Characterization of cryoinjury-induced infarction with manganese-and gadolinium-enhanced MRI and optical spectroscopy in pig hearts |
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Authors: | Yanmin Yang Jiankang Sun Patricia Gervai Marco L Gruwel Olga Jilkina Eugene Gussakovsky Xi Yang Valery Kupriyanov |
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Institution: | 1. Department of Biochemistry and Medical Genetics, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada R3E 3P5;2. Institute for Biodiagnostics, NRC, Winnipeg, MB, Canada R3B 1Y6;3. Department of Immunology/Medical Microbiology, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada R3E 3P5 |
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Abstract: | PurposeTo investigate progression of cryoinjury in pigs using contrast-enhanced magnetic resonance imaging (MRI) as well as optical spectroscopy and imaging.MethodsCryoinjury was produced in 16 pigs in vivo and investigated using Gd-and Mn-enhanced MRI, optical imaging/spectroscopy and histology in acute and chronic setting up to 4 weeks after the injury.Results(1) Acute cryoinjury resulted in formation of a lesion with a severely reduced rate of sub-epicardial indocyanine green (intravascular optical flow tracer) passage. In vivo late Gd-enhanced MRI showed a ∼10 mm deep hypointense area that was surrounded by a hyperintense rim while ex vivo Mn-enhanced MRI (MEMRI) detected a homogenous hypointense zone. Histological and spectroscopic examination revealed embolic erythrocytes blockages within the cryolesion with a thin necrotic rim neighboring the normal myocardium. (2) Chronic 4-week cryoinjury was characterized by uniform Gd-enhancement, whereas MEMRI revealed reduced Mn2+enhancement. Histological examination showed replacement of the cryoinjured myocardium by scar tissue.ConclusionsAcute cryoinjury resulted in formation of a no-reflow core embolized by erythrocytes and surrounded by a rim of necrotic tissue. Upon injury progression, the no-reflow zone shrunk and was completely replaced with scar tissue by 4 weeks after injury. |
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Keywords: | Acute and chronic cryoinjury No-reflow embolization Gd-enhanced MRI Mn-enhanced MRI Optical imaging and spectroscopy |
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