Donor and Recipient Characteristics in Heart Transplantation Are Associated with Altered Myocardial Tissue Structure and Cardiac Function
To use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and changes in cardiac tissue structure and function. HTx candidates and donor hearts are evaluated for donor-recipient matches to improve survival, but th...
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| Published in | Radiology. Cardiothoracic imaging Vol. 1; no. 5; p. e190009 |
|---|---|
| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Radiological Society of North America
19.12.2019
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| Subjects | |
| Online Access | Get full text |
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| Abstract | To use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and changes in cardiac tissue structure and function. HTx candidates and donor hearts are evaluated for donor-recipient matches to improve survival, but the impact of donor and recipient characteristics on changes in myocardial tissue and function in the transplanted heart is not fully understood.
Cardiac MRI at 1.5 T was performed from August 2014 to June 2017 in 58 HTx recipients (mean age, 51.1 years ± 12.6 [standard deviation], 26 female patients) and included T2 mapping (to evaluate edematous and/or inflammatory changes), precontrast and postcontrast T1 mapping (allowing the calculation of extracellular volume fraction [ECV] to estimate interstitial expansion), and tissue phase mapping (allowing the calculation of myocardial velocities and twist). Donor and recipient demographics (age, sex, height, weight, and body mass index [BMI]) and comorbidities (hypertension, diabetes, and smoking history) were evaluated for relationships with cardiac MRI measures.
Sex-influenced cardiac MRI measures of myocardial tissue and function are as follows: Female HTx recipients demonstrated increased precontrast T1 (
= .002) and reduced systolic peak long-axis velocities (
= .015). Increased age of the donor heart was associated with elevated T2 (
= 0.32;
< .05) and ECV (
= 0.47;
< .01), indicating increased edema and interstitial expansion, as well as impaired diastolic peak long-axis velocities (
= 0.41;
< .01). Recipient-donor differences in age, weight, and BMI were significantly associated with elevated ECV (
= 0.36-0.48;
< .05). Hypertension in donors resulted in increased ECV (31.0% ± 4.2 vs 26.0% ± 3.3;
= .001).
Donor and HTx recipient characteristics were significantly associated with cardiac MRI-derived measures of myocardial tissue structure and function.© RSNA, 2019. |
|---|---|
| AbstractList | PURPOSETo use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and changes in cardiac tissue structure and function. HTx candidates and donor hearts are evaluated for donor-recipient matches to improve survival, but the impact of donor and recipient characteristics on changes in myocardial tissue and function in the transplanted heart is not fully understood.MATERIALS AND METHODSCardiac MRI at 1.5 T was performed from August 2014 to June 2017 in 58 HTx recipients (mean age, 51.1 years ± 12.6 [standard deviation], 26 female patients) and included T2 mapping (to evaluate edematous and/or inflammatory changes), precontrast and postcontrast T1 mapping (allowing the calculation of extracellular volume fraction [ECV] to estimate interstitial expansion), and tissue phase mapping (allowing the calculation of myocardial velocities and twist). Donor and recipient demographics (age, sex, height, weight, and body mass index [BMI]) and comorbidities (hypertension, diabetes, and smoking history) were evaluated for relationships with cardiac MRI measures.RESULTSSex-influenced cardiac MRI measures of myocardial tissue and function are as follows: Female HTx recipients demonstrated increased precontrast T1 (P = .002) and reduced systolic peak long-axis velocities (P = .015). Increased age of the donor heart was associated with elevated T2 (r = 0.32; P < .05) and ECV (r = 0.47; P < .01), indicating increased edema and interstitial expansion, as well as impaired diastolic peak long-axis velocities (r = 0.41; P < .01). Recipient-donor differences in age, weight, and BMI were significantly associated with elevated ECV (r = 0.36-0.48; P < .05). Hypertension in donors resulted in increased ECV (31.0% ± 4.2 vs 26.0% ± 3.3; P = .001).CONCLUSIONDonor and HTx recipient characteristics were significantly associated with cardiac MRI-derived measures of myocardial tissue structure and function.© RSNA, 2019. To use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and changes in cardiac tissue structure and function. HTx candidates and donor hearts are evaluated for donor-recipient matches to improve survival, but the impact of donor and recipient characteristics on changes in myocardial tissue and function in the transplanted heart is not fully understood. Cardiac MRI at 1.5 T was performed from August 2014 to June 2017 in 58 HTx recipients (mean age, 51.1 years ± 12.6 [standard deviation], 26 female patients) and included T2 mapping (to evaluate edematous and/or inflammatory changes), precontrast and postcontrast T1 mapping (allowing the calculation of extracellular volume fraction [ECV] to estimate interstitial expansion), and tissue phase mapping (allowing the calculation of myocardial velocities and twist). Donor and recipient demographics (age, sex, height, weight, and body mass index [BMI]) and comorbidities (hypertension, diabetes, and smoking history) were evaluated for relationships with cardiac MRI measures. Sex-influenced cardiac MRI measures of myocardial tissue and function are as follows: Female HTx recipients demonstrated increased precontrast T1 ( = .002) and reduced systolic peak long-axis velocities ( = .015). Increased age of the donor heart was associated with elevated T2 ( = 0.32; < .05) and ECV ( = 0.47; < .01), indicating increased edema and interstitial expansion, as well as impaired diastolic peak long-axis velocities ( = 0.41; < .01). Recipient-donor differences in age, weight, and BMI were significantly associated with elevated ECV ( = 0.36-0.48; < .05). Hypertension in donors resulted in increased ECV (31.0% ± 4.2 vs 26.0% ± 3.3; = .001). Donor and HTx recipient characteristics were significantly associated with cardiac MRI-derived measures of myocardial tissue structure and function.© RSNA, 2019. |
