TY - JOUR
T1 - T1 relaxation times for viability evaluation of the engrafted and the native liver in a rat model of heterotopic auxiliary liver transplantation
T2 - A pilot study
AU - Fan, Ye Dong
AU - Vanzieleghem, Bart
AU - Achten, Eric
AU - De Deene, Yves
AU - Defreyne, Luc
AU - Praet, Marleen
AU - Van Huysse, Jacques
AU - Kunnen, Marc
AU - De Hemptinne, Bernard
PY - 2001
Y1 - 2001
N2 - Following a heterotopic auxiliary liver transplantation, commonly used measurements are either invasive or non-indicative of individual viability of the coexisting engrafted and native livers. Magnetic resonance imaging (MRI) was therefore tested for its potential to monitor the post-transplant hepatic viability in a rat model. Thirteen Wistar rats were systematically evaluated with MRI and serum biochemical liver parameters. Post-transplant complications and the causes of animal death were identified by autopsy and histo-pathological examinations. The data of the healthy survivors were compared with those of the rats that developed complications. On MRI, the hepatic complications could be depicted in the individual livers. A specific pattern of signal evolution was found in the livers of the healthy survivors: the mean T1 relaxation times of the engrafted livers increased immediately after transplantation (476 ± 64 ms, mean ± standard deviation, pre-operative; 730 ± 48 ms, week 1) and then declined steadily to a 3 month value of 489 ± 246 ms, while, following a transient first rise (476 ± 64 ms, pre-operative; 589 ± 28 ms, week 1), the mean T1 value of the native livers increased again 4 weeks after surgery and reached a 3 month value of 859 ± 43 ms. However, in the rats with various complications, the mean T1 relaxation times of the engrafted livers continued to increase throughout the first post-operative month (760 ± 48 ms, week 1; 922 ± 76 ms, week 4), while that of the native liver only varied mildly (546 ± 25 ms, week 1; 473 ± 25 ms, week 4). After the first post-transplant week, the healthy engrafted livers could already be distinguished from those with complications by a significant decrease in T1 relaxation times. These data suggest that, besides demonstrating major complications, MRI may allow one to monitor the viability of each liver by analysing the relative signal intensity and T1 relaxation times after a heterotopic auxiliary liver transplantation.
AB - Following a heterotopic auxiliary liver transplantation, commonly used measurements are either invasive or non-indicative of individual viability of the coexisting engrafted and native livers. Magnetic resonance imaging (MRI) was therefore tested for its potential to monitor the post-transplant hepatic viability in a rat model. Thirteen Wistar rats were systematically evaluated with MRI and serum biochemical liver parameters. Post-transplant complications and the causes of animal death were identified by autopsy and histo-pathological examinations. The data of the healthy survivors were compared with those of the rats that developed complications. On MRI, the hepatic complications could be depicted in the individual livers. A specific pattern of signal evolution was found in the livers of the healthy survivors: the mean T1 relaxation times of the engrafted livers increased immediately after transplantation (476 ± 64 ms, mean ± standard deviation, pre-operative; 730 ± 48 ms, week 1) and then declined steadily to a 3 month value of 489 ± 246 ms, while, following a transient first rise (476 ± 64 ms, pre-operative; 589 ± 28 ms, week 1), the mean T1 value of the native livers increased again 4 weeks after surgery and reached a 3 month value of 859 ± 43 ms. However, in the rats with various complications, the mean T1 relaxation times of the engrafted livers continued to increase throughout the first post-operative month (760 ± 48 ms, week 1; 922 ± 76 ms, week 4), while that of the native liver only varied mildly (546 ± 25 ms, week 1; 473 ± 25 ms, week 4). After the first post-transplant week, the healthy engrafted livers could already be distinguished from those with complications by a significant decrease in T1 relaxation times. These data suggest that, besides demonstrating major complications, MRI may allow one to monitor the viability of each liver by analysing the relative signal intensity and T1 relaxation times after a heterotopic auxiliary liver transplantation.
KW - Engrafted liver
KW - Heterotopic auxiliary liver transplantation
KW - Magnetic resonance imaging
KW - Native liver
KW - Post-transplant liver viability
KW - Signal intensity
KW - T relaxation time
KW - Wistar rats
UR - http://www.scopus.com/inward/record.url?scp=0034740554&partnerID=8YFLogxK
U2 - 10.1002/nbm.719
DO - 10.1002/nbm.719
M3 - Article
C2 - 11599033
AN - SCOPUS:0034740554
VL - 14
SP - 350
EP - 359
JO - NMR in Biomedicine
JF - NMR in Biomedicine
SN - 0952-3480
IS - 6
ER -