Year: 2011
Type: article
Abstract: Non-invasive imaging plays a central role in cardiovascular disease for determining diagnosis, prognosis, and optimizing patient management. Recent experimental studies have demonstrated that monitoring hyperpolarized (13)C-labelled tracers with magnetic resonance imaging and spectroscopy (MRI and MRS) offers a new way to investigate the normal and diseased heart, and that the technology may be useful in patients with heart disease. In this review, we show how hyperpolarized (13)C-labelled tracers are generated and have been applied experimentally, and outline the methodological advances currently underway to enable translation of hyperpolarized (13)C MRI and MRS into the clinic. Using hyperpolarized (13)C-labelled metabolites and metabolic MRI and MRS could help assessment of many human cardiovascular diseases, including coronary artery disease, heart failure and metabolic cardiomyopathies. We discuss the clinical areas in which the technology may, in the future, aid in the diagnosis and management of patients with cardiovascular diseases, including dynamic investigations of in vivo metabolism, coronary angiography and quantitative perfusion imaging. It is possible that, in the future, hyperpolarized magnetic resonance will play a major role in clinical cardiology.
Source: Circulation
Institution: University of Oxford
Language: English
Subfield: Spectroscopy
Field: Chemistry
Domain: Physical Sciences
Open Access status: bronze
Funders: Wellcome Trust, British Heart Foundation
Awards: Development of cardiac hyperpolarised magnetic resonance imaging, G1294022029, The role of energy metabolism in ischaemia and heart failure – therapeutic potential of modulating myocardial ATP homeostasis, Assessment of In Vivo Metabolism in Failing Hearts Using Hyperpolarised Carbon-13 Magnetic Resonance., Understanding the genetic basis of common human diseases: core funding for the Wellcome Trust Centre for Human Genetics., RENEWAL: Substrates, transcription and control of cardiac energy metabolism and function
OpenAlex ID: W2164262631
