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Background: Cardiovascular Magnetic Resonance (CMR) myocardial perfusion imaging has the potential to evolve into a method allowing full quantification of myocardial blood flow (MBF) in clinical routine. Multiple quantification pathways have been proposed. However at present it remains unclear which algorithm is the most accurate. An isolated perfused, magnetic resonance (MR) compatible pig heart model allows very accurate titration of MBF and in combination with high-resolution assessment of fluorescently-labeled microspheres represents a near optimal platform for validation. We sought to investigate which algorithm is most suited to quantify myocardial perfusion by CMR at 1.5 and 3 Tesla using state of the art CMR perfusion techniques and quantification algorithms. Methods: First-pass perfusion CMR was performed in an MR compatible blood perfused pig heart model. We acquired perfusion images at physiological flow ("rest"), reduced flow ("ischaemia") and during adenosine-induced hyperaemia ("hyperaemia") as well as during coronary occlusion. Perfusion CMR was performed at 1.5 Tesla (n = 4 animals) and at 3 Tesla (n = 4 animals). Fluorescently-labeled microspheres and externally controlled coronary blood flow served as reference standards for comparison of different quantification strategies, namely Fermi function deconvolution (Fermi), autoregressive moving average modelling (ARMA), exponential basis deconvolution (Exponential) and B-spline basis deconvolution (B-spline). Results: All CMR derived MBF estimates significantly correlated with microsphere results. The best correlation was achieved with Fermi function deconvolution both at 1.5 Tesla (r = 0.93, p < 0.001) and at 3 Tesla (r = 0.9, p < 0.001). Fermi correlated significantly better with the microspheres than all other methods at 3 Tesla (p < 0.002). B-spline performed worse than Fermi and Exponential at 1.5 Tesla and showed the weakest correlation to microspheres (r = 0.74, p < 0.001). All other comparisons were not significant. At 3 Tesla exponential deconvolution performed worst (r = 0.49, p < 0.001). (Continued on next page) Conclusions: CMR derived quantitative blood flow estimates correlate with true myocardial blood flow in a controlled animal model. Amongst the different techniques, Fermi function deconvolution was the most accurate technique at both field strengths. Perfusion CMR based on Fermi function deconvolution may therefore emerge as a useful clinical tool providing accurate quantitative blood flow assessment. [ABSTRACT FROM AUTHOR]

Takotsubo syndrome, a form of acutely decompensated heart failure, has drawn interest because of its intriguing pathophysiology and therapeutic dilemmas. In their recent work in BMC Cardiovascular Disorders, Abanador-Kamper et al. describe the therapy management in these patients and add valuable information on cardiovascular magnetic resonance imaging evolution. [ABSTRACT FROM AUTHOR]

An abstract on quantification of the ischemic burden on cardiac magnetic resonance perfusion maps by perfusion threshold analysis is presented.

An abstract of the article "Quantitative assessment of magnetic resonance derived perfusion measurements using advanced techniques: comparison with microspheres in an explanted pig heart system," by Andreas Schuster and colleagues is presented.

An abstract to the article "The intra-observer reproducibility of cardiovascular magnetic resonance myocardial feature tracking strain assessment is independent of field strength," by Andreas Schuster, Geraint Morton, Shazia T. Hussain, Roy Jogiya, Shelby Kutty, and colleagues presented.

An abstract of the conference paper "Direct comparison of MR and CT perfusion utilizing a myocardial perfusion phantom," by James Otton and colleagues is presented.

An abstract of the conference paper "Cardiac magnetic resonance imaging of isolated perfused pig hearts in a 3T clinical MR scanner," by Eike Nagel, and colleagues is presented.

An abstract of the conference paper "Cardiac magnetic resonance myocardial feature tracking detects quantitative wall motion during dobutamine stress," by Andreas Schuster and colleagues is presented.

An abstract of the conference paper "Quantification of transmural perfusion gradients by high-resolution MR versus fractional flow reserve for the assessment of coronary artery stenosis," by Amedeo Chiribiri and colleagues is presented.

An abstract of the conference paper "Transmural perfusion gradient analysis by high resolution MR versus fractional flow reserve for the assessment of coronary artery stenosis," by Amedeo Chiribiri and colleagues is presented.

An abstract of the conference paper "Cardiac magnetic resonance myocardial feature tracking correlates with natural radial strain and corresponds to inotropic stimulation," by Andreas Schuster and colleagues is presented.

An abstract of the paper "Myocardial Feature Tracking for Viability Assessment in Ischemic Cardiomyopathy," by Andreas Schuster and colleagues is presented.