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Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)
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Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Jan 20, 2016

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Page 1: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Sylwia Heinze-Paluchowska

Department of Magnetic Resonance Imaging (NZ56)

Page 2: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Introduction

Coronary heart diseases - the single most common cause of death in the EU and US

The animal model of the mouse is gaining increasing popularity in basic cardiovascular research

Deaths by cause, latest available year,Europe

Page 3: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

The purpose of our project was to:

design and construct specialized hardware components

develop MR protocols dedicated to measurements of cardiac function of small animals in vivo

evaluate cardiac dynamics in mice receiving pharmacotherapy (clopidogrel, canrenon, antiplatelet teraphy)

Purpose

Page 4: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Animal modelMouse heart’s weight 0,1 g; heart dimensions 13 mm (long axis) and 8 mm (short axis). Heart rate: 400-600 bpm (RR 100-150 ms).

Left atrium Left ventricle

Right atriumRight ventricle

30 mm

End-systole and end-diastole MR images of the left ventricle (LV)

Page 5: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Subjects and Methods:

Cardiac function in TG (Tgq*44) and wild-type (FVB) mice was analyzed using MRI.

Tgq* 44 mice mimics many of the phenotypic characteristics of dilated cardiomyopathy in humans.

Cardiac function was measured in TG and wild-type mice at the age of 2-14 months.

Dobutamine induced stress was used to unmask the alterations in cardiac function at early stage of heart failure progression that was not clearly visible by monitoring cardiac function at rest.

Page 6: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

MRI system

4,7T/310 magnet (Bruker, Germany)

MARAN DRX Console (Resonance Instruments Ltd., GB)

Animal monitoring system (SA Instruments Ltd, USA)

Dedicated, homebuilt probehead :

Unshielded gradient system RF birdcage coil Animal handling system Temperature controller

Homebuilt gradient system and RF probehead

Page 7: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

MRI of the mice heart MRI of the mice heart in vivoin vivo

Mouse (FVB, Tgq*44)

Animal handling system

RF birdcage coil

4,7 T magnet with MARAN DRX console , device to anaesthesia and animal monitoring system

ECG Anaesthesia

All animal experimental procedures were in accordance with institutional guidelines, given by the Ethic Commission of the Jagiellonian University Medical College.

Page 8: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

8

Methodology

MR images acquired through 120% of the cardiac cycle in the short-axis plane at papillary muscles level.

Page 9: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

ProtocolECG triggered fast gradient echo (cine-like FLASH with flow-compensation)

TR = 5 ÷ 6 ms TE = 2,5 ms FOV = 30 x 30 mm Slice thickness1,5 mm (1mm) Matrix 128128 NS 8 Flip angle =30

TG mouse

Wild-type mouse

Page 10: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Image analysis

Semiautomatic analysis of the LV images with the use of Aphelion software (prof. L. Wojnar, Cracow University of Technology)

Page 11: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

T. Skórka, S. Heinze-Paluchowska, et al., XL Seminar on Nuclear Magnetic Resonance and Its Applications, 2007

Analysis of cardiac function in vivo by MRI

Page 12: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Assessment of cardiac parameters using ECG gated MRI

Ejection Rate ER [1/ms],

Filling Rate FR [1/ms],

Fractional Area Change FAC [%]:

where:

ESA - End Systolic Area

EDA - End Diastolic Area.

100%EDA ESA

FACEDA

Ejection rate (ER) and Filling rate (FR) are equal to absolute value of regression line slopes.

Fractional Contraction is equal to normalized difference between end-diastolic and end-systolic LV slice areas.

Page 13: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

Results

9

The mean values of the Fractional Area Change for both TG and FVB mice at various ages

Application of homebuilt hardware components and advanced image analysis allowed for rapid image acquisition

Good quality MR images of mouse heart in vivo enabled quantification of cardiac systolic and diastolic dynamics in mice.

Our methodology enabled us to demonstrate that the progression of systolic and diastolic cardiac dysfunction in Tgaq*44 mice displays a different pattern.

Four chamber view of the mouse heart

Page 14: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

AcknowledgementsIFJ PAN

dr T. Skórka mgr U. Tyrankiewicz mgr inż. P. Skóra inż. P. Borowiec R. Wiertek prof. dr hab. A. Jasiński dr W. Węglarz

CM UJ dr Ł. Drelicharz prof. dr hab. S. Chłopicki

Politechnika Krakowska prof. dr hab. L. Wojnar

Page 15: Sylwia Heinze-Paluchowska Department of Magnetic Resonance Imaging (NZ56)

THANK YOU THANK YOU FOR YOUR ATTENTIONFOR YOUR ATTENTION