The aim of this study was to evaluate T1 pre- and post-gadolinium enhancement and T2 relaxation times sensitivity to detect myocardial changes induced by doxorubicin-based chemotherapy in childhood acute lymphoblastic leukemia survivors. Myocardial changes such as increased fibrosis index and injury due to associated changes in myocardial free water content were found between risk groups of cancer survivors, suggesting T2, post-gadolinium T1 and particularly the partition coefficient as early indices for myocardial tissue damages in the onset of doxorubicin-induced cardiotoxicity. These computing tools will be pivotal in patient follow-up to anticipate pathology evolution.
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