Native T1 Mapping of the Heart - A Pictorial Review

被引:52
作者
Germain, Philippe [1 ,2 ]
El Ghannudi, Soraya [1 ]
Jeung, Mi-Young [1 ]
Ohlmann, Patrick [2 ]
Epailly, Eric [3 ]
Roy, Catherine [1 ]
Gangi, Afshin [1 ]
机构
[1] Univ Hosp, Dept Radiol, Strasbourg, France
[2] Univ Hosp, Dept Cardiol, Strasbourg, France
[3] Univ Hosp, Dept Cardiac Surg, Strasbourg, France
来源
CLINICAL MEDICINE INSIGHTS-CARDIOLOGY | 2014年 / 8卷
关键词
cardiac magnetic resonance; T1; mapping; edema; myocardial infarction; fibrosis; cardiomyopathy;
D O I
10.4137/CMC.S19005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
T1 mapping is now a clinically feasible method, providing pixel-wise quantification of the cardiac structure's T1 values. Beyond focal lesions, well depicted by late gadolinium enhancement sequences, it has become possible to discriminate diffuse myocardial alterations, previously not assessable by noninvasive means. The strength of this method includes the high reproducibility and immediate clinical applicability, even without the use of contrast media injection (native or pre-contrast T1). The two most important determinants of native T1 augmentation are (1) edema related to tissue water increase (recent infarction or inflammation) and (2) interstitial space increase related to fibrosis (infarction scar, cardiomyopathy) or to amyloidosis. Conversely, lipid (Anderson-Fabry) or iron overload diseases are responsible for T1 reduction. In this pictorial review, the main features provided by native T1 mapping are discussed and illustrated, with a special focus on the awaited clinical purpose of this unique, promising new method.
引用
收藏
页码:1 / 11
页数:11
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