| Author | Sarnari, Roberto Wilcox, Jane E Dolan, Ryan S Blaisdell, Julie Carr, James C Vorovich, Esther E Yancy, Clyde W Khan, Sadiya S Anderson, Allen S Markl, Michael Rich, Jonathan D Ghafourian, Kambiz Rahsepar, Amir A |
| Author_xml | – sequence: 1 givenname: Ryan S orcidid: 0000-0002-9465-6814 surname: Dolan fullname: Dolan, Ryan S organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 2 givenname: Amir A orcidid: 0000-0002-6228-4673 surname: Rahsepar fullname: Rahsepar, Amir A organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 3 givenname: Julie orcidid: 0000-0002-9015-9482 surname: Blaisdell fullname: Blaisdell, Julie organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 4 givenname: Roberto surname: Sarnari fullname: Sarnari, Roberto organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 5 givenname: Kambiz orcidid: 0000-0001-8141-0498 surname: Ghafourian fullname: Ghafourian, Kambiz organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 6 givenname: Jane E surname: Wilcox fullname: Wilcox, Jane E organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 7 givenname: Sadiya S surname: Khan fullname: Khan, Sadiya S organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 8 givenname: Esther E orcidid: 0000-0001-6810-3311 surname: Vorovich fullname: Vorovich, Esther E organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 9 givenname: Jonathan D orcidid: 0000-0002-2370-5252 surname: Rich fullname: Rich, Jonathan D organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 10 givenname: Clyde W surname: Yancy fullname: Yancy, Clyde W organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 11 givenname: Allen S orcidid: 0000-0001-7216-2613 surname: Anderson fullname: Anderson, Allen S organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 12 givenname: James C surname: Carr fullname: Carr, James C organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) – sequence: 13 givenname: Michael orcidid: 0000-0002-7686-1128 surname: Markl fullname: Markl, Michael organization: Department of Radiology, Northwestern University Feinberg School of Medicine, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611 (R.S.D., A.A.R., J.B., R.S., J.C.C., M.M.); Department of Cardiology, Northwestern University, Chicago, Ill (K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A.); and Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, Ill (M.M.) |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32076670$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1093/eurheartj/ehr481 10.1016/j.jcmg.2019.01.026 10.1161/JAHA.113.000279 10.1161/CIRCHEARTFAILURE.108.844183 10.1002/mrm.20110 10.1016/j.healun.2013.08.011 10.1161/CIRCIMAGING.111.971101 10.1161/CIRCULATIONAHA.107.756866 10.1016/0735-1097(95)00282-8 10.1016/j.jcmg.2015.10.012 10.1016/j.jacc.2013.05.078 10.1186/1476-7120-3-17 10.1186/1532-429X-14-64 10.1111/tri.12222 10.1161/01.CIR.103.6.820 10.1161/CIRCHEARTFAILURE.112.000165 10.1016/j.jchf.2013.09.005 10.1186/s12968-017-0327-9 10.1016/j.jacc.2007.06.007 10.1016/j.healun.2012.02.005 10.2174/1573403X09666131117163825 10.1111/tri.12835 10.1111/petr.12986 10.1016/j.healun.2010.05.034 10.1161/hc0402.102975 10.1002/jmri.26275 10.1111/jocs.12406 10.1186/1532-429X-11-56 10.1002/jmri.10114 10.1186/1532-429X-14-63 10.1002/jmri.20703 10.1161/CIRCIMAGING.108.813857 10.1161/CIRCIMAGING.112.973560 10.1016/j.healun.2011.11.005 10.1186/s12968-015-0118-0 |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author contributions: Guarantors of integrity of entire study, R.S.D., M.M.; study concepts/study design or data acquisition or data analysis/interpretation, all authors; manuscript drafting or manuscript revision for important intellectual content, all authors; approval of final version of submitted manuscript, all authors; agrees to ensure any questions related to the work are appropriately resolved, all authors; literature research, R.S.D., A.A.R., R.S., K.G., S.S.K., J.D.R., C.W.Y., J.C.C., M.M.; clinical studies, R.S.D., A.A.R., J.B., R.S., J.E.W., J.D.R., A.S.A., J.C.C., M.M.; statistical analysis, R.S.D., J.B., J.C.C., M.M.; and manuscript editing, R.S.D., A.A.R., J.B., K.G., J.E.W., S.S.K., E.E.V., J.D.R., C.W.Y., A.S.A., J.C.C., M.M. |
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| Snippet | To use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and changes in... PURPOSETo use structure-function cardiac MRI in the evaluation of relationships between donor and heart transplantation (HTx) recipient characteristics and... |
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| Title | Donor and Recipient Characteristics in Heart Transplantation Are Associated with Altered Myocardial Tissue Structure and Cardiac Function |
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