1. True real-time cardiac MRI in free breathing without ECG synchronization using a novel sequence with radial k-space sampling and balanced SSFP contrast mode
- Author
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Kai Tobias Block, Maya Christina Larson, Renate Hammerstingl, Shuo Zhang, J. Matthias Kerl, Thomas G. Graf, Ralf W. Bauer, Thomas J. Vogl, and Isabel Radtke
- Subjects
Adult ,Male ,Image quality ,Cardiac-Gated Imaging Techniques ,Magnetic Resonance Imaging, Cine ,Ventricular Function, Left ,Electrocardiography ,Young Adult ,Predictive Value of Tests ,Reference Values ,Image Interpretation, Computer-Assisted ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Cardiac imaging ,medicine.diagnostic_test ,business.industry ,Respiration ,Stroke Volume ,Magnetic resonance imaging ,Real-time MRI ,Stroke volume ,Middle Aged ,Healthy Volunteers ,medicine.anatomical_structure ,Ventricle ,Breathing ,Female ,Cardiology and Cardiovascular Medicine ,business ,Nuclear medicine - Abstract
We investigated a novel sequence with radial k-space sampling, gridding and sliding window reconstruction with bSSFP contrast that allows for true real-time functional cardiac evaluation independent from respiration and ECG triggering. 12 healthy volunteers underwent 1.5 T cardiac MRI. Single-shot short axis views were acquired with a) standard retrospectively ECG-gated segmented breath-hold (bh) bSSFP and with the real-time radial bSSFP sequence with a nominal temporal resolution of b) 16 fps (frames per second) and c) 40 fps. Radial bSSFP were acquired during free breathing without ECG synchronization. Left ventricular functional parameters (EDV, ESV, SV and EF) were compared and quality of wall motion depiction was assessed. Contrast-to-noise-ratio (CNR) of myocardium/blood pool in the left ventricle was calculated. EF showed excellent correlation (Bland-Altman r = 0.99; Lin rho = 0.91) between bh-bSSFP (65 %) and 40 fps radial (64 %) and moderate correlation (r = 0.84, rho = 0.20) with 16 fps radial bSSFP (56 %). While EDV was in good agreement for all three sequences, ESV was significantly overestimated with 16 fps radial bSSFP. Despite lower CNR, image quality for wall motion assessment was rated significantly better for 40 fps compared to 16 fps radial bSSFP due to the faster temporal resolution. Left ventricular functional analysis with fast true real-time radial bSSFP is in good agreement with standard ECG-gated bh-bSSFP. The independency from ECG synchronization and breathing promises a robust method for patients with impaired cardiopulmonary status in whom breath-hold and good quality ECG cannot be achieved.
- Published
- 2013
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