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Andersons pediatric cardiology 200

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FIG.7.7 FetalT1mapping.TheT1mapshownhereisfromafetalsheep
umbilicalvein(UV).Thisapproachusesaninversionrecoverytechniqueto
quantifytherateofrecoveryofthelongitudinalmagnetizationofblood.
ROI,Regionofinterest.

FIG.7.8 Impactofvariationinoxygensaturationontherelationship
betweenT1andhematocrit(Hct).Reductionsinoxygensaturation(SaO2)
shortenT1.(A)Adultblood.(B)Cordblood.


FIG.7.9 Noninvasivequantificationofoxygensaturation(SaO2),
hematocrit(Hct),andbloodoxygencontentusingacombinationofvessel
T1andT2.Thedottedcurverepresentsallofthepossiblecombinationsof
oxygensaturationandhematocritforagivenT2relaxationrate;thevertical
linerepresentsthecombinationsforagivenT1recoveryrate.Thepoint
wherethelinesintersectindicatestheuniquesolutionforoxygensaturation
andhematocritforthiscombinationofT1andT2.

Theaccuracyoftheapproachhasbeenproveninvitro,asdemonstratedbythe
comparisonwithconventionalbloodgasanalysisinFig.7.10.


FIG.7.10 InvitrovalidationofcombinedT1andT2mappingapproachto
thenoninvasivequantificationof(A)hematocrit(Hct)and(B)fetaloxygen
saturation(SaO2).Humanumbilicalcordbloodtakenfromelective
cesariansectionswasmanipulatedthrougharangeofoxygensaturations
throughgradedexposuretonitrogengasand
hemodiluted/hemoconcentratedtoproducearangeofhematocrits.
Solutionsforhematocritandoxygensaturationbasedonmagnetic
resonancerelaxometrywerecomparedwithconventionalbloodgas
analysis.





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