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A Pre-clinical Framework to Characterize Peri-infarct Remodelling Using in vivo T1 Maps and CARTO Data

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Book cover Statistical Atlases and Computational Models of the Heart. Imaging and Modelling Challenges (STACOM 2012)

Abstract

The purpose of this work was to use in vivo MR imaging and electro-anatomical maps to characterize dense scars and border zone, BZ (a mixture of collagen and viable fibers). To better understand how these measures might probe potentially arrhythmogenic substrates, we developed a preclinical swine model of chronic infarction and integrated in vivo MRI and electrophysiology (EP) data in five swine at 5-6 weeks post-infarction. Specifically, we first aligned and registered T1-maps (from MR studies) and bipolar voltage maps (from CARTO-EP studies) using Vurtigo, an open source software. We then performed a quantitative analysis based on circumferential segments defined in the short-axis of MR images. Our results demonstrated a negative linear relation between bipolar voltage maps and T1 maps within the first two mm of the endocardial surface. The results of our novel approach suggest that T1-maps combined with limited EP measurements can be used to evaluate the biophysical properties of healing myocardium post-infarction, and to distinguish between the infarct categories (i.e., dense scar vs. BZ) with remodelled electrical characteristics.

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Pop, M. et al. (2013). A Pre-clinical Framework to Characterize Peri-infarct Remodelling Using in vivo T1 Maps and CARTO Data. In: Camara, O., Mansi, T., Pop, M., Rhode, K., Sermesant, M., Young, A. (eds) Statistical Atlases and Computational Models of the Heart. Imaging and Modelling Challenges. STACOM 2012. Lecture Notes in Computer Science, vol 7746. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36961-2_37

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  • DOI: https://doi.org/10.1007/978-3-642-36961-2_37

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36960-5

  • Online ISBN: 978-3-642-36961-2

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