Serial Assessment of Myocardial Properties Using Cyclic Variation of Integrated Backscatter in an Adriamycin- Induced Cardiomyopathy Rat Model
2
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
Although adriamycin (Doxorubicin) is one of the most effective and useful antineoplastic agents for the treatment of a variety of malignancies, its repeated administration can induce irreversible myocardial damage and resultant heart failure. Currently, no marker to detect early cardiac damage is available. The purpose of this study was to investigate whether an assessment of the acoustic properties of the myocardium could enable the earlier detection of myocardial damage after adriamycin chemotherapy. Forty Wistar rats were treated with adriamycin (2mg/kg, i.v.) once a week for 2, 4, 6 or 8 weeks consecutively. Left ventricular ejection fraction (LVEF) was calculated using M-mode echocardiography data. The magnitude of cardiac cycle dependent variation of integrated backscatter (CVIB) of the myocardium was measured in the mid segment of the septum and in the posterior wall of the left ventricle, using a real time two dimensional integrated backscatter imaging system. LVEF was significantly lower in the adriamycin-treated 8-week group than in the controls (75±9 vs 57±8%, p<0.05). Myocyte damage was only seen in the 8-week adriamycin-treated group. However, no significant changes of CVIB were observed between baseline or during follow-up in the ADR or control group. In conclusion, serial assessment of the acoustic properties of the myocardium may not be an optimal tool for the early detection of myocardial damage after doxorubicin chemotherapy in a rat model.
참고문헌 (19)
- "Anthracycline-induced cardiotoxicity", 125, pp.47~58 (1996)
- "Evaluation of cardiac adrenergic neuronal damage in rats with doxorubicin-induced cardiomyopathy using iodine-131 MIBG autoradiography and PGP 9 5 immunohistochemistry", 27, pp.686~93 (2000)
- "Ultrasound integrated backscatter tissue characterization of remote myocardial infarction in human subjects", pp.84~91
- "Relation of ultrasonic tissue characterization with integrated backscatter to contractile reserve in chronic left ventricular ischemic dysfunction", 61, pp.68~74 (1998)
- "Ultrasonic tissue characterization predicts myocardial viability in early stage of reperfused acute myocardial infarction", 97, pp.356~62 (1998)
- "Alterations in ultrasonic backscatter during exercise-induced myocardial ischemia in humans", 92, pp.1452~7 (1995)
- "Effects of acute myocardial ischemia on intramyocardial contraction heterogeneity A study performed with ultrasound integrated backscatter during transesophageal atrial pacing", 100, pp.1770~6 (1999)
- "Effects of atrial pacing stress test on ultrasonic integrated backscatter cyclic variations in normals and in patients with coronary artery disease", 18, pp.1590~8 (1997)
- "Ultrasonic tissue characterization of human hypertrophied hearts in vivo with cardiac cycle-dependent variation in integrated backscatter", pp.925~34
- "Quantitative ultrasonic tissue characterization with real-time integrated backscatter imaging in normal human subjects and in patients with dilated cardiomyopathy", pp.1067~73
- "Serial measurement of integrated ultrasonic backscatter in human cardiac allografts for the recognition of acute rejection", pp.829~39
- "Abnormal myocardial acoustic properties in diabetic patients and their correlation with the severity of disease", pp.1154~62
- "Dobutamine stress ultrasonic myocardial tissue characterization in patients with dilated cardiomyopathy", 9, pp.470~9 (1996)
- "simplified and accurate method for determining ejection fraction with two-dimensional echocardiography", pp.744~53
- "Quantitative assessment of ultrasonic myocardial reflectivity in hypertrophic cardiomyopathy", pica(e), pp.1085~90
- "Analysis of transmural trend of myocardial integrated ultrasound backscatter for differentiation of hypertrophic cardiomyopathy and ventricular hypertrophy due to hypertension", ta(uchi j), pp.517~24
- "Recognition of acute cardiac allograft rejection from serial integrated backscatter analyses in human orthotopic heart transplant recipients comparison with conventional echocardiography", 95, pp.140~50 (1997)
- "Increased echodensity of myocardial wall in the diabetic heart", 25, pp.1408~15 (1995)
- "Ultrasonic analysis of anthracycline-induced myocardial damage using cyclic variation of integrated backscatter", 16, pp.808~13 (2003)
