ECG-gated Cardiac Magnetic Resonance Imaging for Myocardium and the Results of Echocardiography and Thallium SPECT Scan

Ting-Kai Leung, Chun-Yao Huang, Chi-Ming Lee, Chung-Huei Hsu, Hung Jung Wang, Ching Huei Kung, Yi Hsiang Lin, Huey Min Yeh, Pen Yuan Liao, Yu Ching Ting, Han Yun Hsiao

Research output: Contribution to journalArticle

Abstract

Objective: This study was to investigate the usefulness and limitations of cardiac magnetic resonance imaging (MRI). We compared echocardiography (ECHO) and perfusion scans to evaluate: left ventricular wall scar formation of the myocardium; hypokinesis, akinesis, or dyskinesis of the myocardium; regurgitation of the aortic and mitral valves; post acute myocardial infarction (AMI) ventricular function; and the viable myocardium (ischemia/infarction). Methods: Twenty patients received both cardiac MRI and ECHO. Among them, nine patients received perfusion scans. The modalities and methods examined in this study were not the most advanced or updated protocols. Results: We compared the results of cardiac MRI with those of ECHO and perfusion scans. We found significant correlations between the interpretations of left ventricular wall morphological change with dynamic images for hypokinesia, akinesia, and dyskinesia of the myocardium. We also found possible correlations between cardiac MRI and perfusion scans regarding their results to produce a "bull's eye target figure" to evaluate severe ischemia and infarctions. Conclusion: We found that cardiac MRI provided a useful adjunct to ECHO on interpretations of left ventricular wall morphological change. The correlations between qualitative interpretations of cardiac MRI versus perfusion scan respective to 'bull's eye target figures', were found to be moderately matching. There was an unsatisfactory mismatching of correlations between quantitative by manual input and the drawing inaccuracy and an unavoidable error of the post-processing technique of cardiac MRI on ejection fraction (EF) and end systolic volume (ESV).

Original languageEnglish
Pages (from-to)275-279
Number of pages5
JournalJournal of Experimental and Clinical Medicine(Taiwan)
Volume4
Issue number5
DOIs
Publication statusPublished - Oct 2012

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Thallium
Single-Photon Emission-Computed Tomography
Echocardiography
Myocardium
Electrocardiography
Magnetic Resonance Imaging
Perfusion
Magnetic Resonance Angiography
Infarction
Ischemia
Post and Core Technique
Hypokinesia
Aortic Valve Insufficiency
Ventricular Function
Dyskinesias
Mitral Valve Insufficiency
Cicatrix
Myocardial Infarction

Keywords

  • Bull's eye target figure
  • Cardiac MRI
  • Echocardiography
  • Thallium SPECT scan
  • Viable myocardium

ASJC Scopus subject areas

  • Medicine(all)

Cite this

ECG-gated Cardiac Magnetic Resonance Imaging for Myocardium and the Results of Echocardiography and Thallium SPECT Scan. / Leung, Ting-Kai; Huang, Chun-Yao; Lee, Chi-Ming; Hsu, Chung-Huei; Wang, Hung Jung; Kung, Ching Huei; Lin, Yi Hsiang; Yeh, Huey Min; Liao, Pen Yuan; Ting, Yu Ching; Hsiao, Han Yun.

In: Journal of Experimental and Clinical Medicine(Taiwan), Vol. 4, No. 5, 10.2012, p. 275-279.

Research output: Contribution to journalArticle

Leung, Ting-Kai ; Huang, Chun-Yao ; Lee, Chi-Ming ; Hsu, Chung-Huei ; Wang, Hung Jung ; Kung, Ching Huei ; Lin, Yi Hsiang ; Yeh, Huey Min ; Liao, Pen Yuan ; Ting, Yu Ching ; Hsiao, Han Yun. / ECG-gated Cardiac Magnetic Resonance Imaging for Myocardium and the Results of Echocardiography and Thallium SPECT Scan. In: Journal of Experimental and Clinical Medicine(Taiwan). 2012 ; Vol. 4, No. 5. pp. 275-279.
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AU - Hsu, Chung-Huei

AU - Wang, Hung Jung

AU - Kung, Ching Huei

AU - Lin, Yi Hsiang

AU - Yeh, Huey Min

AU - Liao, Pen Yuan

AU - Ting, Yu Ching

AU - Hsiao, Han Yun

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AB - Objective: This study was to investigate the usefulness and limitations of cardiac magnetic resonance imaging (MRI). We compared echocardiography (ECHO) and perfusion scans to evaluate: left ventricular wall scar formation of the myocardium; hypokinesis, akinesis, or dyskinesis of the myocardium; regurgitation of the aortic and mitral valves; post acute myocardial infarction (AMI) ventricular function; and the viable myocardium (ischemia/infarction). Methods: Twenty patients received both cardiac MRI and ECHO. Among them, nine patients received perfusion scans. The modalities and methods examined in this study were not the most advanced or updated protocols. Results: We compared the results of cardiac MRI with those of ECHO and perfusion scans. We found significant correlations between the interpretations of left ventricular wall morphological change with dynamic images for hypokinesia, akinesia, and dyskinesia of the myocardium. We also found possible correlations between cardiac MRI and perfusion scans regarding their results to produce a "bull's eye target figure" to evaluate severe ischemia and infarctions. Conclusion: We found that cardiac MRI provided a useful adjunct to ECHO on interpretations of left ventricular wall morphological change. The correlations between qualitative interpretations of cardiac MRI versus perfusion scan respective to 'bull's eye target figures', were found to be moderately matching. There was an unsatisfactory mismatching of correlations between quantitative by manual input and the drawing inaccuracy and an unavoidable error of the post-processing technique of cardiac MRI on ejection fraction (EF) and end systolic volume (ESV).

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