Document Detail


Myocardial T2* measurements in iron-overloaded thalassemia: An in vivo study to investigate optimal methods of quantification.
MedLine Citation:
PMID:  18956471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reproducible and accurate myocardial T2* measurements are required for the quantification of iron in heart tissue in transfused thalassemia. The aim of this study was to determine the best method to measure the myocardial T2* from multi-gradient-echo data acquired both with and without black-blood preparation. Sixteen thalassemia patients from six centers were scanned twice locally, within 1 week, using an optimized bright-blood T2* sequence and then subsequently scanned at the standardization center in London within 4 weeks, using a T2* sequence both with and without black-blood preparation. Different curve-fitting models (monoexponential, truncation, and offset) were applied to the data and the results were compared by means of reproducibility. T2* measurements obtained using the bright- and black-blood techniques. The black-blood data were well fitted by the monoexponential model, which suggests that a more accurate measure of T2* can be obtained by removing the main source of errors in the bright-blood data. For bright-blood data, the offset model appeared to underestimate T2* values substantially and was less reproducible. The truncation model gave rise to more reproducible T2* measurements, which were also closer to the values obtained from the black-blood data.
Authors:
Taigang He; Peter D Gatehouse; Gillian C Smith; Raad H Mohiaddin; Dudley J Pennell; David N Firmin
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Magnetic resonance in medicine : official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine     Volume:  60     ISSN:  1522-2594     ISO Abbreviation:  Magn Reson Med     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-03     Completed Date:  2009-02-12     Revised Date:  2010-09-21    
Medline Journal Info:
Nlm Unique ID:  8505245     Medline TA:  Magn Reson Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1082-9     Citation Subset:  IM    
Affiliation:
National Heart and Lung Institute, Imperial College London, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Female
Great Britain
Humans
Image Enhancement / methods
Image Interpretation, Computer-Assisted / methods*
Iron / analysis*
Iron Overload / diagnosis*,  metabolism*
Magnetic Resonance Imaging / methods*
Male
Myocardium / metabolism*
Reproducibility of Results
Sensitivity and Specificity
Thalassemia / diagnosis*,  metabolism*
Grant Support
ID/Acronym/Agency:
R01 DK066084-04/DK/NIDDK NIH HHS; R01 DK66084-01/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
7439-89-6/Iron
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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