Iron-induced cardiac dysfunction is a leading cause of death in transfusion-dependent anemia. MRI relaxation rates R2(1/T2) and R2*(1/T2*) accurately predict liver iron concentration, but their ability to predict cardiac iron has been challenged by some investigators. Studies in animal models support similar R2 and R2* behavior with heart and liver iron, but human studies are lacking. To determine the relationship between MRI relaxivities and cardiac iron, regional variations in R2 and R2* were compared with iron distribution in one freshly deceased, unfixed, iron-loaded heart. R2 and R2* were proportionally related to regional iron concentrations and highly concordant with one another within the interventricular septum. A comparison of postmortem and in vitro measurements supports the notion that cardiac R2* should be assessed in the septum rather than the whole heart. These data, along with measurements from controls, provide bounds on MRI-iron calibration curves in human heart and further support the clinical use of cardiac MRI in iron-overload syndromes.
MRI detects myocardial iron in the human heart. Publishing Authors By Initials
MRI detects myocardial iron in the human heart. Journal Published:
PUBLICATION TYPE: Research Support, Non-U.S. Gov
Journal: Magnetic resonance in medicine : official journal
VOLUME: 56
Page Numbers: 681-6
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ISSN: 0740-3194
DAY: 3
MONTH: Sep
YEAR: 2006
MRI detects myocardial iron in the human heart. Information
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LANGUAGE: eng
NlmUniqueID: 8505245
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Grant and Affiliation Information for MRI detects myocardial iron in the human heart.
AFFILIATION: Division of Cardiology, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California 90027-0034, USA.
Country: United States
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MEDLINETA: Magn Reson Med
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