Motion-corrected 3D whole-heart water-fat high-resolution late gadolinium enhancement cardiovascular magnetic resonance imaging.


Journal

Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
ISSN: 1532-429X
Titre abrégé: J Cardiovasc Magn Reson
Pays: England
ID NLM: 9815616

Informations de publication

Date de publication:
20 07 2020
Historique:
received: 03 10 2019
accepted: 17 06 2020
entrez: 21 7 2020
pubmed: 21 7 2020
medline: 7 10 2020
Statut: epublish

Résumé

Conventional 2D inversion recovery (IR) and phase sensitive inversion recovery (PSIR) late gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) have been widely incorporated into routine CMR for the assessment of myocardial viability. However, reliable suppression of fat signal, and increased isotropic spatial resolution and volumetric coverage within a clinically feasible scan time remain a challenge. In order to address these challenges, this work proposes a highly efficient respiratory motion-corrected 3D whole-heart water/fat LGE imaging framework. An accelerated IR-prepared 3D dual-echo acquisition and motion-corrected reconstruction framework for whole-heart water/fat LGE imaging was developed. The acquisition sequence includes 2D image navigators (iNAV), which are used to track the respiratory motion of the heart and enable 100% scan efficiency. Non-rigid motion information estimated from the 2D iNAVs and from the data itself is integrated into a high-dimensional patch-based undersampled reconstruction technique (HD-PROST), to produce high-resolution water/fat 3D LGE images. A cohort of 20 patients with known or suspected cardiovascular disease was scanned with the proposed 3D water/fat LGE approach. 3D water LGE images were compared to conventional breath-held 2D LGE images (2-chamber, 4-chamber and stack of short-axis views) in terms of image quality (1: full diagnostic to 4: non-diagnostic) and presence of LGE findings. Image quality was considered diagnostic in 18/20 datasets for both 2D and 3D LGE magnitude images, with comparable image quality scores (2D: 2.05 ± 0.72, 3D: 1.88 ± 0.90, p-value = 0.62) and overall agreement in LGE findings. Acquisition time for isotropic high-resolution (1.3mm A novel framework for motion-corrected whole-heart 3D water/fat LGE imaging has been introduced. The method was validated in patients with known or suspected cardiovascular disease, showing good agreement with conventional breath-held 2D LGE imaging, but offering higher spatial resolution, improved volumetric coverage and good image quality from a free-breathing acquisition with 100% scan efficiency and predictable scan time.

Sections du résumé

BACKGROUND
Conventional 2D inversion recovery (IR) and phase sensitive inversion recovery (PSIR) late gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) have been widely incorporated into routine CMR for the assessment of myocardial viability. However, reliable suppression of fat signal, and increased isotropic spatial resolution and volumetric coverage within a clinically feasible scan time remain a challenge. In order to address these challenges, this work proposes a highly efficient respiratory motion-corrected 3D whole-heart water/fat LGE imaging framework.
METHODS
An accelerated IR-prepared 3D dual-echo acquisition and motion-corrected reconstruction framework for whole-heart water/fat LGE imaging was developed. The acquisition sequence includes 2D image navigators (iNAV), which are used to track the respiratory motion of the heart and enable 100% scan efficiency. Non-rigid motion information estimated from the 2D iNAVs and from the data itself is integrated into a high-dimensional patch-based undersampled reconstruction technique (HD-PROST), to produce high-resolution water/fat 3D LGE images. A cohort of 20 patients with known or suspected cardiovascular disease was scanned with the proposed 3D water/fat LGE approach. 3D water LGE images were compared to conventional breath-held 2D LGE images (2-chamber, 4-chamber and stack of short-axis views) in terms of image quality (1: full diagnostic to 4: non-diagnostic) and presence of LGE findings.
RESULTS
Image quality was considered diagnostic in 18/20 datasets for both 2D and 3D LGE magnitude images, with comparable image quality scores (2D: 2.05 ± 0.72, 3D: 1.88 ± 0.90, p-value = 0.62) and overall agreement in LGE findings. Acquisition time for isotropic high-resolution (1.3mm
CONCLUSION
A novel framework for motion-corrected whole-heart 3D water/fat LGE imaging has been introduced. The method was validated in patients with known or suspected cardiovascular disease, showing good agreement with conventional breath-held 2D LGE imaging, but offering higher spatial resolution, improved volumetric coverage and good image quality from a free-breathing acquisition with 100% scan efficiency and predictable scan time.

Identifiants

pubmed: 32684167
doi: 10.1186/s12968-020-00649-5
pii: 10.1186/s12968-020-00649-5
pmc: PMC7370486
doi:

Substances chimiques

Contrast Media 0
Organometallic Compounds 0
gadobutrol 1BJ477IO2L

Types de publication

Comparative Study Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

53

Subventions

Organisme : British Heart Foundation
ID : PG/18/59/33955
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT 203148/Z/16/Z
Pays : United Kingdom

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Auteurs

Camila Munoz (C)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK. camila.munoz@kcl.ac.uk.

Aurelien Bustin (A)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.

Radhouene Neji (R)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.
MR Research Collaborations, Siemens Healthcare, Frimley, UK.

Karl P Kunze (KP)

MR Research Collaborations, Siemens Healthcare, Frimley, UK.

Christoph Forman (C)

Cardiovascular MR Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany.

Michaela Schmidt (M)

Cardiovascular MR Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany.

Reza Hajhosseiny (R)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.

Pier-Giorgio Masci (PG)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.

Martin Zeilinger (M)

Institute of Radiology, University Hospital Erlangen, Erlangen, Germany.

Wolfgang Wuest (W)

Institute of Radiology, University Hospital Erlangen, Erlangen, Germany.

René M Botnar (RM)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.

Claudia Prieto (C)

School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor, Lambeth Wing, London, SE1 7EH, UK.

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