Dataset Information

Left Ventricular Function Evaluation on a 3T MR Scanner with Parallel RF Transmission Technique: Prospective Comparison of Cine Sequences Acquired before and after Gadolinium Injection.

ABSTRACT: OBJECTIVES:To compare cine MR b-TFE sequences acquired before and after gadolinium injection, on a 3T scanner with a parallel RF transmission technique in order to potentially improve scanning time efficiency when evaluating LV function. METHODS:25 consecutive patients scheduled for a cardiac MRI were prospectively included and had their b-TFE cine sequences acquired before and right after gadobutrol injection. Images were assessed qualitatively (overall image quality, LV edge sharpness, artifacts and LV wall motion) and quantitatively with measurement of LVEF, LV mass, and telediastolic volume and contrast-to-noise ratio (CNR) between the myocardium and the cardiac chamber. Statistical analysis was conducted using a Bayesian paradigm. RESULTS:No difference was found before or after injection for the LVEF, LV mass and telediastolic volume evaluations. Overall image quality and CNR were significantly lower after injection (estimated coefficient cine after > cine before gadolinium: -1.75 CI = [-3.78;-0.0305], prob(coef>0) = 0% and -0.23 CI = [-0.49;0.04], prob(coef>0) = 4%) respectively), but this decrease did not affect the visual assessment of LV wall motion (cine after > cine before gadolinium: -1.46 CI = [-4.72;1.13], prob(coef>0) = 15%). CONCLUSIONS:In 3T cardiac MRI acquired with parallel RF transmission technique, qualitative and quantitative assessment of LV function can reliably be performed with cine sequences acquired after gadolinium injection, despite a significant decrease in the CNR and the overall image quality.

SUBMITTER: Caspar T

PROVIDER: S-EPMC5036819 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Left Ventricular Function Evaluation on a 3T MR Scanner with Parallel RF Transmission Technique: Prospective Comparison of Cine Sequences Acquired before and after Gadolinium Injection.

Caspar Thibault T Schultz Anthony A Schaeffer Mickaël M Labani Aïssam A Jeung Mi-Young MY Jurgens Paul Thomas PT El Ghannudi Soraya S Roy Catherine C Ohana Mickaël M

PloS one 20160926 9

<h4>Objectives</h4>To compare cine MR b-TFE sequences acquired before and after gadolinium injection, on a 3T scanner with a parallel RF transmission technique in order to potentially improve scanning time efficiency when evaluating LV function.<h4>Methods</h4>25 consecutive patients scheduled for a cardiac MRI were prospectively included and had their b-TFE cine sequences acquired before and right after gadobutrol injection. Images were assessed qualitatively (overall image quality, LV edge sha ...[more]

PMID: 27669571

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Project description:PURPOSE:To exploit the long 3.0T relaxation times and low flow velocity of lymphatic fluid to develop a noninvasive 3.0T lymphangiography sequence and evaluate its relevance in patients with lymphedema. MATERIALS AND METHODS:A 3.0T turbo-spin-echo (TSE) pulse train with long echo time (TEeffective ?=?600 msec; shot-duration?=?13.2 msec) and TSE-factor (TSE-factor?=?90) was developed and signal evolution simulated. The method was evaluated in healthy adults (n?=?11) and patients with unilateral breast cancer treatment-related lymphedema (BCRL; n?=?25), with a subgroup (n?=?5) of BCRL participants scanned before and after manual lymphatic drainage (MLD) therapy. Maximal lymphatic vessel cross-sectional area, signal-to-noise-ratio (SNR), and results from a five-point categorical scoring system were recorded. Nonparametric tests were applied to evaluate study parameter differences between controls and patients, as well as between affected and contralateral sides in patients (significance criteria: two-sided P < 0.05). RESULTS:Patient volunteers demonstrated larger lymphatic cross-sectional areas in the affected (arm?=?12.9?±?6.3?mm2 ; torso?=?17.2?±?15.6?mm2 ) vs. contralateral (arm?=?9.4?±?3.9?mm2 ; torso?=?9.1?±?4.6?mm2 ) side; this difference was significant both for the arm (P?=?0.014) and torso (P?=?0.025). Affected (arm: P?=?0.010; torso: P?=?0.016) but not contralateral (arm: P?=?0.42; torso: P?=?0.71) vessel areas were significantly elevated compared with control values. Lymphatic cross-sectional areas reduced following MLD on the affected side (pre-MLD: arm?=?8.8?±?1.8?mm2 ; torso?=?31.4?±?26.0?mm2 ; post-MLD: arm?=?6.6?±?1.8?mm2 ; torso?=?23.1?±?24.3?mm2 ). This change was significant in the torso (P?=?0.036). The categorical scoring was found to be less specific for detecting lateralizing disease compared to lymphatic-vessel areas. CONCLUSION:A 3.0T lymphangiography sequence is proposed, which allows for upper extremity lymph stasis to be detected in ?10 minutes without exogenous contrast agents. LEVEL OF EVIDENCE:1 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2017;46:1349-1360.

Dataset Information

Left Ventricular Function Evaluation on a 3T MR Scanner with Parallel RF Transmission Technique: Prospective Comparison of Cine Sequences Acquired before and after Gadolinium Injection.

Publications

Left Ventricular Function Evaluation on a 3T MR Scanner with Parallel RF Transmission Technique: Prospective Comparison of Cine Sequences Acquired before and after Gadolinium Injection.

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