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Figure 8 | Journal of Cardiovascular Magnetic Resonance

Figure 8

From: In vivo cardiovascular magnetic resonance diffusion tensor imaging shows evidence of abnormal myocardial laminar orientations and mobility in hypertrophic cardiomyopathy

Figure 8

Porcine heart histology. The heart of a 60 kg pig that had been killed for food production, was excised, fixed by immersion in formalin and sectioned in a short axis plane (panel A). A full thickness wedge, outlined in black, was cut from its lateral LV wall at mid ventricular level. From it, a slice about 2 mm thick was made by two cuts parallel to the local epicardial surface as indicated by the orange rectangle. This slice (inset B) was then cut obliquely, as indicated by lines between the arrowheads, perpendicular to the local myocytes. The two pieces were set in wax and selected surfaces sectioned by microtome and trichrome stained for histology. A high power image of part of a wall tangent face, indicated by the small red region in B, is shown in panel C. The long axes of myocytes lie nearly parallel to this slice and a number of pale Z bands between sarcomeres are visible. A low power image of a cross-myocyte plane is shown in panel D, giving an overview of laminar structures, which slope obliquely to its upper and lower wall tangent edges, generally in two different oblique populations. The upper edge is the more endocardial, corresponding to the line arrowed obliquely in B. The area indicated by the black rectangle is magnified in panel E, where the transected myocytes can be seen to be aggregated in sheetlets, 4-8 myocytes thick, separated by white fissures or shear layers. The scale bars allow the structures and textures seen in each panel to be considered in relation to the typical root mean square distance of aqueous diffusion of about 40-60 μm in a cardiac cycle, and to the dimensions of the cDTI voxels of 2.7 × 2.7 × 8 mm acquired in our study.

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