Myocardial ASL perfusion reserve test detects ischemic segments in initial cohort of 10 patients with angiographic CAD
2011

Myocardial ASL Perfusion Reserve Test Identifies Ischemic Heart Segments

Sample size: 29 publication Evidence: moderate

Author Information

Author(s): Zun Zungho, Jao Terrence, Smith Ning, Varadarajan Padmini, Pai Ramdas G, Wong Eric C, Nayak Krishna S

Primary Institution: University of Southern California

Hypothesis

Can myocardial arterial spin labeling (ASL) identify ischemic myocardial segments due to stenosis in coronary arteries as detected by X-ray angiography?

Conclusion

Myocardial ASL can identify ischemic myocardial segments similarly to X-ray angiography, with no significant differences found.

Supporting Evidence

  • Ten of the twenty-nine patients had significant stenosis on X-ray angiography.
  • There was visual agreement in identifying ischemic segments between ASL and X-ray angiography.
  • The average standard deviation of physiological noise was 0.22 ml/g/min at rest and 0.42 ml/g/min during stress.

Takeaway

This study shows that a special imaging technique can help doctors see which parts of the heart are not getting enough blood.

Methodology

Twenty-nine patients underwent myocardial ASL measurements at rest and during adenosine stress using a GE Signa 3T scanner.

Limitations

The study had a small sample size and only included patients scheduled for routine cardiac MR and X-ray angiography.

Statistical Information

P-Value

1.0000

Statistical Significance

p = 1.0000

Digital Object Identifier (DOI)

10.1186/1532-429X-13-S1-P110

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