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Novel Approach to Early Detection of Doxorubicin Cardiotoxicity by Gadolinium-Enhanced Cardiovascular Magnetic Resonance Imaging in an Experimental Model James C. Lightfoot, MD; Ralph B. D’Agostino, Jr, PhD; Craig A. Hamilton, PhD; Jennifer Jordan, BS; Frank M. Torti, MD; Nancy D. Kock, DVM, PhD; James Jordan, PhD; Susan Workman; W. Gregory Hundley, MD Background—We sought to determine whether cardiovascular magnetic resonance measures of gadolinium (Gd) signal intensity (SI) within the left ventricular myocardium are associated with future changes in left ventricular ejection fraction (LVEF) after receipt of doxorubicin (DOX). Methods and Results—Forty Sprague-Dawley rats were divided into 3 groups scheduled to receive weekly intravenous doses of normal saline (n7), 1.5 mg/kg DOX (n19), or 2.5 mg/kg DOX (n14). Magnetic resonance determinations of LVEF and myocardial Gd-SI were performed before and at 2, 4, 7, and 10 weeks after DOX initiation. During treatment, animals were euthanized at different time points so that histopathologic assessments of the left ventricular myocardium could be obtained. Within-group analyses were performed to examine time-dependent relations between Gd-SI and primary events (deterioration in LVEF or an unanticipated death). Six of 19 animals receiving 1.5 mg/kg DOX and 10 of 14 animals receiving 2.5 mg/kg DOX experienced a
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Sep 1, 2010
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