MRI quantitative myocardial perfusion with compartmental analysis: a rest and stress study

Magn Reson Med. 1997 Dec;38(6):981-9. doi: 10.1002/mrm.1910380618.

Abstract

K1 (first-order transfer constant from arterial plasma to myocardium for Gd-DTPA) and Vd (distribution volume of Gd-DTPA in myocardium) were measured in vivo in a canine model (n = 5) using MRI-derived myocardial perfusion curves and a compartmental model. Perfusion curves were obtained after a bolus injection of Gd-DTPA (0.04 mM/kg) with an inversion-prepared fast gradient echo sequence. Myocardium and blood signal intensity were converted to a concentration of Gd-DTPA, according to a model appropriate for short (<1 s) interimage intervals characteristic of cardiac-triggered acquisitions. Before dipyridamole-induced stress, K1 and Vd, obtained from the fit of the MRI-derived perfusion curves, were 6.2 +/- 1.4 (mHz) and 17.5 +/- 4.2%, respectively. After dipyridamole infusion, a K1 increase of a factor of 2.82 +/- 0.72 was measured (P = 0.003). No change was observed in Vd (P = 0.98). These results suggest that the K1 increase after dipyridamole reflects a flow-related effect that can be useful to quantify the MRI-derived perfusion curves.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Contrast Media / administration & dosage
  • Coronary Circulation / physiology*
  • Dipyridamole / pharmacology
  • Dogs
  • Gadolinium DTPA / administration & dosage
  • Heart / drug effects
  • Magnetic Resonance Imaging*
  • Models, Theoretical
  • Perfusion
  • Rest
  • Stress, Physiological
  • Vasodilator Agents / pharmacology

Substances

  • Contrast Media
  • Vasodilator Agents
  • Dipyridamole
  • Gadolinium DTPA