Magnetic resonance assessment of left ventricular volumes and mass using a single-breath-hold 3D k-t BLAST cine b-SSFP in comparison with multiple-breath-hold 2D cine b-SSFP

详细信息    查看全文

• 作者：Erica Maffei (1)
  Giancarlo Messalli (2)
  Chiara Martini (1)
  Alexia Rossi (3)
  Niels van Pelt (3)
  Robert-Jan van Geuns (3)
  Annick C. Weustink (3)
  Nico R. Mollet (3)
  Koen Nieman (3)
  Annachiara Aldrovandi (1)
  Massimo Imbriaco (4)
  Jan Bogaert (5)
  Filippo Cademartiri (1) (3) (6)
  
• 关键词：Magnetic resonance imaging ; Cardiac MRI ; 2D b ; SSFP ; 3D b ; SSFP ; k ; t BLAST ; Left ventricle ; Volumetric quantification ; Ejection fraction
• 刊名：Insights into Imaging
• 出版年：2011
• 出版时间：February 2011
• 年：2011
• 卷：2
• 期：1
• 页码：39-45
• 全文大小：489KB
• 参考文献：1. Pfeffer MA, Braunwald E, Moye LA et al (1992) Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction. Results of the survival and ventricular enlargement trial. The SAVE Investigators. N Engl J Med 327:669-77 CrossRef
  2. White HD, Norris RM, Brown MA, Brandt PW, Whitlock RM, Wild CJ (1987) Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation 76:44-1
  3. Koren MJ, Devereux RB, Casale PN et al (1991) Relation of left ventricular mass and geometry to morbidity and mortality in uncomplicated essential hypertension. Ann Intern Med 114:345-52
  4. Alfakih K, Plein S, Thiele H et al (2003) Normal human left and right ventricular dimensions for MRI as assessed by turbo gradient echo and steady-state free precession imaging sequences. J Magn Reson Imaging 17:323-29 CrossRef
  5. Thiele H, Nagel E, Paetsch I et al (2001) Functional cardiac MR imaging with steady-state free precession (SSFP) significantly improves endocardial border delineation without contrast agents. J Magn Reson Imaging 14:362-67 CrossRef
  6. Bellenger NG, Davies LC et al (2000) Reduction in sample size for studies of remodeling in heart failure by the use of cardiovascular magnetic resonance. J Cardiovasc Magn Reson 2(4):271-78 CrossRef
  7. Plein S, Bloomer TN, Ridgway JP et al (2001) Steady-state free precession magnetic resonance imaging of the heart: comparison with segmented k-space gradient-echo imaging. J Magn Reson Imaging 14:230-36 CrossRef
  8. Barkhausen J, Ruehm SG, Goyen M et al (2001) MR evaluation of ventricular function: true fast imaging with steady-state precession versus fast low-angle shot cine MR imaging: feasibility study. Radiology 219:264-69
  9. Moon JC, Lorenz CH, Francis JM et al (2002) Breath-hold FLASH and FISP cardiovascular MR imaging: left ventricular volume differences and reproducibility. Radiology 223:789-97 CrossRef
  10. Kaus MR, von Berg J, Weese J et al (2004) Automated segmentation of the left ventricle in cardiac MRI. Med Image Anal 8:245-54 CrossRef
  11. Peters DC, Ennis DB, Rohatgi P et al (2004) 3D breath-held cardiac function with projection reconstruction in steady state free precession validated using 2D cine MRI. J Magn Reson Imaging 20:411-16 CrossRef
  12. Uribe S, Tangchaoren T, Parish V et al (2008) Volumetric cardiac quantification by using 3D dual-phase whole-heart MR imaging. Radiology 248:606-14 CrossRef
  13. Mascarenhas NB, Muthupillai R, Cheong B et al (2006) Fast 3D cine steady-state free precession imaging with sensitivity encoding for assessment of left ventricular function in a single breath-hold. AJR Am J Roentgenol 187:1235-239 CrossRef
  14. Amano Y, Suzuki Y, van Cauteren M (2008) Evaluation of global cardiac functional parameters using single-breath-hold three-dimensional cine steady-state free precession MR imaging with two types of speed-up techniques: comparison with two-dimensional cine imaging. Comput Med Imaging Graph?32:61-6 CrossRef
  15. Greil GF, Germann S, Kozerke S et al (2008) Assessment of left ventricular volumes and mass with fast 3D cine steady-state free precession k-t space broad-use linear acquisition speed-up technique (k-t BLAST). J Magn Reson Imaging 27:510-15 CrossRef
  16. Tsao J, Boesiger P, Pruessmann KP (2003) k-t BLAST and k-t SENSE: dynamic MRI with high frame rate exploiting spatiotemporal correlations. Magn Reson Med 50:1031-042 CrossRef
  17. Jahnke C, Nagel E et al (2007) Four-dimensional single breathhold magnetic resonance imaging using kt-BLAST enables reliable assessment of left- and right-ventricular volumes and mass. J Magn Reson Imaging 25:737-42 CrossRef
  18. Ahmed S, Shellock FG (2001) Magnetic resonance imaging safety: implications for cardiovascular patients. J Cardiovasc Magn Reson 3:171-82 CrossRef
  19. Papavassiliu T, Kuhl HP, Schroder M et al (2005) Effect of endocardial trabeculae on left ventricular measurements and measurement reproducibility at cardiovascular MR imaging. Radiology 236:57-4 CrossRef
  20. van Geuns RJ, Baks T, Gronenschild EH et al (2006) Automatic quantitative left ventricular analysis of cine MR images by using three-dimensional information for contour detection. Radiology 240:215-21 CrossRef
  21. Kozerke S, Tsao J (2004) Reduced data acquisition methods in cardiac imaging. Top Magn Reson Imaging 15:161-68 CrossRef
  22. Miller S, Simonetti OP, Carr J et al (2002) MR Imaging of the heart with cine true fast imaging with steady-state precession: influence of spatial and temporal resolutions on left ventricular functional parameters. Radiology 223:263-69 CrossRef
  
