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Table 2 Changes in Myocardial signal characteristics after cancer treatment

From: Understanding cardiovascular injury after treatment for cancer: an overview of current uses and future directions of cardiovascular magnetic resonance

Study

Cancer therapy

Myocardial signal characterization

How assessed

Subjects (# and type)

Findings

Thompson et al. [74]

Anthracycline chronic toxicity

T1 changes, no T2 changes

Ex vivo spin echo

Rat model

Prolongation of pre-contrast T1.

Cottin et al. [75]

Anthracycline acute toxicity, 1 week

T1 and T2 changes

Ex vivo inversion recovery for T1, spin echo for T2

Rat model, n = 23

Prolongation of pre-contrast T1 and T2.

Wassmuth et al. [76]

Anthracycline acute toxicity, Day 3 and 28

T1 changes on Day 3

Contrast enhanced Spin echo

Humans, n = 79

Higher signal intensities on T1 weighted imaging.

Lightfoot et al. [77]

Anthracycline, acute toxicity at 2, 4, 7 and 10 weeks

T1 changes at 2 weeks and 4 weeks

Post-contrast T1 weighted inversion recovery

Rat model, n = 40

Higher signal intensity than control rats.

This occurred early after chemotherapy and prior to a drop in the LVEF.

     

This increase in signal intensity was associated with microscopic evidence of cell injury.