Myocardial T1 mapping using SMART1 Map and MOLLI mapping in asymptomatic patients with recent extracardiac sarcoidosis
Language English Country Great Britain, England Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
32749740
DOI
10.1002/nbm.4388
Knihovny.cz E-resources
- Keywords
- cardiac magnetic resonance, extracellular volume, parametric mapping, sarcoidosis,
- MeSH
- Algorithms * MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging * MeSH
- Myocardium pathology MeSH
- Sarcoidosis diagnostic imaging pathology MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
INTRODUCTION: Sarcoidosis is a systemic granulomatous disease affecting in particular the respiratory tract. Cardiac magnetic resonance (CMR), including a measurement of T1 relaxation time, could potentially detect early stadia of sarcoidosis of the heart. The study aims to assess T1 mapping in the detection of early cardiac involvement in asymptomatic patients with sarcoidosis. METHODS: One hundred and twenty patients with extracardiac sarcoidosis and without any heart disease history were included. One hundred and thirteen of them underwent a CMR examination. The mean time from the diagnosis of sarcoidosis was 0.8 (0.2-3.3) years. Cine images for the assessment of left ventricular (LV) functional parameters and pre- and post-contrast saturation method using adaptive recovery times for cardiac T1 mapping (SMART1 Map) and modified Look-Locker inversion recovery (MOLLI) images were acquired for the assessment of native T1 relaxation time and extracellular volume (ECV). The measured parameters were compared between sarcoidosis patients and 22 controls. RESULTS: The sarcoidosis patients had normal global and regional systolic LV function-LV ejection fraction 65 ± 5% versus 66 ± 7% (p NS). The mean native T1 relaxation times were not prolonged-1465 ± 93 ms versus 1480 ± 88 ms (p NS) measured by SMART1 Map and 1317 ± 60 ms versus 1313 ± 83 ms (p NS) measured using a MOLLI sequence. Similarly, the mean ECV values did not increase-16.9 ± 3.9% versus 17.9 ± 3.7% (p NS) measured by SMART1 Map and 30.9 ± 2.9% versus 31.6 ± 8.3% (p NS) measured using a MOLLI sequence. CONCLUSION: Myocardial native T1 relaxation times were not prolonged and ECV was not increased in asymptomatic patients with extracardiac sarcoidosis.
Department of Medical Imaging St Anne's Faculty Hospital Brno Czech Republic
Department of Pathophysiology Faculty of Medicine Masaryk University Brno Czech Republic
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Sharma OP, Maheshwari A, Thaker K. Myocardial sarcoidosis. Chest. 1993;103(1):253-258.
Mehta D, Lubitz SA, Frankel Z, et al. Cardiac involvement in patients with sarcoidosis: diagnostic and prognostic value of outpatient testing. Chest. 2008;133(6):1426-1435.
Kandolin R, Lehtonen J, Airaksinen J, et al. Cardiac sarcoidosis: epidemiology, characteristics, and outcome over 25 years in a nationwide study. Circulation. 2015;131(7):624-632.
Boglioli LR, Taff ML, Funke S, Mihalakis I. Sudden death due to sarcoid heart disease. J Forensic Sci. 1998;43(5):1072-1073.
Kavanagh T, Huang S. Cardiac sarcoidosis: an unforeseen cause of sudden death. Can J Cardiol. 1995;11(2):136-138.
Birnie DH, Sauer WH, Bogun F, et al. HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis. Heart Rhythm. 2014;11(7):1305-1323.
Nadel J, Lancefield T, Voskoboinik A, Taylor AJ. Late gadolinium enhancement identified with cardiac magnetic resonance imaging in sarcoidosis patients is associated with long-term ventricular arrhythmia and sudden cardiac death. Eur Heart J Cardiovasc Imaging. 2015;16(6):634-641.
Smedema JP, Snoep G, van Kroonenburgh MP, et al. The additional value of gadolinium-enhanced MRI to standard assessment for cardiac involvement in patients with pulmonary sarcoidosis. Chest. 2005;128(3):1629-1637.
Doubkova M, Panovsky R. How to diagnose cardiac sarcoidosis. Vnitř Lék. 2018;64(7/8):729-733.
Patel MR, Cawley PJ, Heitner JF, et al. Detection of myocardial damage in patients with sarcoidosis. Circulation. 2009;120(20):1969-1977.
Greulich S, Deluigi CC, Gloekler S, et al. CMR imaging predicts death and other adverse events in suspected cardiac sarcoidosis. JACC Cardiovasc Imaging. 2013;6(4):501-511.
