{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:00:15Z","timestamp":1790658015474,"version":"4.1.0"},"reference-count":124,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2010464"],"award-info":[{"award-number":["2010464"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2034293"],"award-info":[{"award-number":["2034293"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["physoc.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Physiology"],"abstract":"Abstract<\/jats:title>\n \n Myocardial infarction triggers a spatially heterogeneous and temporally evolving remodelling process in which mechanical dysfunction, haemodynamic redistribution and molecular responses interact across multiple biological scales. Conventional imaging approaches typically interrogate these processes in isolation, limiting integrated characterisation of the infarcted heart. Four\u2010dimensional (4D) cardiac imaging integrates temporal dynamics with three\u2010dimensional (3D) ventricular geometry, enabling post\u2010infarction remodelling to be characterised as a coupled spatiotemporal process. Across imaging modalities, the temporal dimension may capture cardiac\u2010cycle dynamics, tracer kinetics or longitudinal biological changes, providing complementary assessment of myocardial deformation, intracavitary haemodynamics and tissue biology throughout disease progression. In this review, we synthesise recent advances in 4D cardiac imaging and organise complementary imaging modalities around three interacting physiological axes of post\u2010infarction remodelling: mechanical, haemodynamic and biological. Echocardiography and computed tomography primarily quantify ventricular geometry and myocardial mechanics. Cardiovascular magnetic resonance provides integrated assessment of myocardial structure, deformation and haemodynamics, whereas nuclear and optical imaging interrogate inflammation, metabolism, electrophysiology and molecular signalling across tissue, cellular and molecular scales. Together, these approaches provide an integrated multiscale framework linking regional biological processes with global ventricular function, thereby advancing mechanistic understanding of post\u2010infarction cardiac remodelling.\n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>","DOI":"10.1113\/jp290515","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:52:24Z","timestamp":1790657544000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multiscale four\u2010dimensional imaging of cardiac remodelling after myocardial infarction"],"prefix":"10.1113","author":[{"given":"Hanzhou","family":"Lei","sequence":"first","affiliation":[{"name":"Victor Chang Cardiac Research Institute Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8422-7082","authenticated-orcid":false,"given":"Boris","family":"Martinac","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute Sydney New South Wales Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine and Health University of New South Wales Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1082-1614","authenticated-orcid":false,"given":"Yang","family":"Guo","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute Sydney New South Wales Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine and Health University of New South Wales Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"issue":"7","key":"e_1_2_2_2_1","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1080\/14779072.2018.1489234","article-title":"Acute right ventricular myocardial infarction","volume":"16","author":"Albulushi A.","year":"2018","journal-title":"Expert Review of Cardiovascular Therapy"},{"issue":"2","key":"e_1_2_2_3_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.4103\/jcecho.jcecho_68_1","article-title":"A pilot study to predict future cardiovascular events by novel four\u2010dimensional echocardiography global area strain in ST\u2010elevation myocardial infarction patients managed by primary percutaneous coronary intervention","volume":"30","author":"Ali Y. 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