Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors

Purpose Increased myocardial T1 values on cardiovascular MRI (CMRI) have been shown to be a surrogate marker for myocardial fibrosis. The use of CMRI in patients on hemodialysis (HD) remains limited. This research aimed to explore the characteristics of native T1 values in HD patients and identify f...

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Main Authors: Changqin Zhang, Lijing Yao, Min Liu, Yilun Zhou
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2024.2310078
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author Changqin Zhang
Lijing Yao
Min Liu
Yilun Zhou
author_facet Changqin Zhang
Lijing Yao
Min Liu
Yilun Zhou
author_sort Changqin Zhang
collection DOAJ
description Purpose Increased myocardial T1 values on cardiovascular MRI (CMRI) have been shown to be a surrogate marker for myocardial fibrosis. The use of CMRI in patients on hemodialysis (HD) remains limited. This research aimed to explore the characteristics of native T1 values in HD patients and identify factors related to T1 values.Methods A total of thirty-two patients on HD and fourteen healthy controls were included in this study. All participants underwent CMRI. Using modified Look-Locker inversion recovery (MOLLI) sequence, native T1 mapping was achieved. Native CMRI T1 values were compared between the two groups. In order to analyze the relationship between T1 values and clinical parameters, correlation analysis was performed in patients on HD.Results Patients on HD exhibited elevated global native T1 values compared to control subjects. In the HD group, the global native T1 value correlated positively with intact parathyroid hormone (iPTH) (r = 0.418, p = 0.017) and negatively with triglycerides (r= −0.366, p = 0.039). Moreover, the global native T1 value exhibited a positive correlation with the left ventricular end-diastolic volume indexed to body surface area (BSA; r = 0.528, p = 0.014), left ventricular end-systolic volume indexed to BSA (r = 0.506, p = 0.019), and left ventricular mass indexed to BSA (r = 0.600, p = 0.005). A negative correlation was observed between the global native T1 value and ejection fraction (r = 0.-0.551, p = 0.010).Conclusion The global native T1 value was prolonged in HD patients compared with controls. In the HD group, the global T1 value correlated strongly with iPTH, triglycerides, and cardiac structural and functional parameters.
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spelling doaj-art-6d59417af6e94c41a5b467f4a89674452025-01-23T04:17:47ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2310078Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factorsChangqin Zhang0Lijing Yao1Min Liu2Yilun Zhou3Department of Nephrology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Radiology, China-Japan Friendship Hospital, Beijing, ChinaDepartment of Nephrology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaPurpose Increased myocardial T1 values on cardiovascular MRI (CMRI) have been shown to be a surrogate marker for myocardial fibrosis. The use of CMRI in patients on hemodialysis (HD) remains limited. This research aimed to explore the characteristics of native T1 values in HD patients and identify factors related to T1 values.Methods A total of thirty-two patients on HD and fourteen healthy controls were included in this study. All participants underwent CMRI. Using modified Look-Locker inversion recovery (MOLLI) sequence, native T1 mapping was achieved. Native CMRI T1 values were compared between the two groups. In order to analyze the relationship between T1 values and clinical parameters, correlation analysis was performed in patients on HD.Results Patients on HD exhibited elevated global native T1 values compared to control subjects. In the HD group, the global native T1 value correlated positively with intact parathyroid hormone (iPTH) (r = 0.418, p = 0.017) and negatively with triglycerides (r= −0.366, p = 0.039). Moreover, the global native T1 value exhibited a positive correlation with the left ventricular end-diastolic volume indexed to body surface area (BSA; r = 0.528, p = 0.014), left ventricular end-systolic volume indexed to BSA (r = 0.506, p = 0.019), and left ventricular mass indexed to BSA (r = 0.600, p = 0.005). A negative correlation was observed between the global native T1 value and ejection fraction (r = 0.-0.551, p = 0.010).Conclusion The global native T1 value was prolonged in HD patients compared with controls. In the HD group, the global T1 value correlated strongly with iPTH, triglycerides, and cardiac structural and functional parameters.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2310078Hemodialysiscardiovascular magnetic resonancenative T1 mappingambulatory blood pressure monitoringmyocardial fibrosis
spellingShingle Changqin Zhang
Lijing Yao
Min Liu
Yilun Zhou
Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
Renal Failure
Hemodialysis
cardiovascular magnetic resonance
native T1 mapping
ambulatory blood pressure monitoring
myocardial fibrosis
title Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
title_full Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
title_fullStr Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
title_full_unstemmed Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
title_short Features of cardiovascular magnetic resonance native T1 mapping in maintenance hemodialysis patients and their related factors
title_sort features of cardiovascular magnetic resonance native t1 mapping in maintenance hemodialysis patients and their related factors
topic Hemodialysis
cardiovascular magnetic resonance
native T1 mapping
ambulatory blood pressure monitoring
myocardial fibrosis
url https://www.tandfonline.com/doi/10.1080/0886022X.2024.2310078
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AT minliu featuresofcardiovascularmagneticresonancenativet1mappinginmaintenancehemodialysispatientsandtheirrelatedfactors
AT yilunzhou featuresofcardiovascularmagneticresonancenativet1mappinginmaintenancehemodialysispatientsandtheirrelatedfactors