• 作者单位：Erica Maffei (1)
  Giancarlo Messalli (2)
  Chiara Martini (1)
  Alexia Rossi (3)
  Niels van Pelt (3)
  Robert-Jan van Geuns (3)
  Annick C. Weustink (3)
  Nico R. Mollet (3)
  Koen Nieman (3)
  Annachiara Aldrovandi (1)
  Massimo Imbriaco (4)
  Jan Bogaert (5)
  Filippo Cademartiri (1) (3) (6)
  
  1. Department of Radiology and Cardiology, University Hospital, Parma, Italy
  2. Department of Radiology, SDN Foundation IRCCS, Naples, Italy
  3. Department of Radiology and Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
  4. Department of Biomorphological and Functional Sciences, University Federico II, Naples, Italy
  5. Department of Radiology, Gasthuisberg University Hospital, Catholic University of Leuven, Leuven, Belgium
  6. Department of Radiology, c/o Piastra Tecnica—Piano 0, Azienda Ospedaliero-Universitaria, Via Gramsci, 14, 43100, Parma, Italy
  

文摘

Objective To assess the feasibility of single-breath-hold three-dimensional cine b-SSFP (balanced steady-state free precession gradient echo) sequence (3D-cine), accelerated with k-t BLAST (broad-use linear acquisition speed-up technique), compared with multiple-breath-hold 2D cine b-SSFP (2D-cine) sequence for assessment of left ventricular (LV) function. Methods Imaging was performed using 1.5-T MRI (Achieva, Philips, The Netherlands) in 46 patients with different cardiac diseases. Global functional parameters, LV mass, imaging time and reporting time were evaluated and compared in each patient. Results Functional parameters and mass were significantly different in the two sequences [3D end-diastolic volume (EDV)--29?±-4?ml vs 2D EDV--34?±-9?ml; 3D end-systolic volume (ESV)--7?±-4?ml vs 2D ESV--3?±-0?ml; 3D ejection fraction (EF)--3?±-5% vs 2D EF--8?±-5%; p-lt;-.05], although an excellent correlation was found for LV EF (r--.99). Bland-Altman analysis showed small confidence intervals with no interactions on volumes (EF limits of agreement--.7; 7.6; mean bias 5%). Imaging time was significantly lower for 3D-cine sequence (18?±-?s vs 95?±-3?s; p-lt;-.05), although reporting time was significantly longer for the 3D-cine sequence (29?±-?min vs 8?±-?min; p-lt;-.05). Conclusions A 3D-cine sequence can be advocated as an alternative to 2D-cine sequence for LV EF assessment in patients for whom shorter imaging time is desirable.