“…The overall scheme of left-handed helical patterns in the epicardial regions of the left ventricular walls, and reciprocal right-handed helical patterns in the endocardial regions, have been known since the stellar study of Pettigrew (Pettigrew, 1864). This architectural outline was revived by Streeter using histology (Streeter et al, 1966;Streeter et al, 1969), and has recently been fully consolidated using the technique of diffusion tensor magnetic resonance imaging (Helm et al, 2005;Rohmer et al, 2007). Using this novel, but validated, technique (Hsu et al, 1998;Scollan et al, 1998), we have now demonstrated that in keeping with the demonstration of myocytes also aggregated in transmural fashion (Lunkenheimer et al, 2006), reproducible pathways can be demonstrated within the walls using diffusion tensor magnetic resonance imaging (Smerup et al, 2008).…”