Volume 13 Supplement 1

Abstracts of the 2011 SCMR/Euro CMR Joint Scientific Sessions

Open Access

Dependence of scar contrast in LGE images on the time interval after contrast injection

  • Sathya Vijayakumar1,
  • Eugene G Kholmovski1 and
  • Nassir F Marrouche1
Journal of Cardiovascular Magnetic Resonance201113(Suppl 1):P42

DOI: 10.1186/1532-429X-13-S1-P42

Published: 2 February 2011

Aim

To study the dependence of post-ablation scar visibility in late gadolinium enhancement (LGE) images of left arial wall on time interval after contrast agent injection

Introduction

It was shown that LGE imaging can be used to evaluate post-ablation scar [1, 2] and pre-ablation remodeling of left atrium [3]. Visibility of scar depends on a time interval between contrast agent injection and LGE scan. In this study, we try to determine, what time post contrast injection would give optimal contrast between post-ablation scar and blood (CNRSB) and scar and normal myocardium (CNRSM).

Methods

The study was performed retrospectively on 3-month post ablation LGE data acquired on a 3T Verio scanner (Siemens Healthcare, Erlangen, Germany) with a full dose (0.1mmol/kg) of contrast agent (Multihance, Bracco Diagnostic Inc., Princeton, NJ). The data were separated into 3 groups based on time post contrast:
  1. 1)

    20-30 mins post contrast

     
  2. 2)

    30-40 mins post contrast

     
  3. 3)

    40-45 mins post contrast

     

Each group had 12 patients. Contrast to Noise Ratio (CNR) was computed as the ratio of the difference in signal intensity over a chosen region of interest in the scar and normal myocardium and the standard deviation of the noise observed in the blood pool. CNR was computed between scar and normal myocardium CNRSM & between scar and blood CRNSB.

Results

Table 1 shows the results of the analysis. Figure 1 shows a comparative image of the CNR measurement made in 3 datasets, one from each group. Unpaired Student’s t-test was performed on these datasets and the p values were found to be - p=0.24 (for CNRSB between <30min and 30-40min); p=0.69 (for CNRSB between 30-40min and >40min); p=0.97 (for CNRSM between <30min and 30-40min) and p=0.54 (for CNRSM between 30-40min and >40min). Thus, the difference in CNR between scar and normal myocardium and scar and blood observed in all three groups is not statistically significant.
Table 1

CNR computed for each studied group

Time post contrast

CNRSM (mean ± std)

CRNSB (mean ± std)

25.2 ± 4 minutes

20.3 ± 9.1

8.7 ± 4.8

34.3 ± 2.5 minutes

20.2 ± 8.8

11.3 ± 5.9

42. ± 2.8 minutes

17.3 ± 3.5

10 ± 1.9

Figure 1

The measurement of CNR in representative images from the studied groups.

Conclusion

From these preliminary results, it follows that LGE imaging performed between 25 to 45 minutes post contrast injection give comparable visibility of post ablation scar.

Authors’ Affiliations

(1)
University of Utah

References

  1. Peters DC: Radiology. 2007, 243 (3): 690-5. 10.1148/radiol.2433060417.View ArticlePubMedGoogle Scholar
  2. McGann CJ: JACC. 2008, 52 (15): 1263-71.View ArticlePubMedGoogle Scholar
  3. Oakes RS: Circulation. 2009, 119 (13): 1758-67. 10.1161/CIRCULATIONAHA.108.811877.PubMed CentralView ArticlePubMedGoogle Scholar

Copyright

© Vijayakumar et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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