論文

査読有り 国際誌
2019年12月

Native T1 time and extracellular volume fraction in differentiation of normal myocardium from non-ischemic dilated and hypertrophic cardiomyopathy myocardium: A systematic review and meta-analysis.

International journal of cardiology. Heart & vasculature
  • Shintaro Minegishi
  • ,
  • Shingo Kato
  • ,
  • Kaoru Takase-Minegishi
  • ,
  • Nobuyuki Horita
  • ,
  • Kengo Azushima
  • ,
  • Hiromichi Wakui
  • ,
  • Tomoaki Ishigami
  • ,
  • Masami Kosuge
  • ,
  • Kazuo Kimura
  • ,
  • Kouichi Tamura

25
開始ページ
100422
終了ページ
100422
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ijcha.2019.100422

Background: Both native T1 time and extracellular volume (ECV) fraction have been shown to be important measures for the detection of myocardial fibrosis. However, ECV determination requires the administration of an intravenous contrast agent, whereas native T1 mapping can be performed without a contrast agent. Methods: Here, we conducted a meta-analysis of myocardial native T1 data obtained for non-ischemic cardiomyopathy (NIC) patients and controls. A literature review included studies that applied T1 mapping using modified Look-Locker inversion recovery to measure myocardial fibrosis, and the results were validated by comparing datasets for dilated cardiomyopathy (DCM) or hypertrophic cardiomyopathy (HCM) patients and healthy controls (HCs). Results: We identified 16 eligible studies. Pooled mean differences (MDs) and 95% confidence intervals (CIs) were estimated as follows. Native T1 at 1.5-T, DCM vs. HC: MD = 45.26 (95% CI: 30.92-59.59); HCM vs. HC: MD = 47.09 (95% CI: 32.42-61.76). Native T1 at 3.0-T, DCM vs. HC: MD = 82.52 (95% CI: 47.60-117.44); HCM vs. HC: MD = 115.87 (95% CI: 50.71-181.04). ECV at 1.5-T, DCM vs. HC: MD = 4.26 (95% CI: 3.06-5.46); HCM vs. HC: MD = 1.49 (95% CI: -1.45-4.43). ECV at 3.0-T, DCM vs. HC: MD = 8.40 (95% CI: 2.94-13.86); HCM vs. HC: MD = 8.02 (95% CI: 5.45-1-0.59). Conclusion: In conclusion, native T1 values were significantly different between NIC patients and controls. Native T1 mapping may be a useful noninvasive method to detect diffuse myocardial fibrosis in NIC patients.

リンク情報
DOI
https://doi.org/10.1016/j.ijcha.2019.100422
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31517037
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737306
ID情報
  • DOI : 10.1016/j.ijcha.2019.100422
  • PubMed ID : 31517037
  • PubMed Central 記事ID : PMC6737306

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