Murtagh G, Laffin LJ, Beshai JF, et al. Prognosis of Myocardial Damage in Sarcoidosis Patients With Preserved Left Ventricular Ejection Fraction. Circ Cardiovascular Imaging. 2016;9(1). https://doi.org/10.1161/circimaging.115.003738
Hulten E, Agarwal V, Cahill M, et al. Presence of Late Gadolinium Enhancement by Cardiac Magnetic Resonance Among Patients With Suspected Cardiac Sarcoidosis Is Associated With Adverse Cardiovascular Prognosis. Circ Cardiovascular Imaging. 2016;9(9). https://doi.org/10.1161/circimaging.116.005001
Ekström K, Lehtonen J, Hänninen H, Kandolin R, Kivistö S, Kupari M. Magnetic Resonance Imaging as a Predictor of Survival Free of Life-Threatening Arrhythmias and Transplantation in Cardiac Sarcoidosis. J Am Heart Assoc. 2016;5(5). https://doi.org/10.1161/jaha.115.003040
Ise T, Hasegawa T, Morita Y, et al. Extensive late gadolinium enhancement on cardiovascular magnetic resonance predicts adverse outcomes and lack of improvement in LV function after steroid therapy in cardiac sarcoidosis. Heart. 2014;100(15):1165-1172.
Crawford T, Mueller G, Sarsam S, et al. Magnetic resonance imaging for identifying patients with cardiac sarcoidosis and preserved or mildly reduced left ventricular function at risk of ventricular arrhythmias. Circ Arrhythm Electrophysiol. 2014;7(6):1109-1115.
Shafee MA, Fukuda K, Wakayama Y, et al. Delayed enhancement on cardiac magnetic resonance imaging is a poor prognostic factor in patients with cardiac sarcoidosis. J Cardiol. 2012;60(6):448-453.
Greulich S, Kitterer D, Latus J, et al. Comprehensive Cardiovascular Magnetic Resonance Assessment in Patients With Sarcoidosis and Preserved Left Ventricular Ejection Fraction. Circ Cardiovascular Imaging. 2016;9(11). https://doi.org/10.1161/circimaging.116.005022
Puntmann VO, Isted A, Hinojar R, Foote L, Carr-White G, Nagel E. T1 and T2 mapping in recognition of early cardiac involvement in systemic sarcoidosis. Radiology. 2017;285(1):63-72.
Burkhardt BE, Menghini C, Rücker B, Kellenberger CJ, Valsangiacomo Buechel ER. Normal myocardial native T1 values in children using single-point saturation recovery and modified look-locker inversion recovery (MOLLI). J Magn Reson Imaging. 2019;51(3):897-903. https://doi.org/10.1002/jmri.26910
Matsumoto S, Okuda S, Yamada Y, et al. Myocardial T1 values in healthy volunteers measured with saturation method using adaptive recovery times for T1 mapping (SMART1Map) at 1.5 T and 3 T. Heart Vessels. 2019;34(11):1889-1894. https://doi.org/10.1007/s00380-019-01401-5
Chow K, Flewitt J, Pagano J, Green J, Friedrich M, Thompson R. T2-dependent errors in MOLLI T1 values: simulations, phantoms, and in-vivo studies. J Cardiovasc Magn Reson. 2012;14(S1):282-295. https://doi.org/10.1186/1532-429X-14-S1-P281
Robson MD, Piechnik SK, Tunnicliffe EM, Neubauer S. T1 measurements in the human myocardium: the effects of magnetization transfer on the SASHA and MOLLI sequences. Magn Reson Med. 2013;70(3):664-670.
Roujol S, Weingärtner S, Foppa M, et al. Accuracy, precision and reproducibility of four T1 mapping sequences: a head-to-head comparison of MOLLI, ShMOLLI, SASHA, and SAPPHIRE. Radiology. 2014;272(3):683-689.
Slavin GS, Stainsby JA. True T1 mapping with SMART1Map (saturation method using adaptive recovery times for cardiac T1 mapping): a comparison with MOLLI. J Cardiovasc Magn Reson. 2013;15(S1). https://doi.org/10.1186/1532-429x-15-s1-p3
Weingärtner S, Meßner NM, Budjan J, et al. Myocardial T1-mapping at 3T using saturation-recovery: reference values, precision and comparison with MOLLI. J Cardiovas Magn Reson. 2017;18(1). https://doi.org/10.1186/s12968-016-0302-x
Heidenreich JF, Weng AM, Donhauser J, et al. T1- and ECV-mapping in clinical routine at 3 T: differences between MOLLI, ShMOLLI and SASHA. BMC Med Imaging. 2019;19(1). https://doi.org/10.1186/s12880-019-0362-0
Pagano JJ, Chow K, Paterson DI, et al. Effects of age, gender, and risk-factors for heart failure on native myocardial T1 and extracellular volume fraction using the SASHA sequence at 1.5T. J Magn Reson Imaging. 2018;48(5):1307-1317.
Thompson RB, Chow K, Khan A, et al. T1 mapping with cardiovascular MRI is highly sensitive for Fabry disease independent of hypertrophy and sex. Circ Cardiovasc Imaging. 2013;6(5):637-645.
Dong Y, Yang D, Han Y, et al. Age and Gender Impact the Measurement of Myocardial Interstitial Fibrosis in a Healthy Adult Chinese Population: A Cardiac Magnetic Resonance Study. Front Physiol. 2018;9. https://doi.org/10.3389/fphys.2018.00140
Chin CW, Semple S, Malley T, et al. Optimization and comparison of myocardial T1 techniques at 3T in patients with aortic stenosis. Eur Heart J Cardiovasc Imaging. 2014;15(5):556-565.