Key result
Synthetic ECV without blood sampling strongly correlates with conventional ECV in STEMI patients.
Why the study?
Whether the linear relationship between haematocrit and blood pool R1 holds to obtain extracellular volume without blood sampling in patients with myocardial infarction was unclear.
Does synthetic ECV without blood sampling accurately correlate with conventional ECV in STEMI patients?
Observational (n=398)
Randomly divided into derivation and validation groups
Does synthetic ECV without blood sampling accurately correlate with conventional ECV in STEMI patients?
Synthetic ECV without blood sampling provides a convenient and accurate alternative to conventional ECV for identifying myocardial fibrosis in STEMI patients.
Answers are grounded in this paper and cite their sources.
May enable convenient ECV assessment without blood sampling in STEMI; leaves open prospective validation before clinical adoption.
Aims Recent studies have shown that extracellular volume (ECV) can also be obtained without blood sampling by the linear relationship between haematocrit (HCT) and blood pool R1 (1/T1). However, whether this relationship holds for patients with myocardial infarction is still unclear. This study established and validated an ECV model without blood sampling in ST-segment elevation myocardial infarction (STEMI) patients. Methods and results A total of 398 STEMI patients who underwent cardiac magnetic resonance (CMR) examination with T1 mapping and venous HCT within 24 h were retrospectively analysed. All patients were randomly divided into a derivation group and a validation group. The mean CMR scan time was 3 days after primary percutaneous coronary intervention. In the derivation group, a synthetic HCT formula was obtained by the linear regression between HCT and blood pool R1 (R2 = 0.45, P < 0.001). The formula was used in the validation group; the results showed high concordance and correlation between synthetic ECV and conventional ECV in integral (bias = −0.12; R2 = 0.92, P < 0.001), myocardial infarction site (bias = −0.23; R2 = 0.93, P < 0.001), and non-myocardial infarction sites (bias = −0.09; R2 = 0.94, P < 0.001). Conclusion In STEMI patients, synthetic ECV without blood sampling had good consistency and correlation with conventional ECV. This study might provide a convenient and accurate method to obtain the ECV from CMR to identify myocardial fibrosis.
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Chen et al. (2024) conducted an observational in ST-segment elevation myocardial infarction (STEMI) (n=398). Synthetic extracellular volume (ECV) model without blood sampling vs. Conventional ECV was evaluated on Concordance and correlation between synthetic ECV and conventional ECV in integral (R2 = 0.92, p=<0.001). Synthetic extracellular volume without blood sampling showed high concordance and correlation with conventional ECV in STEMI patients (integral R2 = 0.92, P<0.001).
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