ArticleMagma (New York, N.Y.)2026
Effects of gadolinium-based contrast agents on the cardiac diffusion-weighted images of phantoms and patients.
Article in Magma (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
objectivesTo investigate the effects of gadolinium-based contrast agent (GBCA) on cardiac diffusion-weighted imaging (cDWI) and cDWI feasibility during the interval between GBCA administration and late gadolinium enhancement (LGE) imaging to streamline workflow. MATERIALS AND
methodsPhantoms containing varying GBCA concentration (0-1.0 mM/L) were scanned with stimulated echo acquisition mode-based cDWI (STEAM-cDWI) with various heart rates (HRs) (30-200 beats/min) and second-order motion-compensated spin-echo-based cDWI (M2SE-cDWI) with various echo times (TEs) (75-500 ms). For patient study, 9 patients underwent STEAM-cDWI and 13 underwent M2SE-cDWI before and after GBCA administration. Contrast ratio (CR) and contrast-to-noise ratio (CNR) between the left ventricular myocardium and cavity, and ADC values were assessed.
resultsIn phantoms, higher GBCA concentration, lower HR, and prolonged TE reduced SI. In STEAM-cDWI, CR and CNR significantly reduced after GBCA administration (CR of b = 400, 2.29 [1.80-5.46] vs. 1.15 [0.78-1.29], p = 0.0004; CNR of b = 400, 7.58 [4.82-11.1] vs. 0.57 [- 1.34 to 1.35], p = 0.0006; respectively); ADC values remained unchanged. In M2SE-cDWI, ADC values significantly decreased after GBCA administration (1.62 [1.15-1.97] vs. 1.26 [1.12- 1.51], × 10 DISCUSSION: cDWI is not recommended during the interval between GBCA administration and LGE imaging.
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