The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Retrospective Determination of the Area at Risk for Reperfused Acute Myocardial Infarction With T2-Weighted Cardiac Magnetic Resonance Imaging: Histopathological and Displacement Encoding With Stimulated Echoes (DENSE) Functional Validations
Open accessAbstract
Background— The aim of this study was to determine whether edema imaging by T2-weighted cardiac magnetic resonance (CMR) imaging could retrospectively delineate the area at risk in reperfused myocardial infarction. We hypothesized that the size of the area at risk during a transient occlusion would be similar to the T2-weighted hyperintense region observed 2 days later, that the T2-weighted hyperintense myocardium would show partial functional recovery after 2 months, and that the T2 abnormality would resolve over 2 months. Methods and Results— Seventeen dogs underwent a 90-minute coronary artery occlusion, followed by reperfusion. The area at risk, as measured with microspheres (9 animals), was comparable to the size of the hyperintense zone on T2-weighted images 2 days later (43.4±3.3% versus 43.0±3.4% of the left ventricle; P =NS), and the 2 measures correlated ( R =0.84). The infarcted zone was significantly smaller (23.1±3.7; both P <0.001). To test whether the hyperintense myocardium would exhibit partial functional recovery over time, 8 animals were imaged on day 2 and 2 months later. Systolic strain was mapped with displacement encoding with stimulated echoes. Edema, as detected by a hyperintense zone on T2-weighted images, resolved, and regional radial systolic strain partially improved from 4.9±0.7 to 13.1±1.5 ( P =0.001) over 2 months. Conclusions— These findings are consistent with the premise that the T2 abnormality depicts the area at risk, a zone of reversibly and irreversibly injured myocardium associated with reperfused subendocardial infarctions. The persistence of postischemic edema allows T2-weighted CMR to delineate the area at risk 2 days after reperfused myocardial infarction.
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Metadata
- Authors
- Aletras, A. H., Tilak, G. S., Natanzon, A., Hsu, L.-Y., Gonzalez, F. M., Hoyt, R. F., & Arai, A. E.
- Venue
- Circulation
- Published
- 2006-04-18
- Volume
- 113
- Issue
- 15
- Pages
- 1865-1870
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2060943395
- Cited by
- 532
- References
- 17
- FWCI
- 26.70
- Type
- journal article
- Language
- en
- Open access
- bronze
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- CoChat. (2026). Citation check: Retrospective Determination of the Area at Risk for Reperfused Acute Myocardial Infarction With T2-Weighted Cardiac Magnetic Resonance Imaging: Histopathological and Displacement Encoding With Stimulated Echoes (DENSE) Functional Validations. https://app.cochat.ai/papers/10.1161/circulationaha.105.576025
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- Aletras, A. H., Tilak, G. S., Natanzon, A., Hsu, L.-Y., Gonzalez, F. M., Hoyt, R. F., & Arai, A. E. (2006). Retrospective Determination of the Area at Risk for Reperfused Acute Myocardial Infarction With T2-Weighted Cardiac Magnetic Resonance Imaging: Histopathological and Displacement Encoding With Stimulated Echoes (DENSE) Functional Validations. Circulation. https://doi.org/10.1161/circulationaha.105.576025
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