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Patients who present symptoms of cardiovascular disease might suffer from microvascular disease, the dysfunction of microcirculation in the heart muscle, where blood is not circulating well to surrounding tissue. Microcirculation Research Program scientists at Krannert Cardiovascular Research Center at Indiana University School of Medicine recognize this as an essential target to develop novel medical therapies and innovative solutions. Learn about their progress in developing translational magnetic resonance imaging techniques to investigate coronary microvascular function, to identify new markers to track coronary microcirculation. 

Research Impact, 2021-2024: Microcirculation Research

Horizontal headshot of Behzad Sharif, PhD

Patients who present symptoms of cardiovascular disease might suffer from microvascular disease, the dysfunction of microcirculation in the heart muscle, where blood is not circulating well to surrounding tissue. Microcirculation Research Program scientists at Krannert Cardiovascular Research Center at Indiana University School of Medicine recognize this as an essential target to develop novel medical therapies and innovative solutions. Currently, they are developing translational magnetic resonance imaging (MRI) techniques to investigate coronary microvascular function, to identify new markers to track coronary microcirculation and quantify its response to therapy. 

Led by Behzad Sharif, PhD, associate professor of medicine at IU School of Medicine and director of cardiovascular magnetic resonance research at IU Krannert, the Microcirculation Research Program seeks to provide more accurate diagnostic tools in measuring ischemic heart disease and myocardial blood flow (MBF).

When Sharif joined IU School of Medicine in 2022, he was already seeking a more reliable way to measure myocardial blood flow beyond nuclear imaging, to avoid exposure to ionizing radiation. He also sought an improvement over dynamic contrast-enhanced cardiovascular MRI (cMRI), which may provide higher resolution to detect ischemic heart disease, but at the cost of mapping that is very sensitive to noise and motion-induced errors. He and his collaborators opted for an end-to-end patch-wise deep learning approach that would enable a more expedient and reliable quantification of MBF maps that are less than 2 seconds per slice. This approach uses a multi-stage neural network architecture that is designed to quantify pixel-wise MBF values by incorporation data from a patch of neighboring pixels.

Results of their research highlighted during the annual international conference of IEEE Engineering in Medicine and Biology Society (EMBS) in November 2021, showed that their approach outperformed conventional methods with a lower signal-to-noise ratio (SNR), thereby confirming the ability to maintain a steadier performance in practical clinical scenarios where image quality may vary from both a patient and medical center standpoint. 

Currently, the Microcirculation Research Team is devoting its technology-driven research through the support of two grants:

  • National Institutes of Health R01 HL 153430: Noninvasive Testing of Coronary Microvascular Reactivity Using High-resolution Free-breathing MRI Disease. The goal of this project is to develop MRI-based methods for diagnosis and monitoring of microvascular coronary disease, using artificial intelligence.
  • Lilly Endowment, Inc. Indiana Collaborative Initiative for Talent Enrichment (INCITE) Program: MRI-guided cardiac catheterization using minimally modified devices on a low-field scanner platform. Through a collaboration  with MED Institute, Inc., investigators are evaluating the feasibility of MRI-guided cardiac catheterization using minimally modified devices on a commercially available low-field, ultra-wide bore MRI scanner platform, with the goal of developing new methods for radiation-free interventional procedures that provide more precise diagnosis of cardiovascular disease.
Through a strong partnership with Purdue University Weldon School of Biomedical Engineering, both undergraduate and graduate students from the school have gained valuable research experience in microcirculation research and have contributed to publications and conferences.
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Author

Angie Antonopoulos

Angie Antonopoulos is a Communications Generalist for the Krannert Cardiovascular Research Center at the Indiana University School of Medicine. Previously she served the Department of Surgery and promoted regenerative medicine research. She has more than a decade of experience in health communications for higher education, advocacy, government and contract research organizations.

The views expressed in this content represent the perspective and opinions of the author and may or may not represent the position of Indiana University School of Medicine.