Share:
Share this content in WeChat
X
Clinical Guidelines & Expert Consensus
The basis and application of parameters derived from MR as endpoints of myocardial infarction—the interpretation of a consensus statement for cardiac MR endpoints selection in myocardial infarction trials
YANG Shujuan  ZHAO Shihua 

Cite this article as: Yang SJ, Zhao SH. The basis and application of parameters derived from MR as endpoints of myocardial infarction—The interpretation of a consensus statement for cardiac MR endpoints selection in myocardial infarction trials. Chin J Magn Reson Imaging, 2020, 11(8): 607-609. DOI:10.12015/issn.1674-8034.2020.08.002.


[Abstract] With the update of the research evidence related to myocardial infarction (MI), the parameters of cardiovascular magnetic resonance (CMR) has become surrogate endpoints with proven links to hard outcomes. An expert consensus statement for CMR endpoints selection in MI experimental and clinical trials was released by the American College of Cardiology Foundation (ACCF) in 2019. The consensus, based on a large amount of evidence and cutting-edge research, summarizes the pathophysiology of myocardial ischemia/reperfusion injury and CMR tissue characterization of MI, as well as the CMR endpoints selection for studies related to MI is recommended. The author interprets the update viewpoints in this consensus in order to provide a reference for the direction of experimental and clinical research about MI and CMR in the future.
[Keywords] cardiac magnetic resonance;myocardial infarction;endpoint;clinical trial;experimental trial

YANG Shujuan MR Center, Fuwai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases of China, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China

ZHAO Shihua* MR Center, Fuwai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases of China, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China

*Corresponding to: Zhao SH, E-mail: cjrzhaoshihua2009@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of the Key Projects of National Natural Science Foundation of China No. 81930044, 81620108015
Received  2020-05-11
Accepted  2020-06-23
DOI: 10.12015/issn.1674-8034.2020.08.002
Cite this article as: Yang SJ, Zhao SH. The basis and application of parameters derived from MR as endpoints of myocardial infarction—The interpretation of a consensus statement for cardiac MR endpoints selection in myocardial infarction trials. Chin J Magn Reson Imaging, 2020, 11(8): 607-609. DOI:10.12015/issn.1674-8034.2020.08.002.

