Cardiac real-time MRI using a pre-emphasized spiral acquisition based on the gradient system transfer function.


Journal

Magnetic resonance in medicine
ISSN: 1522-2594
Titre abrégé: Magn Reson Med
Pays: United States
ID NLM: 8505245

Informations de publication

Date de publication:
05 2021
Historique:
received: 18 05 2020
revised: 21 10 2020
accepted: 10 11 2020
pubmed: 4 12 2020
medline: 20 5 2021
entrez: 3 12 2020
Statut: ppublish

Résumé

Segmented Cartesian acquisition in breath hold represents the current gold standard for cardiac functional MRI. However, it is also associated with long imaging times and severe restrictions in arrhythmic or dyspneic patients. Therefore, we introduce a real-time imaging technique based on a spoiled gradient-echo sequence with undersampled spiral k-space trajectories corrected by a gradient pre-emphasis. A fully automatic gradient waveform pre-emphasis based on the gradient system transfer function was implemented to compensate for gradient inaccuracies, to optimize fast double-oblique spiral MRI. The framework was tested in a phantom study and subsequently transferred to compressed sensing-accelerated cardiac functional MRI in real time. Spiral acquisitions during breath hold and free breathing were compared with this reference method for healthy subjects (N = 7) as well as patients (N = 2) diagnosed with heart failure and arrhythmia. Left-ventricular volumes and ejection fractions were determined and analyzed using a Wilcoxon signed-rank test. The pre-emphasis successfully reduced typical artifacts caused by k-space misregistrations. Dynamic cardiac imaging was possible in real time (temporal resolution < 50 ms) with high spatial resolution (1.34 × 1.34 mm The proposed technique enables high-resolution real-time cardiac MRI with no need for breath holds and electrocardiogram gating, shortening the duration of an entire functional cardiac exam to less than 1 minute.

Identifiants

pubmed: 33270942
doi: 10.1002/mrm.28621
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

2747-2760

Informations de copyright

© 2020 The Authors. Magnetic Resonance in Medicine published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine.

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Auteurs

Philipp Eirich (P)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.
Comprehensive Heart Failure Center Würzburg, Würzburg, Germany.

Tobias Wech (T)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

Julius F Heidenreich (JF)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

Manuel Stich (M)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

Nils Petri (N)

Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.

Peter Nordbeck (P)

Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.

Thorsten A Bley (TA)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

Herbert Köstler (H)

Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

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