association of iron overload based quantitative t2 mri technique and carotid intima-media thickness in patients with beta-thalassemia a cross-sectional study基于铁过载量化t2 mri技术协会和患者颈动脉内膜中层厚度beta-thalassemia横断面研究.pdfVIP
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association of iron overload based quantitative t2 mri technique and carotid intima-media thickness in patients with beta-thalassemia a cross-sectional study基于铁过载量化t2 mri技术协会和患者颈动脉内膜中层厚度beta-thalassemia横断面研究
Akhlaghpoor et al. BMC Cardiovascular Disorders 2010, 10:62
/1471-2261/10/62
RESEARCH ARTICLE Open Access
Association of iron overload based quantitative
T2* MRI technique and carotid intima-media
thickness in patients with beta-thalassemia:
A cross-sectional study
Shahram Akhlaghpoor1*, Morteza Hoseini2†, Amirhosein Jafarisepehr2†
Abstract
Background: Body iron status has been implicated in atherosclerotic cardiovascular disease. The main hypothesis
is that high iron status is associated with increased risk of atherosclerosis. We investigated the potential role of iron
as an additional risk factor promoting atherosclerosis among beta-thalassemic patients.
Methods: In this cross-sectional study, the liver iron load was assessed by quantitative T2* MRI technique and
intima-media thickness (IMT) of the common carotid artery by high-resolution ultrasound among 119 patients (62
male, 57 female) with beta-thalassemia (major and intermediate) whose age ranged from 10 to 50 years with a
mean of 25.6 years. The patients were divided into three groups according to the severity of iron loading, obtained
by T2*MRI technique: group I (normal), group II (mild) and group III (moderate and severe) iron load.
For elimination of the effect of age on carotid IMT values, the patients also were divided into four age groups
(10-19 y, 20-29 y, 30-39 y and 40-50 y). Mean carotid IMT based on the severity of iron loading were compared at
different age groups, using one way ANOVA analysis for assessing the effect of iron loading on carotid IMT.
Pearson’s coefficient of correlation were used to assess the degree of correlation between studied variables (liver
T2*, IMT, age).
Results: There were significant differences in mean carotid IMT based on the severity of iron loading at different
age groups, with P = 0.003 at 20-29 y, P = 0.006 a
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