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Novel application of black-blood echo-planar imaging to the assessment of myocardial infarction

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Abstract

The purpose of this study was to clarify the characteristics of black-blood echo-planar imaging (BB-EPI) in the assessment of infarct-related myocardial edema (IRME), compared with T2-weighted imaging (T2WI). Thirteen acute myocardial infarction (MI) patients after reperfusion and 11 old MI patients underwent BB-EPI and T2WI, excluding those with posterior MI. In acute MI patients, signal intensity ratio (SI ratio) of edema to normal myocardium was measured. Black-blood echo-planar imaging revealed hyperintensity in the same region identified as IRME on T2WI in all acute MI patients, and SI ratio was significantly higher in BB-EPI (2.66 ± 1.58) than in T2WI (1.44 ± 0.22) (P < 0.05). However, BB-EPI showed hyperintensity in posterior wall, where there is no clinical evidence of acute MI, in 2 out of 13 acute MI patients. Both T2WI and BB-EPI detected no IRME in known old infarct area of all old MI patients, but BB-EPI showed hyperintensity in the posterior wall of 4 out of 11 old MI patients. Black-blood echo-planar imaging can depict IRME with sufficient suppression of background and blood flow signals, and with excellent edema-to-normal myocardium contrast resolution. However, BB-EPI sometimes shows an inconsistent signal area with T2WI specifically in posterior wall. The wide practical use of BB-EPI requires the solution to this serious problem.

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Authors and Affiliations

  1. First Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan

    Satoshi Okayama, Shiro Uemura, Yoshinobu Morikawa, Kenji Onoue, Tsunenari Soeda, Hajime Iwama, Satoshi Somekawa, Yukiji Takeda & Yoshihiko Saito

  2. Department of Cardiology, Hirai Hospital, Nara, Japan

    Makoto Watanabe, Hiroki Uramoto & Yoshiyuki Kobayashi

Authors
  1. Satoshi Okayama
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  2. Shiro Uemura
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  3. Makoto Watanabe
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  4. Yoshinobu Morikawa
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  5. Kenji Onoue
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  6. Tsunenari Soeda
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  7. Hajime Iwama
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  8. Satoshi Somekawa
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  9. Yukiji Takeda
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  12. Yoshihiko Saito
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Correspondence to Shiro Uemura.

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Okayama, S., Uemura, S., Watanabe, M. et al. Novel application of black-blood echo-planar imaging to the assessment of myocardial infarction. Heart Vessels 25, 104–112 (2010). https://doi.org/10.1007/s00380-009-1172-z

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  • DOI: https://doi.org/10.1007/s00380-009-1172-z

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