{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1050298532703253504.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"HDL","@value":"https://hdl.handle.net/2324/7153588"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"en","@value":"Differentiation between mild and severe myocarditis using multiparametric cardiac magnetic resonance"}],"dc:language":"en","description":[{"type":"Abstract","notation":[{"@language":"en","@value":"The pathophysiology of myocarditis is associated with mild inflammation and may progress silently, or in severe cases such as fulminant myocarditis, may lead to sudden hemodynamic compromise. An invasive myocardial biopsy is generally required for a definitive myocarditis diagnosis. Alternatively, cardiac magnetic resonance (CMR), which evaluates myocardial characteristics and cardiac function, can be used as a noninvasive tool for diagnosing myocarditis. We describe the cases of a 49-year-old woman with mild acute eosinophilic myocarditis and a 48-year-old man with severe acute lymphocytic myocarditis. CMR was performed during the acute and convalescent phases in both cases. Compared with mild myocarditis, CMR in severe myocarditis showed higher T2 values and decreased left ventricular and atrial volumes and strains; however, the right ventricular strain was preserved. Late gadolinium enhancement showed faint contrast enhancement in the whole and strong enhancement in the local myocardium. Follow-up CMR showed recovery from myocardial inflammation and cardiac function. Some late gadolinium enhancement persisted whereas acute inflammation-associated enhancement disappeared. This case report highlights the differences between the cardiac parameters of patients with mild and severe myocarditis. Severe myocardial inflammation can be caused by severe heart failure owing to the concurrent reduction of cardiac function and compliance. Additionally, preserved right ventricular strain may predict cardiac function recovery in acute myocarditis. Noninvasive and repeatable CMR provides information on myocardial characteristics, cardiac function, and hemodynamics in a single scan at that time, which is useful not only for diagnosis but also for severity assessment and patient management in acute myocarditis."}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1070017057726877317","@type":"Researcher","personIdentifier":[{"@type":"ORCID","@value":"0000-0001-6013-894X"},{"@type":"NRID","@value":"9000415307151"}],"foaf:name":[{"@language":"en","@value":"Arai, Hideo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Fukuokaken Saiseikai Futsukaichi Hospital"},{"@language":"ja","@value":"福岡県済生会二日市病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801201945344","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80608985"},{"@type":"NRID","@value":"1000080608985"},{"@type":"ORCID","@value":"0000-0003-1867-1745"},{"@type":"NRID","@value":"9000415307152"},{"@type":"NRID","@value":"9000412584123"},{"@type":"NRID","@value":"9000412584148"},{"@type":"NRID","@value":"9000006556612"},{"@type":"NRID","@value":"9000412584134"},{"@type":"NRID","@value":"9000412228957"},{"@type":"NRID","@value":"9000410922199"},{"@type":"NRID","@value":"9000410978161"},{"@type":"NRID","@value":"9000414483213"},{"@type":"NRID","@value":"9000403546215"},{"@type":"NRID","@value":"9000415343634"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/masateru_kawakubo"}],"foaf:name":[{"@language":"en","@value":"Kawakubo, Masateru"},{"@language":"ja","@value":"河窪, 正照"},{"@language":"ja-Kana","@value":"カワクボ, マサテル"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Health Sciences, Faculty of Medical Sciences, Kyushu University"},{"@language":"ja","@value":"九州大学大学院医学研究院保健学部門"}]},{"@id":"https://cir.nii.ac.jp/crid/1070298532703253504","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Sanui, Kenichi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Fukuokaken Saiseikai Futsukaichi Hospital"},{"@language":"ja","@value":"福岡県済生会二日市病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1070298532703253508","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Nishimura, Hiroshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Fukuokaken Saiseikai Futsukaichi Hospital"},{"@language":"ja","@value":"福岡県済生会二日市病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1070298532703253507","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kadokami, Toshiaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Fukuokaken Saiseikai Futsukaichi Hospital"},{"@language":"ja","@value":"福岡県済生会二日市病院"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"19300433"},{"@type":"PISSN","@value":"19300433"}],"prism:publicationName":[{"@language":"en","@value":"Radiology Case Reports"}],"dc:publisher":[{"@value":"Elsevier"}],"prism:publicationDate":"2023-10","prism:volume":"18","prism:number":"10","prism:startingPage":"3710","prism:endingPage":"3715"},"dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","dc:rights":["© 2023 The Authors.","Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International"],"foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Myocarditis","dc:title":"Myocarditis"},{"@id":"https://cir.nii.ac.jp/all?q=T2%20mapping","dc:title":"T2 mapping"},{"@id":"https://cir.nii.ac.jp/all?q=Ventricular%20hypertrophy","dc:title":"Ventricular hypertrophy"},{"@id":"https://cir.nii.ac.jp/all?q=Right%20ventricular%20function","dc:title":"Right ventricular function"},{"@id":"https://cir.nii.ac.jp/all?q=Left%20ventricular%20function","dc:title":"Left ventricular function"},{"@id":"https://cir.nii.ac.jp/all?q=Left%20atrial%20function","dc:title":"Left atrial function"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@language":"en","@value":"Myocarditis"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"T2 mapping"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"Ventricular hypertrophy"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"Right ventricular function"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"Left ventricular function"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"Left atrial function"}]}],"project":[{"@id":"https://cir.nii.ac.jp/crid/1040566775681649280","@type":"Project","projectIdentifier":[{"@type":"KAKEN","@value":"20K16729"},{"@type":"JGN","@value":"JP20K16729"},{"@type":"URI","@value":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20K16729/"}],"notation":[{"@language":"ja","@value":"シネMRIによる体循環右室リモデリング解析のCRT効果予測における有用性の確立"},{"@language":"en","@value":"Prediction of the response to CRT with cine MRI for the patients with systemic right ventricular remodeling"}]}],"dataSourceIdentifier":[{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:01211:0005990897"},{"@type":"OPENAIRE","@value":"jairo_______::392bd543696d3b53ca9ced95d127f9b8"}]}