Relationship of apparent myocardial T2 and oxygenation: Towards quantification of myocardial oxygen extraction fraction
- 16 July 2004
- journal article
- research article
- Published by Wiley in Journal of Magnetic Resonance Imaging
- Vol. 20 (2), 233-241
- https://doi.org/10.1002/jmri.20111
Abstract
Purpose To explore the relationship of myocardial T2 and oxygenation for the quantification of myocardial oxygen extraction fraction (OEF). Materials and Methods A proposed myocardial T2‐OEF relationship was evaluated by computer simulation and in nine normal dogs in vivo. The relationship was based on a simplified two‐compartment T2 model. In the dogs, dipyridamole was infused intravenously to increase blood flow and change in myocardial oxygen content. The accuracy of the measurement in myocardial OEF in vivo by magnetic resonance imaging (MRI) was determined by arterial and coronary sinus blood sampling. Results Global myocardial T2 increased 16.1% from rest to the peak of dipyridamole‐induced vasodilation (44.6 ± 2.1 msec vs. 51.4 ± 2.1 msec, P < 0.001). Corresponding OEF measured by arterial and venous (AV) sampling decreased from 0.64 ± 0.15 at rest to 0.18 ± 0.08 during the dipyridamole vasodilation, whereas OEF calculated by MRI at the peak effect of dipyridamole was 20 ± 4%. Global myocardial OEF measured dynamically by MRI showed a strong correlation with OEF measured by blood sampling (correlation coefficient (CC) = 0.83) during pharmacologic vasodilation. Conclusion When combined with vasodilator stress, assessment of OEF may provide a putative measure of myocardial flow reserve, allowing consecutive monitoring of myocardial dose‐responses to a variety of interventions and offering a new tool for the detection of coronary artery disease. J. Magn. Reson. Imaging 2004;20:233–241.This publication has 33 references indexed in Scilit:
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