Institute (CPI), 35392 Giessen, Germany.

Sebastian Harth (S)

Department of Diagnostic and Interventional Radiology, Justus-Liebig-University Giessen, Klinikstraße 33, 35392 Giessen, Germany.
German Center for Lung Research (DZL), 35392 Giessen, Germany.

Steffen D Kriechbaum (SD)

Department of Cardiology, Kerckhoff Heart and Thorax Centre, 61231 Bad Nauheim, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Rhein-Main, 60323 Frankfurt am Main, Germany.

Christoph B Wiedenroth (CB)

Department of Thoracic Surgery, Kerckhoff Heart and Thorax Centre, 61231 Bad Nauheim, Germany.

Stefan Guth (S)

Department of Thoracic Surgery, Kerckhoff Heart and Thorax Centre, 61231 Bad Nauheim, Germany.

Andreas Breithecker (A)

Department of Radiology, Kerckhoff Heart and Thorax Centre, 61231 Bad Nauheim, Germany.

Manuel Richter (M)

German Center for Lung Research (DZL), 35392 Giessen, Germany.
Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Institute for Lung Health (ILH), Cardio-Pulmonary Institute (CPI), 35392 Giessen, Germany.

Khodr Tello (K)

German Center for Lung Research (DZL), 35392 Giessen, Germany.
Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Institute for Lung Health (ILH), Cardio-Pulmonary Institute (CPI), 35392 Giessen, Germany.

Werner Seeger (W)

German Center for Lung Research (DZL), 35392 Giessen, Germany.
Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Institute for Lung Health (ILH), Cardio-Pulmonary Institute (CPI), 35392 Giessen, Germany.

Eckhard Mayer (E)

Department of Thoracic Surgery, Kerckhoff Heart and Thorax Centre, 61231 Bad Nauheim, Germany.

Gabriele A Krombach (GA)

Department of Diagnostic and Interventional Radiology, Justus-Liebig-University Giessen, Klinikstraße 33, 35392 Giessen, Germany.
German Center for Lung Research (DZL), 35392 Giessen, Germany.

Classifications MeSH