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Erschienen in: Pediatric Cardiology 1/2015

01.01.2015 | Original Article

Evaluation of Post-Contrast Myocardial T1 in Duchenne Muscular Dystrophy Using Cardiac Magnetic Resonance Imaging

verfasst von: Jonathan H. Soslow, Bruce M. Damon, Benjamin R. Saville, Zengqi Lu, W. Bryan Burnette, Mark A. Lawson, David A. Parra, Douglas B. Sawyer, Larry W. Markham

Erschienen in: Pediatric Cardiology | Ausgabe 1/2015

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Abstract

The objective of the study was to perform a retrospective pilot study to evaluate the potential of myocardial T1 in assessment of Duchenne muscular dystrophy (DMD) cardiomyopathy. Early identification of DMD cardiac disease, particularly myocardial fibrosis, would allow earlier therapy, potentially improving outcomes. Shortened myocardial T1 measured by cardiac MRI (CMR) is a measure of cardiac fibrosis that may be detected before late gadolinium enhancement (LGE). We hypothesized that the post-contrast T1 obtained from the Look-Locker sequences (T1LL), an easily obtainable surrogate of myocardial T1, would be abnormally shortened in DMD compared with controls. T1LL measurement was performed on 21 DMD subjects and 11 controls; to account for individual variations in gadolinium distribution, myocardial T1LL was divided by blood pool T1LL, deriving T1LL ratios. DMD subjects had shorter mean T1LL ratio than controls (1.42 vs 1.72, p < 0.001). Subset analyses in DMD subjects with normal LVEF and without LGE also demonstrated significantly shorter T1LL ratio (−0.28, p < 0.001 and −0.25, p = 0.028). Post-contrast T1LL ratio is abnormally shortened in DMD compared with controls, even in DMD patients with otherwise normal CMRs. The application of more aggressive therapy for those with shorter T1LL may favorably alter morbidity and improve mortality associated with DMD cardiomyopathy. These data suggest that further prospective evaluation of myocardial T1 will be of benefit to patients with DMD.
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Metadaten
Titel
Evaluation of Post-Contrast Myocardial T1 in Duchenne Muscular Dystrophy Using Cardiac Magnetic Resonance Imaging
verfasst von
Jonathan H. Soslow
Bruce M. Damon
Benjamin R. Saville
Zengqi Lu
W. Bryan Burnette
Mark A. Lawson
David A. Parra
Douglas B. Sawyer
Larry W. Markham
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 1/2015
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-014-0963-x

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