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Figure 9 | Journal of Cardiovascular Magnetic Resonance

Figure 9

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

Figure 9

Diffusion on isotropic and laminar materials. A: Schematic illustration of the effects of a cycle of strain on aqueous diffusion through a structurally isotropic material such as a homogeneous gel. The expected progression of limits of diffusion from a single point is illustrated (blue ellipse). On the left panels the DTI sequence is initiated; the mid panels show the progress of diffusion at the opposite phase of the cycle; and the right hand panels show the extent of diffusion at the time of DTI readout. B: Schematic illustration of supposed aqueous diffusion through a laminar material. The changes between diastole and systole entail the shearing and slight swivelling of the sheetlets and shear layers. In general these maintain their proportions, but not their orientations. The anistropies of diffusion of water molecules through different parts of such a complex dynamic fabric remain unknown and hard to predict. However, it seems likely that cross-myocyte diffusion would extend most freely along shear layers (blue) and least freely through the myocytes (yellow) aggregated in a single sheetlet, as indicated very approximately by the two examples of diffusion boundaries. Importantly, cDTI is only, at best, capable of measuring averaged values of all diffusions in a voxel, including those along different populations of shear layers.

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