Detection and differentiation of early acute and following age stages of myocardial infarction with quantitative post-mortem cardiac 1.5T MR.

Details

Serval ID
serval:BIB_66983D2C21A0
Type
Article: article from journal or magazin.
Collection
Publications
Title
Detection and differentiation of early acute and following age stages of myocardial infarction with quantitative post-mortem cardiac 1.5T MR.
Journal
Forensic science international
Author(s)
Schwendener N., Jackowski C., Persson A., Warntjes M.J., Schuster F., Riva F., Zech W.D.
ISSN
1872-6283 (Electronic)
ISSN-L
0379-0738
Publication state
Published
Issued date
01/2017
Peer-reviewed
Oui
Volume
270
Pages
248-254
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Recently, quantitative MR sequences have started being used in post-mortem imaging. The goal of the present study was to evaluate if early acute and following age stages of myocardial infarction can be detected and discerned by quantitative 1.5T post-mortem cardiac magnetic resonance (PMCMR) based on quantitative T1, T2 and PD values. In 80 deceased individuals (25 female, 55 male), a cardiac MR quantification sequence was performed prior to cardiac dissection at autopsy in a prospective study. Focal myocardial signal alterations detected in synthetically generated MR images were MR quantified for their T1, T2 and PD values. The locations of signal alteration measurements in PMCMR were targeted at autopsy heart dissection and cardiac tissue specimens were taken for histologic examinations. Quantified signal alterations in PMCMR were correlated to their according histologic age stage of myocardial infarction. In PMCMR seventy-three focal myocardial signal alterations were detected in 49 of 80 investigated hearts. These signal alterations were diagnosed histologically as early acute (n=39), acute (n=14), subacute (n=10) and chronic (n=10) age stages of myocardial infarction. Statistical analysis revealed that based on their quantitative T1, T2 and PD values, a significant difference between all defined age groups of myocardial infarction can be determined. It can be concluded that quantitative 1.5T PMCMR quantification based on quantitative T1, T2 and PD values is feasible for characterization and differentiation of early acute and following age stages of myocardial infarction.
Keywords
Adult, Aged, Aged, 80 and over, Body Temperature, Case-Control Studies, Edema/pathology, Eosinophilia/pathology, Female, Fibroblasts/pathology, Forensic Pathology, Granulocytes/pathology, Hemorrhage/pathology, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Myocardial Infarction/diagnostic imaging, Myocardial Infarction/pathology, Myocardium/pathology, Necrosis, Time Factors, Heart, Infarction age, Myocardial infarction, Post-mortem imaging, Quantitative post-mortem cardiac MR
Pubmed
Web of science
Create date
29/06/2020 8:15
Last modification date
20/01/2021 6:26
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