1
|
Koechli M, Callaghan FM, Burkhardt BEU, Lohézic M, Zhu X, Rücker B, Valsangiacomo Buechel ER, Kellenberger CJ, Geiger J. Accelerated cardiac magnetic resonance imaging using deep learning for volumetric assessment in children. Pediatr Radiol 2024:10.1007/s00247-024-05978-6. [PMID: 39017676 DOI: 10.1007/s00247-024-05978-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 06/18/2024] [Accepted: 06/20/2024] [Indexed: 07/18/2024]
Abstract
BACKGROUND Ventricular volumetry using a short-axis stack of two-dimensional (D) cine balanced steady-state free precession (bSSFP) sequences is crucial in any cardiac magnetic resonance imaging (MRI) examination. This task becomes particularly challenging in children due to multiple breath-holds. OBJECTIVE To assess the diagnostic performance of accelerated 3-RR cine MRI sequences using deep learning reconstruction compared with standard 2-D cine bSSFP sequences. MATERIAL AND METHODS Twenty-nine consecutive patients (mean age 11 ± 5, median 12, range 1-17 years) undergoing cardiac MRI were scanned with a conventional segmented 2-D cine and a deep learning accelerated cine (three heartbeats) acquisition on a 1.5-tesla scanner. Short-axis volumetrics were performed (semi-)automatically in both datasets retrospectively by two experienced readers who visually assessed image quality employing a 4-point grading scale. Scan times and image quality were compared using the Wilcoxon rank-sum test. Volumetrics were assessed with linear regression and Bland-Altman analyses, and measurement agreement with intraclass correlation coefficient (ICC). RESULTS Mean acquisition time was significantly reduced with the 3-RR deep learning cine compared to the standard cine sequence (45.5 ± 13.8 s vs. 218.3 ± 44.8 s; P < 0.001). No significant differences in biventricular volumetrics were found. Left ventricular (LV) mass was increased in the deep learning cine compared with the standard cine sequence (71.4 ± 33.1 g vs. 69.9 ± 32.5 g; P < 0.05). All volumetric measurements had an excellent agreement with ICC > 0.9 except for ejection fraction (EF) (LVEF 0.81, RVEF 0.73). The image quality of deep learning cine images was decreased for end-diastolic and end-systolic contours, papillary muscles, and valve depiction (2.9 ± 0.5 vs. 3.5 ± 0.4; P < 0.05). CONCLUSION Deep learning cine volumetrics did not differ significantly from standard cine results except for LV mass, which was slightly overestimated with deep learning cine. Deep learning cine sequences result in a significant reduction in scan time with only slightly lower image quality.
Collapse
Affiliation(s)
- Melina Koechli
- Department of Diagnostic Imaging, University Children's Hospital Zurich, Zurich, Switzerland
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
| | - Fraser M Callaghan
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
- Center for MR-Research, University Children's Hospital Zurich, Zurich, Switzerland
| | - Barbara E U Burkhardt
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
- Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | | | | | - Beate Rücker
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
- Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | - Emanuela R Valsangiacomo Buechel
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
- Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | - Christian J Kellenberger
- Department of Diagnostic Imaging, University Children's Hospital Zurich, Zurich, Switzerland
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland
| | - Julia Geiger
- Department of Diagnostic Imaging, University Children's Hospital Zurich, Zurich, Switzerland.
- Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland.
| |
Collapse
|
2
|
Wang F, Zhou J, Pu C, Yu F, Wu Y, Zhang L, Ma S, Hu H. Optimizing Clinical Cardiac MRI Workflow through Single Breath-Hold Compressed Sensing Cine: An Evaluation of Feasibility and Efficiency. J Clin Med 2024; 13:753. [PMID: 38337447 PMCID: PMC10856388 DOI: 10.3390/jcm13030753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Revised: 01/11/2024] [Accepted: 01/26/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND Although compressed sensing (CS) accelerated cine holds immense potential to replace conventional cardiovascular magnetic resonance (CMR) cine, how to use CS-based cine appropriately during clinical CMR examinations still needs exploring. METHODS A total of 104 patients (46.5 ± 17.1 years) participated in this prospective study. For each participant, a balanced steady state free precession (bSSFP) cine was acquired as a reference, followed by two CS accelerated cine sequences with identical parameters before and after contrast injection. Lastly, a CS accelerated cine sequence with an increased flip angle was obtained. We subsequently compared scanning time, image quality, and biventricular function parameters between these sequences. RESULTS All CS cine sequences demonstrated significantly shorter acquisition times compared to bSSFPref cine (p < 0.001). The bSSFPref cine showed higher left ventricular ejection fraction (LVEF) than all CS cine sequences (all p < 0.001), but no significant differences in LVEF were observed among the three CS cine sequences. Additionally, CS cine sequences displayed superior global image quality (p < 0.05) and fewer artifacts than bSSFPref cine (p < 0.005). Unenhanced CS cine and enhanced CS cine with increased flip angle showed higher global image quality than other cine sequences (p < 0.005). CONCLUSION Single breath-hold CS cine delivers precise biventricular function parameters and offers a range of benefits including shorter scan time, better global image quality, and diminished motion artifacts. This innovative approach holds great promise in replacing conventional bSSFP cine and optimizing the CMR examination workflow.
Collapse
Affiliation(s)
- Fuyan Wang
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Junjie Zhou
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
- Department of Radiology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, 1# Shangcheng Avenuee, Yiwu 322000, China
| | - Cailing Pu
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Feidan Yu
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Yan Wu
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Lingjie Zhang
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Siying Ma
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| | - Hongjie Hu
- Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3# East Qingchun Road, Hangzhou 310016, China; (F.W.); (J.Z.); (C.P.); (F.Y.); (Y.W.); (L.Z.); (S.M.)
| |
Collapse
|
3
|
Zhang J, Xiong Z, Tian D, Hu S, Song Q, Li Z. Compressed sensing cine imaging with higher temporal resolution for analysis of left atrial strain and strain rate by cardiac magnetic resonance feature tracking. Jpn J Radiol 2023; 41:1084-1093. [PMID: 37067751 DOI: 10.1007/s11604-023-01433-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 04/10/2023] [Indexed: 04/18/2023]
Abstract
PURPOSE Cardiac magnetic resonance (CMR) feature tracking (FT) is more widely used in the measurement of left atrial (LA) strain and strain rate (SR). However, in recent years, researchers have attempted to improve the low temporal resolution of CMR-FT to better capture the subtle deformations of the myocardium. The technique of compressed sensing (CS) has been applied clinically, reducing scan time while increasing temporal resolution. The purpose of this study was to explore the effect of the increased temporal resolution of CS cine sequences on the analysis of LA longitudinal strain and SR. MATERIALS AND METHODS Twenty-nine healthy subjects were included in the study. They underwent CMR with a reference steady-state free precession cine sequence of conventional temporal resolution (standard SSFP sequence), a cine sequence of higher temporal resolution (HT sequence), and an HT cine sequence with CS (CS HT sequence) (temporal resolution: 22.1-44.3/24.9-47.1 ms, 11.1-19.4 ms, and 8.3-19.4 ms, respectively). The standard SSFP sequence, HT sequence, and CS HT sequence were acquired in all subjects during the same scanning session. LA longitudinal strain and SR, reflecting LA reservoir, conduit, and contraction booster-pump function, were measured by CMR-FT and compared among the three sequences. RESULTS The measurements of LASR reservoir, conduit, and booster-pump were significantly higher on the HT and CS HT sequences than on the standard SSFP sequence. The standard SSFP sequence was correlated significantly with the HT and CS HT sequences in terms of LA strain and SR analysis, respectively. The LA strain and SR measurements also showed excellent agreement between the HT and CS HT sequences. CONCLUSION Higher temporal resolution led to significantly higher measured LASR values in CMR-FT. Furthermore, the addition of CS reduced scan time and did not affect LA longitudinal strain or SR analysis.
Collapse
Affiliation(s)
- Jingyu Zhang
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China
| | - Ziqi Xiong
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China
| | - Di Tian
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China
| | - Shuai Hu
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China
| | - Qingwei Song
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China
| | - Zhiyong Li
- Department of Radiology, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Xigang District, Dalian, 116011, China.
| |
Collapse
|
4
|
Craft J, Li Y, Nashta NF, Weber J. Comparison between compressed sensing and segmented cine cardiac magnetic resonance: a meta-analysis. BMC Cardiovasc Disord 2023; 23:473. [PMID: 37735355 PMCID: PMC10512640 DOI: 10.1186/s12872-023-03426-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 08/01/2023] [Indexed: 09/23/2023] Open
Abstract
PURPOSE Highly accelerated compressed sensing cine has allowed for quantification of ventricular function in a single breath hold. However, compared to segmented breath hold techniques, there may be underestimation or overestimation of LV volumes. Furthermore, a heterogeneous sample of techniques have been used in volunteers and patients for pre-clinical and clinical use. This can complicate individual comparisons where small, but statistically significant differences exist in left ventricular morphological and/or functional parameters. This meta-analysis aims to provide a comparison of conventional cine versus compressed sensing based reconstruction techniques in patients and volunteers. METHODS Two investigators performed systematic searches for eligible studies using PubMed/MEDLINE and Web of Science to identify studies published 1/1/2010-3/1/2021. Ultimately, 15 studies were included for comparison between compressed sensing cine and conventional imaging. RESULTS Compared to conventional cine, there were small, statistically significant overestimation of LV mass, underestimation of stroke volume and LV end diastolic volume (mean difference 2.65 g [CL 0.57-4.73], 2.52 mL [CL 0.73-4.31], and 2.39 mL [CL 0.07-4.70], respectively). Attenuated differences persisted across studies using prospective gating (underestimated stroke volume) and non-prospective gating (underestimation of stroke volume, overestimation of mass). There were no significant differences in LV volumes or LV mass with high or low acceleration subgroups in reference to conventional cine except slight underestimation of ejection fraction among high acceleration studies. Reduction in breath hold acquisition time ranged from 33 to 64%, while reduction in total scan duration ranged from 43 to 97%. CONCLUSION LV volume and mass assessment using compressed sensing CMR is accurate compared to conventional parallel imaging cine.
Collapse
Affiliation(s)
- Jason Craft
- DeMatteis Cardiovascular Institute, St. Francis Hospital & Heart Center, 100 Port Washington Blvd, Roslyn, NY, 11576, USA.
| | - Yulee Li
- DeMatteis Cardiovascular Institute, St. Francis Hospital & Heart Center, 100 Port Washington Blvd, Roslyn, NY, 11576, USA
| | - Niloofar Fouladi Nashta
- Sol Price School of Public Policy and Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA
| | - Jonathan Weber
- DeMatteis Cardiovascular Institute, St. Francis Hospital & Heart Center, 100 Port Washington Blvd, Roslyn, NY, 11576, USA
| |
Collapse
|
5
|
Orii M, Sone M, Osaki T, Kikuchi K, Sugawara T, Zhu X, Janich MA, Nozaki A, Yoshioka K. Reliability of respiratory-gated real-time two-dimensional cine incorporating deep learning reconstruction for the assessment of ventricular function in an adult population. Int J Cardiovasc Imaging 2023; 39:1001-1011. [PMID: 36648573 DOI: 10.1007/s10554-023-02793-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 01/02/2023] [Indexed: 01/18/2023]
Abstract
This study aimed to assess the image quality and accuracy of respiratory-gated real-time two-dimensional (2D) cine incorporating deep learning reconstruction (DLR) for the quantification of biventricular volumes and function compared with those of the standard reference, that is, breath-hold 2D balanced steady-state free precession (bSSFP) cine, in an adult population. Twenty-four patients (15 men, mean age 50.7 ± 16.5 years) underwent cardiac magnetic resonance for clinical indications, and 2D DLR and bSSFP cine were acquired on the short-axis view. The image quality scores were based on three main criteria: blood-to-myocardial contrast, endocardial edge delineation, and presence of motion artifacts throughout the cardiac cycle. Biventricular end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF), and left ventricular mass (LVM) were analyzed. The 2D DLR cine had significantly shorter scan time than bSSFP (41.0 ± 11.3 s vs. 327.6 ± 65.8 s; p < 0.0001). Despite an analysis of endocardial edge definition and motion artifacts showed significant impairment using DLR cine compared with bSSFP (p < 0.01), the two sequences demonstrated no significant difference in terms of biventricular EDV, ESV, SV, and EF (p > 0.05). Moreover, the linear regression yielded good agreement between the two techniques (r ≥ 0.76). However, the LVM was underestimated for DLR cine (109.8 ± 34.6 g) compared with that for bSSFP (116.2 ± 40.2 g; p = 0.0291). Respiratory-gated 2D DLR cine is a reliable technique that could be used in the evaluation of biventricular volumes and function in an adult population.
Collapse
Affiliation(s)
- Makoto Orii
- Department of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Iwate, Japan.
| | - Misato Sone
- Department of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Iwate, Japan
| | - Takeshi Osaki
- Department of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Iwate, Japan
| | - Kei Kikuchi
- Department of Radiology Service, Iwate Medical University, Iwate, Japan
| | - Tsuyoshi Sugawara
- Department of Radiology Service, Iwate Medical University, Iwate, Japan
| | | | | | | | - Kunihiro Yoshioka
- Department of Radiology, Iwate Medical University, 2-1-1, Idaidori, Yahaba, 028-3695, Iwate, Japan
| |
Collapse
|
6
|
Klarenberg H, Gosselink M, Coolen BF, Leiner T, Nederveen AJ, Bakermans AJ, Lamb HJ, Boekholdt SM, Froeling M, Strijkers GJ. A 72-channel receive array coil allows whole-heart cine MRI in two breath holds. Eur Radiol Exp 2022; 6:54. [PMID: 36316525 PMCID: PMC9622972 DOI: 10.1186/s41747-022-00305-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 09/08/2022] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND A new 72-channel receive array coil and sensitivity encoding, compressed (C-SENSE) and noncompressed (SENSE), were investigated to decrease the number of breath-holds (BHs) for cardiac magnetic resonance (CMR). METHODS Three-T CMRs were performed using the 72-channel coil with SENSE-2/4/6 and C-SENSE-2/4/6 accelerated short-axis cine two-dimensional balanced steady-state free precession sequences. A 16-channel coil with SENSE-2 served as reference. Ten healthy subjects were included. BH-time was kept under 15 s. Data were compared in terms of image quality, biventricular function, number of BHs, and scan times. RESULTS BHs decreased from 7 with C-SENSE-2 (scan time 70 s, 2 slices/BH) to 3 with C-SENSE-4 (scan time 42 s, 4-5 slices/BH) and 2 with C-SENSE-6 (scan time 28 s, 7 slices/BH). Compared to reference, image sharpness was similar for SENSE-2/4/6, slightly inferior for C-SENSE-2/4/6. Blood-to-myocardium contrast was unaffected. C-SENSE-4/6 was given lower qualitative median scores, but images were considered diagnostically adequate to excellent, with C-SENSE-6 suboptimal. Biventricular end-diastolic (EDV), end-systolic (ESV) and stroke volumes, ejection fractions (EF), cardiac outputs, and left ventricle (LV)-mass were similar for SENSE-2/4/6 with no systematic bias and clinically appropriate limits of agreements. C-SENSE slightly underestimated LV-EDV (-6.38 ± 6.0 mL, p < 0.047), LV-ESV (-7.94 ± 6.0 mL, p < 0.030) and overestimated LV-EF (3.16 ± 3.10%; p < 0.047) with C-SENSE-4. Bland-Altman analyses revealed minor systematic biases in these variables with C-SENSE-2/4/6 and for LV-mass with C-SENSE-6. CONCLUSIONS Using the 72-channel coil, short-axis CMR for quantifying biventricular function was feasible in two BHs where SENSE slightly outperformed C-SENSE.
Collapse
Affiliation(s)
- Hugo Klarenberg
- grid.7177.60000000084992262Department of Biomedical Engineering and Physics, Amsterdam University Medical Centers, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Mark Gosselink
- grid.7692.a0000000090126352Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Bram F. Coolen
- grid.7177.60000000084992262Department of Biomedical Engineering and Physics, Amsterdam University Medical Centers, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Tim Leiner
- grid.7692.a0000000090126352Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Aart J. Nederveen
- grid.7177.60000000084992262Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Adrianus J. Bakermans
- grid.7177.60000000084992262Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Hildo J. Lamb
- grid.10419.3d0000000089452978Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
| | - S. Matthijs Boekholdt
- grid.7177.60000000084992262Department of Cardiology, Amsterdam University Medical Centers, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - Martijn Froeling
- grid.7692.a0000000090126352Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Gustav J. Strijkers
- grid.7177.60000000084992262Department of Biomedical Engineering and Physics, Amsterdam University Medical Centers, Amsterdam Cardiovascular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| |
Collapse
|
7
|
Chen X, Pan J, Hu Y, Hu H, Pan Y. Feasibility of one breath-hold cardiovascular magnetic resonance compressed sensing cine for left ventricular strain analysis. Front Cardiovasc Med 2022; 9:903203. [PMID: 36035944 PMCID: PMC9411808 DOI: 10.3389/fcvm.2022.903203] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 07/25/2022] [Indexed: 11/13/2022] Open
Abstract
ObjectiveTo investigate the feasibility of 3D left ventricular global and regional strain by using one breath-hold (BH) compressed sensing cine (CSC) protocol and determine the agreement between CSC and conventional cine (CC) protocols.MethodsA total of 30 volunteers were enrolled in this study. Cardiovascular magnetic resonance (CMR) images were acquired using a 1.436 T magnetic resonance imaging (MRI) system. The CSC protocols included one BH CSC and the shortest BH CSC protocols with different parameters and were only performed in short-axis (SA) view following CC protocols. Left ventricular (LV) end-diastole volume (EDV), end-systole volume (ESV), stroke volume (SV), and ejection fraction (EF) global and regional strain were calculated by CC, one BH CSC, and shortest BH CSC protocols. The intraclass correlation coefficient (ICC) and coefficient of variance (CV) of these parameters were used to determine the agreement between different acquisitions.ResultsThe agreement of all volumetric variables and EF between the CC protocol and one BH CSC protocol was excellent (ICC > 0.9). EDV, ESV, and SV between CC and shortest BH CSC protocols also had a remarkable coherence (ICC > 0.9). The agreement of 3D LV global strain assessment between CC protocol and one BH CSC protocol was good (ICC > 0.8). Most CVs of variables were also good (CV < 15%). ICCs of all variables were lower than 0.8. CVs of all parameters were higher than 15% except global longitudinal strain (GLS) between CC and shortest BH CSC protocols. The agreement of regional strain between CC and BH CSC protocols was heterogeneous (-0.2 < ICC < 0.7). Many variables of CVs were poor.ConclusionNotably, one BH CSC protocol can be used for 3D global strain analysis, along with a good correlation with the CC protocol. The regional strain should continue to be computed by the CC protocol due to poor agreement and a remarkable variation between the protocols. The shortest BH CSC protocol was insufficient to replace the CC protocol for 3D global and regional strain.
Collapse
Affiliation(s)
- Xiaorong Chen
- Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
- *Correspondence: Xiaorong Chen,
| | - Jiangfeng Pan
- Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
- Jiangfeng Pan,
| | - Yi Hu
- Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| | - Hongjie Hu
- Sir Run Run Shaw Hospital, Hangzhou, China
| | - Yonghao Pan
- Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| |
Collapse
|
8
|
High-resolution Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex Using Compressed Sensing Sensitivity Encoding (SENSE). Eur J Radiol 2022; 149:110191. [DOI: 10.1016/j.ejrad.2022.110191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 01/27/2022] [Accepted: 01/28/2022] [Indexed: 01/13/2023]
|
9
|
Laubrock K, von Loesch T, Steinmetz M, Lotz J, Frahm J, Uecker M, Unterberg-Buchwald C. Imaging of arrhythmia: Real-time cardiac magnetic resonance imaging in atrial fibrillation. Eur J Radiol Open 2022; 9:100404. [PMID: 35265735 PMCID: PMC8899235 DOI: 10.1016/j.ejro.2022.100404] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 02/01/2022] [Accepted: 02/09/2022] [Indexed: 01/02/2023] Open
Abstract
Objectives Quantitative evaluations of function, volume and mass are fundamental in the diagnostic workup of different cardiovascular diseases and can be exactly determined by CMRI in sinus rhythm. This does not hold true in arrhythmia as CMR is hampered by reconstruction artifacts caused by inconsistent data from multiple heartbeats. Real-time (RT) MRI at high temporal resolution might reduce these problems. Methods Consecutive patients with atrial fibrillation were prospectively included and underwent RT and conventional CINE CMR in randomized order. 29 patients were studied at 1.5 T and 30 patients at 3 T. At 3 T a group of 20 subjects in sinus rhythm served as controls. RT and CINE image quality was evaluated in different planes and for different wall sections using a Likert scale (from zero to four). Volumetric analysis was performed using two types of software and differences between RT and CINE CMR were evaluated. Results In patients with atrial fibrillation RT CMR short axis (SA) resulted in a significantly higher image quality compared to CINE imaging both at 1.5 T and 3 T (1.5 T: mid SA: 3.55 ± 0.5 RT vs 2.6 ± 0.9 CINE, p = 0.0001; 3 T: mid SA: 3.15 ± 0.9 RT vs 2.6 ±1.0 CINE, p = 0.03); This qualitative difference was more marked and significant for the long axis views (2CV and 4CV) at 1.5 T (1.5 T: 2CV: 3.2 ± 0.6 RT vs 2.65 ± 1.1 CINE; p = 0.011; 4CV: 2.9 ± 0.69 RT vs 2.4 ± 0.9 CINE; p = 0.0044). During sinus rhythm CINE images were superior concerning diagnostic quality (3 T mid SA: 3.35 ± 0.45 RT vs 3.8 ± 0.5 CINE, p = 0.008). Quantitative analysis was successful with both software packages and the results showed a good correlation (Pearson correlation between 0.679 and 0.921 for patients). RT CMR resulted in slightly lower functional volumes than CINE CMR (3 T: patients: EDVI 86 ± 29 ml/m2 RT vs 93 29 ml/m2± 29 CINE, Pearson r = 0.902) but similar ejection fractions (3 T: patients: EF 47 ± 16% RT vs 45 ± 13% CINE, Pearson r = 0679; controls: EF 63 ± 6 RT vs 63 ± 3 CINE, Pearson r = 0.695). Conclusion RT CMR improves image quality in arrhythmic patients and renders studies more comfortable. Volumetric analysis is feasible with slightly lower values relative to CINE CMR, while ejection fractions are comparable. Real time cardiac magnetic imaging is superior to conventional CINE in arrhythmias: concerning image quality. Volumetric and functional analysis of real time is comparable to CINE. Acquistion time is reduced in real time. Improvement of postprocessing software of real time imaging is mandatory.
Collapse
Affiliation(s)
- Kerstin Laubrock
- Departmentof Medicine II, St. Joseph Hospital, Wüsthoffstraße 15, 12101 Berlin, Germany
- Department of Cardiology and Pneumology, Georg-August University, Robert-Koch-Str. 40, 37075 Goettingen, Germany
- Institute for Diagnostic and Interventional Radiology, Georg-AugustUniversity, Robert-Koch-Str.40, 37075 Goettingen, Germany
- Corresponding author at: Departmentof Medicine II, St. Joseph Hospital, Wüsthoffstraße 15, 12101 Berlin, Germany
| | - Thassilo von Loesch
- Institute for Diagnostic and Interventional Radiology, Georg-AugustUniversity, Robert-Koch-Str.40, 37075 Goettingen, Germany
- Doctor of Internal Medicine, Elise-Averdieck-Str. 17, 27356 Rotenburg,Wuemme Germany
| | - Michael Steinmetz
- DZHK (German Centre for Cardiovascular Research), Partner Site Goettingen, Robert-Koch-Str.40, 37075 Goettingen, Germany
- Department of Pediatric Cardiology and Intensive Care Medicine,Georg-August University, Robert-Koch-Str. 40, 37075 Goettingen, Germany
| | - Joachim Lotz
- Institute for Diagnostic and Interventional Radiology, Georg-AugustUniversity, Robert-Koch-Str.40, 37075 Goettingen, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Goettingen, Robert-Koch-Str.40, 37075 Goettingen, Germany
| | - Jens Frahm
- Biomedizinische NMR, Max-Planck-Institute for Biophysical Chemistry, Am Faßberg 11, 37077 Goettingen, Germany
| | - Martin Uecker
- Institute for Diagnostic and Interventional Radiology, Georg-AugustUniversity, Robert-Koch-Str.40, 37075 Goettingen, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Goettingen, Robert-Koch-Str.40, 37075 Goettingen, Germany
- 7170 Institute of Biomedical Imaging, GrazUniversity of Technology, Stremayrgasse16/III, 8010 Graz, Austria
- Cluster of Excellence “Multiscale Bioimaging:from Molecular Machines to Networks of Excitable Cells” (MBExC) University ofGöttingen, Germany
| | - Christina Unterberg-Buchwald
- Department of Cardiology and Pneumology, Georg-August University, Robert-Koch-Str. 40, 37075 Goettingen, Germany
- Institute for Diagnostic and Interventional Radiology, Georg-AugustUniversity, Robert-Koch-Str.40, 37075 Goettingen, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Goettingen, Robert-Koch-Str.40, 37075 Goettingen, Germany
- Correspondence to: Christina Unterberg-Buchwald, MD, Department of Cardiology and Pneumology, University Clinic Goettingen,Robert-Koch-Str. 40, 37075 Goettingen, Germany.
| |
Collapse
|
10
|
Longère B, Allard PE, Gkizas CV, Coisne A, Hennicaux J, Simeone A, Schmidt M, Forman C, Toupin S, Montaigne D, Pontana F. Compressed Sensing Real-Time Cine Reduces CMR Arrhythmia-Related Artifacts. J Clin Med 2021; 10:jcm10153274. [PMID: 34362058 PMCID: PMC8348071 DOI: 10.3390/jcm10153274] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 07/21/2021] [Accepted: 07/21/2021] [Indexed: 01/07/2023] Open
Abstract
Background and objective: Cardiac magnetic resonance (CMR) is a key tool for cardiac work-up. However, arrhythmia can be responsible for arrhythmia-related artifacts (ARA) and increased scan time using segmented sequences. The aim of this study is to evaluate the effect of cardiac arrhythmia on image quality in a comparison of a compressed sensing real-time (CSrt) cine sequence with the reference prospectively gated segmented balanced steady-state free precession (Cineref) technique regarding ARA. Methods: A total of 71 consecutive adult patients (41 males; mean age = 59.5 ± 20.1 years (95% CI: 54.7–64.2 years)) referred for CMR examination with concomitant irregular heart rate (defined by an RR interval coefficient of variation >10%) during scanning were prospectively enrolled. For each patient, two cine sequences were systematically acquired: first, the reference prospectively triggered multi-breath-hold Cineref sequence including a short-axis stack, one four-chamber slice, and a couple of two-chamber slices; second, an additional single breath-hold CSrt sequence providing the same slices as the reference technique. Two radiologists independently assessed ARA and image quality (overall, acquisition, and edge sharpness) for both techniques. Results: The mean heart rate was 71.8 ± 19.0 (SD) beat per minute (bpm) (95% CI: 67.4–76.3 bpm) and its coefficient of variation was 25.0 ± 9.4 (SD) % (95% CI: 22.8–27.2%). Acquisition was significantly faster with CSrt than with Cineref (Cineref: 556.7 ± 145.4 (SD) s (95% CI: 496.7–616.7 s); CSrt: 23.9 ± 7.9 (SD) s (95% CI: 20.6–27.1 s); p < 0.0001). A total of 599 pairs of cine slices were evaluated (median: 8 (range: 6–14) slices per patient). The mean proportion of ARA-impaired slices per patient was 85.9 ± 22.7 (SD) % using Cineref, but this was figure was zero using CSrt (p < 0.0001). The European CMR registry artifact score was lower with CSrt (median: 1 (range: 0–5)) than with Cineref (median: 3 (range: 0–3); p < 0.0001). Subjective image quality was higher in CSrt than in Cineref (median: 3 (range: 1–3) versus 2 (range: 1–4), respectively; p < 0.0001). In line, edge sharpness was higher on CSrt cine than on Cineref images (0.054 ± 0.016 pixel−1 (95% CI: 0.050–0.057 pixel−1) versus 0.042 ± 0.022 pixel−1 (95% CI: 0.037–0.047 pixel−1), respectively; p = 0.0001). Conclusion: Compressed sensing real-time cine drastically reduces arrhythmia-related artifacts and thus improves cine image quality in patients with arrhythmia.
Collapse
Affiliation(s)
- Benjamin Longère
- University of Lille, Inserm, CHU Lille, Institut Pasteur Lille, U1011—European Genomic Institute for Diabetes (EGID), F-59000 Lille, France; (A.C.); (D.M.); (F.P.)
- Correspondence:
| | - Paul-Edouard Allard
- CHU Lille, Department of Cardiovascular Radiology, F-59000 Lille, France; (P.-E.A.); (C.V.G.); (J.H.); (A.S.)
| | - Christos V Gkizas
- CHU Lille, Department of Cardiovascular Radiology, F-59000 Lille, France; (P.-E.A.); (C.V.G.); (J.H.); (A.S.)
| | - Augustin Coisne
- University of Lille, Inserm, CHU Lille, Institut Pasteur Lille, U1011—European Genomic Institute for Diabetes (EGID), F-59000 Lille, France; (A.C.); (D.M.); (F.P.)
| | - Justin Hennicaux
- CHU Lille, Department of Cardiovascular Radiology, F-59000 Lille, France; (P.-E.A.); (C.V.G.); (J.H.); (A.S.)
| | - Arianna Simeone
- CHU Lille, Department of Cardiovascular Radiology, F-59000 Lille, France; (P.-E.A.); (C.V.G.); (J.H.); (A.S.)
| | - Michaela Schmidt
- MR Product Innovation and Definition, Magnetic Resonance, Siemens Healthcare GmbH, 91052 Erlangen, Germany; (M.S.); (C.F.)
| | - Christoph Forman
- MR Product Innovation and Definition, Magnetic Resonance, Siemens Healthcare GmbH, 91052 Erlangen, Germany; (M.S.); (C.F.)
| | - Solenn Toupin
- Scientific Partnerships, Siemens Healthcare France, 93200 Saint-Denis, France;
| | - David Montaigne
- University of Lille, Inserm, CHU Lille, Institut Pasteur Lille, U1011—European Genomic Institute for Diabetes (EGID), F-59000 Lille, France; (A.C.); (D.M.); (F.P.)
| | - François Pontana
- University of Lille, Inserm, CHU Lille, Institut Pasteur Lille, U1011—European Genomic Institute for Diabetes (EGID), F-59000 Lille, France; (A.C.); (D.M.); (F.P.)
| |
Collapse
|
11
|
Zou Q, Xu HY, Fu C, Zhou XY, Xu R, Yang MX, Yang ZG, Guo YK. Utility of single-shot compressed sensing cardiac magnetic resonance cine imaging for assessment of biventricular function in free-breathing and arrhythmic pediatric patients. Int J Cardiol 2021; 338:258-264. [PMID: 34181995 DOI: 10.1016/j.ijcard.2021.06.043] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 06/11/2021] [Accepted: 06/23/2021] [Indexed: 02/05/2023]
Abstract
BACKGROUND This study aimed to explore the feasibility and accuracy of single-shot compressed-sensing (CS) cardiac magnetic resonance cine technology for the assessment of biventricular function and morphology in free-breathing (FB) pediatrics, especially those with arrhythmia. METHODS Seventy consecutive pediatric participants (6.27 ± 3.8 years, range:0.5-14 years) were enrolled between August 2019 and July 2020. Single-shot CS and conventional balanced steady-state free-precession (bSSFP) cine were obtained. The total scanning time, image quality and biventricular function parameters were compared for both sequences. RESULTS Single-shot CS cine had shorter acquisition time compared with the conventional bSSFP cine (all P < 0.001). The single-shot CS cine also had fewer artifacts than conventional bSSFP cine (breath-hold (BH): 4.6 ± 0.6 vs. 4.3 ± 0.6; FB without ongoing arrhythmia: 4.5 ± 0.6 vs. 3.6 ± 0.9; FB with ongoing arrhythmia: 4.7 ± 0.5 vs. 2.6 ± 1.1; all P < 0.05). No statistical difference of left ventricular parameters and right ventricular end-systolic volume/ejection fraction were found between the single-shot CS and conventional bSSFP cine in both BH and FB without ongoing arrhythmia group. There was an excellent correlation (R2 = 0.60-0.98, all P < 0.001) and good intra-(range: R2 = 0.57-0.99, P < 0.001)/inter-observer agreements (range: R2 = 0.76-1, P < 0.001) for single-shot CS cine images in terms of biventricular function parameters. CONCLUSIONS The single-shot CS cine can significantly reduce the image acquisition time, offering reliable quantification of biventricular function in free breathing condition for arrhythmic patients.
Collapse
Affiliation(s)
- Qing Zou
- Department of Radiology, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, Chengdu, Sichuan 610041, China; Department of Radiology, Deyang People's Hospital, 173# Section 3 Tai Shan Road, Deyang, Sichuan 618400, China
| | - Hua-Yan Xu
- Department of Radiology, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, Chengdu, Sichuan 610041, China
| | - Chuan Fu
- Department of Radiology, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, Chengdu, Sichuan 610041, China
| | - Xiao-Yue Zhou
- MR Collaboration, Siemens Healthineers Ltd., Shanghai, China
| | - Rong Xu
- Department of Radiology, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, Chengdu, Sichuan 610041, China
| | - Meng-Xi Yang
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, China
| | - Zhi-Gang Yang
- Department of Radiology, West China Hospital, Sichuan University, 37# Guo Xue Xiang, Chengdu, Sichuan 610041, China
| | - Ying-Kun Guo
- Department of Radiology, West China Second University Hospital, Sichuan University, 20# Section 3 South Renmin Road, Chengdu, Sichuan 610041, China.
| |
Collapse
|
12
|
60-S Retrogated Compressed Sensing 2D Cine of the Heart: Sharper Borders and Accurate Quantification. J Clin Med 2021; 10:jcm10112417. [PMID: 34072464 PMCID: PMC8199407 DOI: 10.3390/jcm10112417] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 05/24/2021] [Accepted: 05/26/2021] [Indexed: 12/28/2022] Open
Abstract
Background and objective: Real-time compressed sensing cine (CSrt) provides reliable quantification for both ventricles but may alter image quality. The aim of this study was to assess image quality and the accuracy of left (LV) and right ventricular (RV) volumes, ejection fraction and mass quantifications based on a retrogated segmented compressed sensing 2D cine sequence (CSrg). Methods: Thirty patients were enrolled. Each patient underwent the reference retrogated segmented steady-state free precession cine sequence (SSFPref), the real-time CSrt cine and the segmented retrogated prototype CSrg sequence providing the same slices. Functional parameters quantification and image quality rating were performed on SSFPref and CSrg images sets. The edge sharpness, which is an estimate of the edge spread function, was assessed for the three sequences. Results: The mean scan time was: SSFPref = 485.4 ± 83.3 (SD) s (95% CI: 454.3–516.5) and CSrg = 58.3 ± 15.1 (SD) s (95% CI: 53.7–64.2) (p < 0.0001). CSrg subjective image quality score (median: 4; range: 2–4) was higher than the one provided by CSrt (median: 3; range: 2–4; p = 0.0008) and not different from SSFPref overall quality score (median: 4; range: 2–4; p = 0.31). CSrg provided similar LV and RV functional parameters to those assessed with SSFPref (p > 0.05). Edge sharpness was significantly better with CSrg (0.083 ± 0.013 (SD) pixel−1; 95% CI: 0.078–0.087) than with CSrt (0.070 ± 0.011 (SD) pixel−1; 95% CI: 0.066–0.074; p = 0.0004) and not different from the reference technique (0.075 ± 0.016 (SD) pixel−1; 95% CI: 0.069–0.081; p = 0.0516). Conclusions: CSrg cine provides in one minute an accurate quantification of LV and RV functional parameters without compromising subjective and objective image quality.
Collapse
|
13
|
Right Ventricular Volume and Function Assessment in Congenital Heart Disease Using CMR Compressed-Sensing Real-Time Cine Imaging. J Clin Med 2021; 10:jcm10091930. [PMID: 33947025 PMCID: PMC8125206 DOI: 10.3390/jcm10091930] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 04/16/2021] [Accepted: 04/20/2021] [Indexed: 11/18/2022] Open
Abstract
Background and objective: To evaluate the reliability of compressed-sensing (CS) real-time single-breath-hold cine imaging for quantification of right ventricular (RV) function and volumes in congenital heart disease (CHD) patients in comparison with the standard multi-breath-hold technique. Methods: Sixty-one consecutive CHD patients (mean age = 22.2 ± 9.0 (SD) years) were prospectively evaluated during either the initial work-up or after repair. For each patient, two series of cine images were acquired: first, the reference segmented multi-breath-hold steady-state free-precession sequence (SSFPref), including a short-axis stack, one four-chamber slice, and one long-axis slice; then, an additional real-time compressed-sensing single-breath-hold sequence (CSrt) providing the same slices. Two radiologists independently assessed the image quality and RV volumes for both techniques, which were compared using the Wilcoxon test and paired Student’s t test, Bland–Altman, and linear regression analyses. The visualization of wall-motion disorders and tricuspid-regurgitation-related signal voids were also analyzed. Results: The mean acquisition time for CSrt was 22.4 ± 6.2 (SD) s (95% CI: 20.8–23.9 s) versus 442.2 ± 89.9 (SD) s (95% CI: 419.2–465.2 s) for SSFPref (p < 0.001). The image quality of CSrt was diagnostic in all examinations and was mostly rated as good (n = 49/61; 80.3%). There was a high correlation between SSFPref and CSrt images regarding RV ejection fraction (49.8 ± 7.8 (SD)% (95% CI: 47.8–51.8%) versus 48.7 ± 8.6 (SD)% (95% CI: 46.5–50.9%), respectively; r = 0.94) and RV end-diastolic volume (192.9 ± 60.1 (SD) mL (95% CI: 177.5–208.3 mL) versus 194.9 ± 62.1 (SD) mL (95% CI: 179.0–210.8 mL), respectively; r = 0.98). In CSrt images, tricuspid-regurgitation and wall-motion disorder visualization was good (area under receiver operating characteristic curve (AUC) = 0.87) and excellent (AUC = 1), respectively. Conclusions: Compressed-sensing real-time cine imaging enables, in one breath hold, an accurate assessment of RV function and volumes in CHD patients in comparison with standard SSFPref, allowing a substantial improvement in time efficiency.
Collapse
|
14
|
Altmann S, Halfmann MC, Abidoye I, Yacoub B, Schmidt M, Wenzel P, Forman C, Schoepf UJ, Xiong F, Dueber C, Kreitner KF, Varga-Szemes A, Emrich T. Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium. Eur Radiol 2021; 31:7219-7230. [PMID: 33779815 PMCID: PMC8452582 DOI: 10.1007/s00330-021-07830-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 01/26/2021] [Accepted: 02/24/2021] [Indexed: 11/05/2022]
Abstract
Objectives To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging. Methods CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19 patients with heart failure with reduced ejection fraction (HFrEF)) using a 3T MR scanner in this single-center study. Time-volume analysis of the left (LA) and right atria (RA) were performed in both sequences to evaluate atrial volumes and function (total, passive, and active emptying fraction). Inter-sequence and inter- and intra-reader agreement were analyzed using correlation, intraclass correlation (ICC), and Bland-Altman analysis. Results CS-based cine imaging led to a 69% reduction of acquisition time. There was significant difference in atrial parameters between CS and Conv cine, e.g., LA minimal volume (LAVmin) (Conv 24.0 ml (16.7–32.7), CS 25.7 ml (19.2–35.2), p < 0.0001) or passive emptying fraction (PEF) (Conv 53.9% (46.7–58.4), CS 49.0% (42.0–54.1), p < 0.0001). However, there was high correlation between the techniques, yielding good to excellent ICC (0.76–0.99) and small mean of differences in Bland-Altman analysis (e.g. LAVmin − 2.0 ml, PEF 3.3%). Measurements showed high inter- (ICC > 0.958) and intra-rater (ICC > 0.934) agreement for both techniques. CS-based parameters (PEF AUC = 0.965, LAVmin AUC = 0.864) showed equivalent diagnostic ability compared to Conv cine imaging (PEF AUC = 0.989, LAVmin AUC = 0.859) to differentiate between HV and HFrEF. Conclusion Atrial volumetric and functional evaluation using CS cine imaging is feasible with relevant reduction of acquisition time, therefore strengthening the role of CS in clinical CMR for atrial imaging. Key Points • Reliable assessment of atrial volumes and function based on compressed sensing cine imaging is feasible. • Compressed sensing reduces scan time and has the potential to overcome obstacles of conventional cine imaging. • No significant differences for subjective image quality, inter- and intra-rater agreement, and ability to differentiate healthy volunteers and heart failure patients were detected between conventional and compressed sensing cine imaging. Supplementary Information The online version contains supplementary material available at 10.1007/s00330-021-07830-z.
Collapse
Affiliation(s)
- Sebastian Altmann
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Langenbeckstraße 1, 55131, Mainz, Germany
| | - Moritz C Halfmann
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Langenbeckstraße 1, 55131, Mainz, Germany
| | - Ibukun Abidoye
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.,Afe Babalola University/Multisystem Hospital, Km 8.5, Afe Babalola way, Ado-Ekiti, Ekiti, Nigeria
| | - Basel Yacoub
- Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC, 29425, USA
| | - Michaela Schmidt
- Cardiac MR R&D, Siemens Healthcare GmbH, Henkestraße, 127, 91052, Erlangen, Germany
| | - Philip Wenzel
- German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.,Center for Cardiology, Cardiology I, University Medical Center Mainz, Langenbeckstraße 1, 55131, Mainz, Germany
| | - Christoph Forman
- Cardiac MR R&D, Siemens Healthcare GmbH, Henkestraße, 127, 91052, Erlangen, Germany
| | - U Joseph Schoepf
- Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC, 29425, USA
| | - Fei Xiong
- Cardiac MR R&D, Siemens Healthcare GmbH, Henkestraße, 127, 91052, Erlangen, Germany
| | - Christoph Dueber
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany
| | - Karl-Friedrich Kreitner
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany
| | - Akos Varga-Szemes
- Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC, 29425, USA
| | - Tilman Emrich
- Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. .,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. .,Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC, 29425, USA.
| |
Collapse
|
15
|
Orii M, Sugawara T, Takagi H, Nakano S, Ueda H, Takizawa Y, Fujiwara J, Takahashi S, Oyama K, Lai P, Janich MA, Nozaki A, Yoshioka K. Reliability of respiratory-triggered two-dimensional cine k-adaptive-t-autocalibrating reconstruction for Cartesian sampling for the assessment of biventricular volume and function in patients with repaired tetralogy of Fallot. Br J Radiol 2021; 94:20201249. [PMID: 33733811 PMCID: PMC8010533 DOI: 10.1259/bjr.20201249] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Objective: To compare left ventricular (LV) and right ventricular (RV) volume, function, and image quality of a respiratory-triggered two-dimensional (2D)-cine k-adaptive-t-autocalibrating reconstruction for Cartesian sampling (2D kat-ARC) with those of the standard reference, namely, breath-hold 2D balanced steady-state free precession (2D SSFP), in patients with repaired tetralogy of Fallot (TOF). Methods: 30 patients (14 males, mean age 32.2 ± 13.9 years) underwent cardiac magnetic resonance, and 2D kat-ARC and 2D SSFP images were acquired on short-axis view. Biventricular end-diastolic volume (EDV) and end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF), and LV mass (LVM) were analysed. Results: The 2D kat-ARC had significantly shorter scan time (35.2 ± 9.1 s vs 80.4 ± 16.7 s; p < 0.0001). Despite an analysis of image quality showed significant impairment using 2D kat-ARC compared to 2D SSFP cine (p < 0.0001), the two sequences demonstrated no significant difference in terms of biventricular EDV, LVESV, LVSV, LVEF, and LVM. However, the RVESV was overestimated for 2D kat-ARC compared with that for 2D SSFP (73.8 ± 43.2 ml vs 70.3 ± 44.5 ml, p = 0.0002) and the RVSV and RVEF were underestimated (RVSV = 46.2±20.5 ml vs 49.4 ± 20.4 ml, p = 0.0024; RVEF = 40.2±12.7% vs. 43.5±14.0%, p = 0.0002). Conclusion: Respiratory-triggered 2D kat-ARC cine is a reliable technique that could be used in the evaluation of LV volumes and function. Advances in knowledge: 2D cine kat-ARC is a reliable technique for the assessment LV volume and function in patients with repaired TOF.
Collapse
Affiliation(s)
- Makoto Orii
- Department of Radiology, Iwate Medical University, Iwate, Japan
| | - Tsuyoshi Sugawara
- Department of Radiology Service, Iwate Medical University, Iwate, Japan
| | - Hidenobu Takagi
- Department of Radiology, Iwate Medical University, Iwate, Japan.,Department of Radiology, The University of British Columbia, St. Paul's Hospital, BC, Canada
| | - Satoshi Nakano
- Department of Pediatrics, Iwate Medical University, Iwate, Japan
| | - Hironobu Ueda
- Division of Cardiology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan
| | - Yurie Takizawa
- Department of Pediatrics, Iwate Medical University, Iwate, Japan
| | - Jumpei Fujiwara
- Division of Cardiology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan
| | - Shin Takahashi
- Department of Pediatrics, Iwate Medical University, Iwate, Japan
| | - Kotaro Oyama
- Department of Pediatrics, Iwate Medical University, Iwate, Japan
| | - Peng Lai
- MR Applications and Workflow, GE Healthcare, Menlo Park, CA, USA.,Danaher Digital, San Jose, CA, USA
| | - Martin A Janich
- MR Applications and Workflow, GE Healthcare, Munich, Germany
| | - Atsushi Nozaki
- MR Applications and Workflow, GE Healthcare, Tokyo, Japan
| | | |
Collapse
|
16
|
Longère B, Chavent MH, Coisne A, Gkizas C, Pagniez J, Simeone A, Silvestri V, Schmidt M, Forman C, Montaigne D, Pontana F. Single breath-hold compressed sensing real-time cine imaging to assess left ventricular motion in myocardial infarction. Diagn Interv Imaging 2020; 102:297-303. [PMID: 33308957 DOI: 10.1016/j.diii.2020.11.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 11/24/2020] [Accepted: 11/25/2020] [Indexed: 12/14/2022]
Abstract
PURPOSE To evaluate the reliability of a real-time compressed sensing (CS) cine sequence for the detection of left ventricular wall motion disorders after myocardial infarction in comparison with the reference steady-state free precession cine sequence. MATERIALS AND METHODS One hundred consecutive adult patients referred for either initial work-up or follow-up by cardiac magnetic resonance (CMR) in the context of myocardial infarction were prospectively included. There were 77 men and 23 women with a mean age of 63.12±11.3 (SD) years (range: 29-89 years). Each patient underwent the reference segmented multi-breath-hold steady-state free precession cine sequence including one short-axis stack and both vertical and horizontal long-axis slices (SSFPref) and the CS real-time single-breath-hold evaluated sequence (CSrt) providing the same slices. Wall motion disorders were independently and blindly assessed with both sequences by two radiologists, using the American Heart Association left ventricle segmentation. Paired Wilcoxon signed-rank test was used to search for differences in wall motion disorders conspicuity between both sequences and receiver operating characteristic curve (ROC) analysis was performed to assess the diagnosis performance of CSrt sequence using SSFPref as the reference method. RESULTS Each patient had at least one cardiac segment with wall motion abnormality on SSFPref and CSrt images. The 1700 segments analyzed with SSFPref were classified as normokinetic (360/1700; 21.2%), hypokinetic (783/1700; 46.1%), akinetic (526/1700; 30.9%) or dyskinetic (31/1700; 1.8%). Sensitivity and specificity of the CS sequence were 99.6% (95% CI: 99.1-99.9%) and 99.7% (95% CI: 98.5-100%), respectively. Area under ROC of CSrt diagnosis performance was 0.997 (95% CI: 0.993-0.999). CONCLUSION CS real-time cine imaging significantly reduces acquisition time without compromising the conspicuity of left ventricular -wall motion disorders in the context of myocardial infarction.
Collapse
Affiliation(s)
- Benjamin Longère
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France; INSERM UMR 1011, Institut Pasteur de Lille, EGID (European Genomic Institute for Diabetes), FR3508, Univ. Lille, 59000 Lille, France
| | - Marc-Henry Chavent
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France
| | - Augustin Coisne
- INSERM UMR 1011, Institut Pasteur de Lille, EGID (European Genomic Institute for Diabetes), FR3508, Univ. Lille, 59000 Lille, France; Department of Clinical Physiology and Echocardiography, CHU de Lille, Lille, France
| | - Christos Gkizas
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France
| | - Julien Pagniez
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France
| | - Arianna Simeone
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France
| | - Valentina Silvestri
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France
| | | | | | - David Montaigne
- INSERM UMR 1011, Institut Pasteur de Lille, EGID (European Genomic Institute for Diabetes), FR3508, Univ. Lille, 59000 Lille, France; Department of Clinical Physiology and Echocardiography, CHU de Lille, Lille, France
| | - François Pontana
- Department of Cardiovascular Radiology, Institut Cœur-Poumon, CHU de Lille, Boulevard du Pr Jules Leclercq, 59037 Lille Cedex, France; INSERM UMR 1011, Institut Pasteur de Lille, EGID (European Genomic Institute for Diabetes), FR3508, Univ. Lille, 59000 Lille, France.
| |
Collapse
|
17
|
Kocaoglu M, Pednekar AS, Wang H, Alsaied T, Taylor MD, Rattan MS. Breath-hold and free-breathing quantitative assessment of biventricular volume and function using compressed SENSE: a clinical validation in children and young adults. J Cardiovasc Magn Reson 2020; 22:54. [PMID: 32713347 PMCID: PMC7384228 DOI: 10.1186/s12968-020-00642-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 05/29/2020] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Although the breath-hold cine balanced steady state free precession (bSSFP) imaging is well established for assessment of biventricular volumes and function, shorter breath-hold times or no breath-holds are beneficial in children and severely ill or sedated patients. METHODS Clinical cardiovascular magnetic resonance (CMR) examinations from September 2019 to October 2019 that included breath-hold (BH) and free-breathing (FB) cine bSSFP imaging accelerated using compressed sensitivity encoding (C-SENSE) factor of 3 in addition to the clinical standard BH cine bSSFP imaging using SENSE factor of 2 were analyzed retrospectively. Patients with structurally normal hearts who could perform consistent BHs were included. Aortic flow measured by phase contrast acquisition was used as a reference for the left ventricular (LV) stroke volume. Comparative analysis was performed for evaluation of biventricular volumes and function, imaging times, quantitative image quality, and qualitative image scoring. RESULTS There were 26 patients who underwent all three cine scans during the study period (16.7 ± 6.4 years, body surface area (BSA) 1.6 ± 0.4 m2, heart rate 83 ± 7 beats/min). BH durations of 8 ± 1 s with C-SENSE = 3 were significantly shorter (p < 0.001) by 33% compared to 12 ± 1 s with SENSE = 2. Actual scan time for BH SENSE (4.9 ± 1.2 min) was comparable to that with FB C-SENSE (5.2 ± 1.5 min; p= NS). Biventricular stroke volume and ejection fraction, and LV mass computed using all three sequences were comparable. There was a small but statistically significant (p < 0.05) difference in LV end-diastolic volume (- 3.0 ± 6.8 ml) between BH SENSE and FB C-SENSE. There was a small but statistically significant (p < 0.005) difference in end-diastolic LV (- 5.0 ± 7.7 ml) and RV (- 6.0 ± 8.5 ml) volume and end-systolic LV (- 3.2 ± 4.3 ml) and RV(- 4.2 ± 6.8 ml) volumes between BH C-SENSE and FB C-SENSE. The LV stroke volumes from all three sequences had excellent correlations (r = 0.96, slope = 0.98-1.02) with aortic flow, with overestimation by 2.7 (5%) to 4.6 (8%) ml/beat. The image quality score was Excellent (16 of 26) to Good (10 of 26) with BH SENSE, Excellent (13 of 26) to Good (13 of 26) with BH C-SENSE, and Excellent (3 of 26) to Good (21 of 26) to Adequate (2 of 26) with FB C-SENSE. CONCLUSIONS Image quality and ventricular volumetric and functional indices using either BH or FB C-SENSE cine bSSFP imaging were comparable to standard BH SENSE cine bSSFP imaging while maintaining nominally identical spatio-temporal resolution. This accelerated image acquisition provides an alternative to accommodate patients with impaired BH capacity.
Collapse
Affiliation(s)
- Murat Kocaoglu
- Department of Radiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 USA
| | - Amol S. Pednekar
- Department of Radiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 USA
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH USA
| | - Hui Wang
- Department of Radiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 USA
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH USA
- MR Clinical Science, Philips Healthcare, Cincinnati, OH USA
| | - Tarek Alsaied
- The Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH USA
| | - Michael D. Taylor
- The Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH USA
| | - Mantosh S. Rattan
- Department of Radiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 USA
- Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH USA
| |
Collapse
|
18
|
Wang J, Lin Q, Pan Y, An J, Ge Y. The accuracy of compressed sensing cardiovascular magnetic resonance imaging in heart failure classifications. Int J Cardiovasc Imaging 2020; 36:1157-1166. [PMID: 32146608 DOI: 10.1007/s10554-020-01810-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 02/27/2020] [Indexed: 12/13/2022]
Abstract
To evaluate the accuracy of compressed sensing (CS) cardiovascular magnetic resonance imaging (CMR) in the classifications of heart failure (HF). One hundred and fifty-four patients underwent 3 T CMR using CS single-breath-hold cine (SBH-cine) after a standard multiple-breath-hold cine (MBH-cine). The image quality of the two methods was compared. Cardiac function parameters were quantitatively analyzed. The patients were divided into different HF types based on diagnostic criteria using two sequences. The scan time for CS SBH-cine was reduced by 88% compared with that of standard MBH-cine. In the non-atrial-fibrillation (NAF) group (n = 121), the image quality score of CS SBH-cine was slightly decreased compared with standard MBH-cine (4.5 ± 0.6 for the CS SBH-cine vs. 4.7 ± 0.5 for the standard MBH-cine, T = 5.038, p < 0.05). In the atrial fibrillation (AF) group (n = 33), the CS SBH-cine image quality score was slightly higher than that of the standard MBH-cine (3.8 ± 0.7 for the CS SBH-cine vs. 3.3 ± 0.5 for the standard MBH-cine, T = - 4.503, p < 0.05). The left ventricular (LV) end diastolic volume, LV end systolic volume, LV ejection fraction, and LV mass index calculated by CS SBH-cine had no significant differences from those calculated by standard MBH-cine. The agreement on HF classifications of both the standard MBH-cine and the CS SBH-cine was excellent (kappa = 0.934, p < 0.05). The result showed that HF could be classified accurately using CS SBH-cine.
Collapse
Affiliation(s)
- Jiajia Wang
- Department of Radiology, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China
| | - Qing Lin
- Department of Radiology, Central China Fuwai Hospital & Henan Provincial People's Hospital, Zhengzhou, 450046, Henan, China
| | - Yukun Pan
- Department of Radiology, Zhengzhou University People's Hospital, Zhengzhou, 450003, Henan, China
| | - Jing An
- Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, 518057, China
| | - Yinghui Ge
- Department of Radiology, Zhengzhou University People's Hospital & Central China Fuwai Hospital & Henan Provincial People's Hospital, Zhengzhou, 450003, Henan, China.
| |
Collapse
|
19
|
Kozak BM, Jaimes C, Kirsch J, Gee MS. MRI Techniques to Decrease Imaging Times in Children. Radiographics 2020; 40:485-502. [PMID: 32031912 DOI: 10.1148/rg.2020190112] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Long acquisition times can limit the use of MRI in pediatric patients, and the use of sedation or general anesthesia is frequently necessary to facilitate diagnostic examinations. The use of sedation or anesthesia has disadvantages including increased cost and imaging time and potential risks to the patient. Reductions in imaging time may decrease or eliminate the need for sedation or general anesthesia. Over the past decade, a number of imaging techniques that can decrease imaging time have become commercially available. These products have been used increasingly in clinical practice and include parallel imaging, simultaneous multisection imaging, radial k-space acquisition, compressed sensing MRI reconstruction, and automated protocol selection software. The underlying concepts, supporting data, current clinical applications, and available products for each of these strategies are reviewed in this article. In addition, emerging techniques that are still under investigation may provide further reductions in imaging time, including artificial intelligence-based reconstruction, gradient-controlled aliasing sampling and reconstruction, three-dimensional MR spectroscopy, and prospective motion correction. The preliminary results for these techniques are also discussed. ©RSNA, 2020 See discussion on this article by Greer and Vasanawala.
Collapse
Affiliation(s)
- Benjamin M Kozak
- From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Founders 210, Boston, MA 02114 (B.M.K., J.K., M.S.G.); Department of Radiology, Harvard Medical School, Boston, Mass (B.M.K., C.J., J.K., M.S.G.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (C.J.)
| | - Camilo Jaimes
- From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Founders 210, Boston, MA 02114 (B.M.K., J.K., M.S.G.); Department of Radiology, Harvard Medical School, Boston, Mass (B.M.K., C.J., J.K., M.S.G.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (C.J.)
| | - John Kirsch
- From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Founders 210, Boston, MA 02114 (B.M.K., J.K., M.S.G.); Department of Radiology, Harvard Medical School, Boston, Mass (B.M.K., C.J., J.K., M.S.G.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (C.J.)
| | - Michael S Gee
- From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Founders 210, Boston, MA 02114 (B.M.K., J.K., M.S.G.); Department of Radiology, Harvard Medical School, Boston, Mass (B.M.K., C.J., J.K., M.S.G.); and Department of Radiology, Boston Children's Hospital, Boston, Mass (C.J.)
| |
Collapse
|
20
|
Muscogiuri G, Gatti M, Dell'Aversana S, Pica S, Andreini D, Guaricci AI, Guglielmo M, Baggiano A, Mushtaq S, Conte E, Gripari P, Annoni A, Formenti A, Mancini ME, Rabbat MG, Pepi M, Pontone G. Reliability of single breath hold three-dimensional cine kat-ARC for the assessment of biventricular dimensions and function. Eur J Radiol 2020; 124:108820. [PMID: 31951894 DOI: 10.1016/j.ejrad.2020.108820] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 11/27/2019] [Accepted: 12/30/2019] [Indexed: 11/17/2022]
Abstract
PURPOSE To assess the accuracy and reproducibility of 3D-cine k-adaptative-t-autocalibrating reconstruction for cartesian sampling (3D cine kat-ARC) for quantification of biventricular volumes, ejection fraction and LV mass in clinical practice. METHOD 74 patients underwent cardiac magnetic resonance for clinical indications. In the whole population 3D cine kat-ARC and 2D cine bSSFP images were acquired on short axis view. Subsequently, the population was divided in three subgroups (dilated, hypetrophic, other phenotypes). Two experienced observers performed analysis of volumes, biventricular function and left ventricular mass in the overall population and subgroups using an off-line workstation. Statistical analysis was performed using Student's t-test, linear regression and Bland-Altman plot, correlation coefficient η2 and the intraclass correlation coefficient (ICC). A cut-off value of p < 0.05 was considered statistically significant. RESULTS Biventricular volumes, function and left ventricular mass evaluated with 3D cine kat-ARC sequences did not show any significant difference compared to 2D bSSFP sequences in the overall population (p > 0.05). Bland-Altman analysis showed limited bias and narrow limits of the agreement for all measurements in overall population. Subgroup analysis showed a statistically significant difference (p = 0.04) for left ventricular ejection fraction (LVEF) in patients with a dilated phenotype; showing a minimum overestimation tendency for 3D cine kat ARC (2D cine bSSFP LVEF = 46.44 ± 15.83% vs 3D cine kat-ARC LVEF = 48.36 ± 16.50 %). CONCLUSIONS 3D cine kat-ARC 3D sequences allow an accurate evaluation of biventricular volumes and function in a single breath hold.
Collapse
Affiliation(s)
| | - Marco Gatti
- Department of Surgical Sciences, Radiology Institute, University of Turin, Turin, Italy.
| | - Serena Dell'Aversana
- Department of Advanced Biomedical Sciences, University of Naples "Federico II,", Naples, Italy.
| | - Silvia Pica
- Multimodality Cardiac Imaging Section, IRCCS Policlinico San Donato, Milan, Italy.
| | - Daniele Andreini
- Centro Cardiologico Monzino, IRCCS, Milan, Italy; Department of Cardiovascular Sciences and Community Health, University of Milan, Italy.
| | - Andrea I Guaricci
- Institute of Cardiovascular Disease, Department of Emergency and Organ Transplantation, University Hospital "Policlinico Consorziale" of Bari, Bari, Italy; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
| | | | | | | | | | | | | | | | | | - Mark G Rabbat
- Loyola University of Chicago, Chicago, IL, United States; Edward Hines Jr. VA Hospital, Hines, IL, United States.
| | - Mauro Pepi
- Centro Cardiologico Monzino, IRCCS, Milan, Italy.
| | | |
Collapse
|
21
|
Vermersch M, Longère B, Coisne A, Schmidt M, Forman C, Monnet A, Pagniez J, Silvestri V, Simeone A, Cheasty E, Montaigne D, Pontana F. Compressed sensing real-time cine imaging for assessment of ventricular function, volumes and mass in clinical practice. Eur Radiol 2019; 30:609-619. [DOI: 10.1007/s00330-019-06341-2] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 05/01/2019] [Accepted: 06/26/2019] [Indexed: 02/02/2023]
|
22
|
Compressed SENSE single-breath-hold and free-breathing cine imaging for accelerated clinical evaluation of the left ventricle. Clin Radiol 2019; 74:325.e9-325.e17. [DOI: 10.1016/j.crad.2018.12.012] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 12/19/2018] [Indexed: 11/22/2022]
|
23
|
Saito S, Masuda K, Mori Y, Nakatani S, Yoshioka Y, Murase K. Mapping of left ventricle wall thickness in mice using 11.7-T magnetic resonance imaging. Magn Reson Imaging 2017; 36:128-134. [DOI: 10.1016/j.mri.2016.10.030] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 10/26/2016] [Indexed: 11/28/2022]
|
24
|
|
25
|
Lin AC, Strugnell W, Riley R, Schmitt B, Zenge M, Schmidt M, Morris NR, Hamilton-Craig C. Higher resolution cine imaging with compressed sensing for accelerated clinical left ventricular evaluation. J Magn Reson Imaging 2016; 45:1693-1699. [DOI: 10.1002/jmri.25525] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 10/06/2016] [Accepted: 10/07/2016] [Indexed: 11/10/2022] Open
Affiliation(s)
- Aaron C.W. Lin
- Richard Slaughter Centre of Excellence in CVMRI, Prince Charles Hospital; Brisbane Australia
- Menzies Health Institute Queensland and Griffith University; Gold Coast Australia
| | - Wendy Strugnell
- Richard Slaughter Centre of Excellence in CVMRI, Prince Charles Hospital; Brisbane Australia
- Menzies Health Institute Queensland and Griffith University; Gold Coast Australia
| | - Robyn Riley
- Richard Slaughter Centre of Excellence in CVMRI, Prince Charles Hospital; Brisbane Australia
| | | | | | | | - Norman R Morris
- Menzies Health Institute Queensland and Griffith University; Gold Coast Australia
| | - Christian Hamilton-Craig
- Richard Slaughter Centre of Excellence in CVMRI, Prince Charles Hospital; Brisbane Australia
- University of Queensland; Brisbane Australia
| |
Collapse
|