Myocardial flow reserve parametric map, assessed by first‐pass MRI compartmental analysis at the chronic stage of infarction

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Abstract
Regional myocardial flow and flow reserve (MFR) were assessed by compartmental analysis of Gd‐enhanced MRI first‐pass data in 7 patients with atypical chest pain, and in 15 patients with previous transmural myocardial infarction. The FE product (Flow × Extraction coefficient), derived from the modified Kety equation, was measured in regions corresponding to the Tetrofosmine‐SPECT fixed defect and in remote normal regions. The FE product at rest and hyperemic FE product were similar in healed revascularized tissues (70.5 ± 15.6 and 112.5 ± 19.5ml/mn/100g, respectively) and in normal myocardium (76.2 ± 18.3 and 142.2 ± 33.0, respectively). In contrast, the FE index (48.8 ± 15.2 and 60.7 ± 18.0, respectively, P < 0.01 versus the two previous groups) and the MFR (1.27 ± 0.20 vs. 1.91 ± 0.29 in normal regions) were reduced in healed fibrotic tissues when the infarct‐related artery remained occluded. Myocardial flow reserve maps allowed correct identification of regions corresponding to an occluded infarct‐related artery. J. Magn. Reson. Imaging 2001;13:352–360.

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