[1]
Reindl M, Eitel I, Reinstadler SJ. Role of cardiac magnetic resonance to improve risk prediction following acute ST-elevation myocardial infarction. J Clin Med, 2020, 9(4): 1041. DOI: 10.3390/jcm9041041.
[2]
Ibanez B, Aletras AH, Arai AE, et al.Cardiac MRI endpoints in myocardial infarction experimental and clinical trials: JACC scientific expert panel. J Am Coll Cardiol, 2019, 74(2): 238-256. DOI: 10.1016/j.jacc.2019.05.024.
[3]
Hammer-Hansen S, Ugander M, Hsu LY, et al.Distinction of salvaged and infarcted myocardium within the ischaemic area-at-risk with T2 mapping. Eur Heart J Cardiovasc Imaging, 2014, 15(9): 1048-1053. DOI: 10.1093/ehjci/jeu073.
[4]
Symons R, Pontone G, Schwitter J, et al. Long-term incremental prognostic value of cardiovascular magnetic resonance after ST-segment elevation myocardial infarction: A study of the collaborative registry on CMR in STEMI. JACC Cardiovasc Imaging, 2018, 11(6): 813-825. DOI: 10.1016/j.jcmg.2017.05.023.
[5]
De Waha S, Patel MR, Granger CB, et al.Relationship between microvascular obstruction and adverse events following primary percutaneous coronary intervention for ST-segment elevation myocardial infarction: an individual patient data pooled analysis from seven randomized trials. Eur Heart J, 2017, 38(47): 3502-3510. DOI: 10.1093/eurheartj/ehx414.
[6]
Carrick D, Haig C, Ahmed N, et al.Myocardial hemorrhage after acute reperfused ST-segment-elevation myocardial infarction: Relation to microvascular obstruction and prognostic significance. Circ Cardiovasc Imaging, 2016, 9(1): e004148. DOI: 10.1161/CIRCIMAGING.115.004148.
[7]
Arai AE.Fuzzy or sharp borders of acute myocardial ischemia and infarction?. JACC Cardiovasc Imaging, 2015, 8(12): 1390-1392. DOI: 10.1016/j.jcmg.2015.10.003.
[8]
Ibanez B, Heusch G, Ovize M, et al.Evolving therapies for myocardial ischemia/reperfusion injury. J Am Coll Cardiol, 2015, 65(14): 1454-1471. DOI: 10.1016/j.jacc.2015.02.032.
[9]
Heerajnarain B, Chan MHH, Valeria P, et al.Impact of cardioprotective therapies on the edema-based area at risk by CMR in reperfused STEMI. J Am College Cardiol, 2018, 71(24): 2856-2858.
[10]
Ortiz-Perez JT, Meyers SN, Lee DC, et al.Angiographic estimates of myocardium at risk during acute myocardial infarction: validation study using cardiac magnetic resonance imaging. Eur Heart J, 2007, 28(14): 1750-1758. DOI: 10.1093/eurheartj/ehm212.
[11]
Fernandez-Jimenez R, Galan-Arriola C, Sanchez-Gonzalez J, et al.Effect of ischemia duration and protective interventions on the temporal dynamics of tissue composition after myocardial infarction. Circ Res, 2017, 121(4): 439-450. DOI: 10.1161/CIRCRESAHA.117.310901.
[12]
Stone GW, Selker HP, Thiele H, et al. Relationship between infarct size and outcomes following primary PCI: Patient-level analysis from 10 randomized trials. J Am Coll Cardiol, 2016, 67(14): 1674-1683. DOI: 10.1016/j.jacc.2016.01.069.
[13]
Stiermaier T, Jobs A, De Waha S, et al.Optimized prognosis assessment in ST-segment-elevation myocardial infarction using a cardiac magnetic resonance imaging risk score. Circ Cardiovasc Imaging, 2017, 10(11): e006774. DOI: 10.1161/CIRCIMAGING.117.006774.
[14]
Kihlberg J, Haraldsson H, Sigfridsson A, et al.Clinical experience of strain imaging using DENSE for detecting infarcted cardiac segments. J Cardiovasc Magn Reson, 2015, 17(1): 50. DOI: 10.1186/s12968-015-0155-8.
[15]
Han Y, Liimatainen T, Gorman RC, et al.Assessing myocardial disease using t1rho MRI. Curr Cardiovasc Imaging Rep, 2014, 7(2): 9248. DOI: 10.1007/s12410-013-9248-7.
[16]
Ishida M, Schuster A, Morton G, et al.Development of a universal dual-bolus injection scheme for the quantitative assessment of myocardial perfusion cardiovascular magnetic resonance. J Cardiovasc Magn Reson, 2011, 13(1): 28. DOI: 10.1186/1532-429X-13-28.
[17]
Friedrich MG,Karamitsos TD. Oxygenation-sensitive cardiovascular magnetic resonance. J Cardiovascular Magn Reson, 2013, 15(1): 43. DOI: 10.1186/1532-429x-15-43.
[18]
Hamilton JI, Jiang Y, Chen Y, et al.MR fingerprinting for rapid quantification of myocardial T1 , T2 , and proton spin density. Magn Reson Med, 2017, 77(4): 1446-1458. DOI: 10.1002/mrm.26216.
[19]
Pfeffer MA, Braunwald E. Ventricular remodeling after myocardial infarction. Experimental observations and clinical implications. Circulation, 1990, 81(4): 1161-1172. DOI: 10.1161/01.cir.81.4.1161.
[20]
Carrick D, Haig C, Rauhalammi S, et al.Pathophysiology of LV remodeling in survivors of STEMI: Inflammation, remote myocardium, and prognosis. JACC Cardiovasc Imaging, 2015, 8(7): 779-789. DOI: 10.1016/j.jcmg.2015.03.007.

PREV Imaging diagnosis criteria of acquired immunodeficiency syndrome associated PCNSL
NEXT Clinical application of magnetic resonance NODDI in the diagnosis of putamen disease in patients with Parkinson's disease
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn