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Accelerated free-breathing 3D T1? cardiovascular magnetic resonance using multicoil compressed sensing.


ABSTRACT:

Background

Endogenous contrast T1? cardiovascular magnetic resonance (CMR) can detect scar or infiltrative fibrosis in patients with ischemic or non-ischemic cardiomyopathy. Existing 2D T1? techniques have limited spatial coverage or require multiple breath-holds. The purpose of this project was to develop an accelerated, free-breathing 3D T1? mapping sequence with whole left ventricle coverage using a multicoil, compressed sensing (CS) reconstruction technique for rapid reconstruction of undersampled k-space data.

Methods

We developed a cardiac- and respiratory-gated, free-breathing 3D T1? sequence and acquired data using a variable-density k-space sampling pattern (A?=?3). The effect of the transient magnetization trajectory, incomplete recovery of magnetization between T1?-preparations (heart rate dependence), and k-space sampling pattern on T1? relaxation time error and edge blurring was analyzed using Bloch simulations for normal and chronically infarcted myocardium. Sequence accuracy and repeatability was evaluated using MnCl2 phantoms with different T1? relaxation times and compared to 2D measurements. We further assessed accuracy and repeatability in healthy subjects and compared these results to 2D breath-held measurements.

Results

The error in T1? due to incomplete recovery of magnetization between T1?-preparations was T1?healthy =?6.1% and T1?infarct =?10.8% at 60?bpm and T1?healthy =?13.2% and T1?infarct =?19.6% at 90?bpm. At a heart rate of 60?bpm, error from the combined effects of readout-dependent magnetization transients, k-space undersampling and reordering was T1?healthy =?12.6% and T1?infarct =?5.8%. CS reconstructions had improved edge sharpness (blur metric?=?0.15) compared to inverse Fourier transform reconstructions (blur metric?=?0.48). There was strong agreement between the mean T1? estimated from the 2D and accelerated 3D data (R2 =?0.99; P 2 phantoms. The mean R1? estimated from the accelerated 3D sequence was highly correlated with MnCl2 concentration (R2 =?0.99; P?2D =?6.4% and COV3D =?7.1%).

Conclusions

This is the first report of an accelerated, free-breathing 3D T1? mapping of the left ventricle. This technique may improve non-contrast myocardial tissue characterization in patients with heart disease in a scan time appropriate for patients.

SUBMITTER: Kamesh Iyer S 

PROVIDER: S-EPMC6327532 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Publications

Accelerated free-breathing 3D T1ρ cardiovascular magnetic resonance using multicoil compressed sensing.

Kamesh Iyer Srikant S   Moon Brianna B   Hwuang Eileen E   Han Yuchi Y   Solomon Michael M   Litt Harold H   Witschey Walter R WR  

Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance 20190110 1


<h4>Background</h4>Endogenous contrast T1ρ cardiovascular magnetic resonance (CMR) can detect scar or infiltrative fibrosis in patients with ischemic or non-ischemic cardiomyopathy. Existing 2D T1ρ techniques have limited spatial coverage or require multiple breath-holds. The purpose of this project was to develop an accelerated, free-breathing 3D T1ρ mapping sequence with whole left ventricle coverage using a multicoil, compressed sensing (CS) reconstruction technique for rapid reconstruction o  ...[more]

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