武藤 晃一, 中村 嘉男, 山口 弘次郎, 片田 和廣, 近藤 武, 皿井 正義, 元山 貞子, 大島 慶太, 古賀 佑彦, 児玉 行弘, 永井 伸枝, 福光 隆幸, 木村 徳典
医用画像情報学会雑誌 = Japanese journal of imaging and information sciences in medicine 16(3) 165-172 1999年9月5日
Abnormal interventricular septal wall motion has been observed in various heart diseases. To assess the regional contractility of interventricular septum precisely, DANTE tagging cine MRI of septal slices parallel to the vertical long axis of left ventricle were acquired in 6normal volunteers and in 12 patients with a variety of heart diseases. DANTE tags were generated at end diastole with a 8 mm grid with about 60 intersection points on septal slice. Quadrangle area as a basic unit was calculated at end systole (SES) and end diastole (SES). Percent area contraction (PAC) was derived from the following formula: PAC= [(SES-SES)/SED]×100%. In addition, a quantitative map of the PAC was made to estimate regional contractility easily by visual inspection. The PAC was 29.4±1.3% in normal volunteers and the map of the PAC showed a homogeneous pattern. In patient with anteroseptal myocardial infarction reduced PAC units were localized at anterior site of interventricular septum, and in patients with inferior myocardial infarction, decreased PAC units were observed in inferoposterior site of interventricular septum. In a patient with dilated cardiomyopathy, the map demonstrated a diffused focal distribution of decreased PAC units. In conclusion, the PAC derived from DANTE-tagging cine MRI is a very useful index to evaluate regional contractility of interventricular septum, and the map of PAC can reflect regional abnormal contractility in accordance with clinical settings.