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Craft J, Weber J, Li Y, Cheng JY, Diaz N, Kunze KP, Schmidt M, Grgas M, Weber S, Tang J, Parikh R, Onuegbu A, Yamashita AM, Haag E, Fuentes D, Czipo M, Neji R, Espada CB, Figueroa L, Rothbaum JA, Fujikura K, Bano R, Khalique OK, Prieto C, Botnar RM. Inversion recovery and saturation recovery pulmonary vein MR angiography using an image based navigator fluoro trigger and variable-density 3D cartesian sampling with spiral-like order. THE INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING 2024; 40:1363-1376. [PMID: 38676848 DOI: 10.1007/s10554-024-03111-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 04/07/2024] [Indexed: 04/29/2024]
Abstract
Contrast enhanced pulmonary vein magnetic resonance angiography (PV CE-MRA) has value in atrial ablation pre-procedural planning. We aimed to provide high fidelity, ECG gated PV CE-MRA accelerated by variable density Cartesian sampling (VD-CASPR) with image navigator (iNAV) respiratory motion correction acquired in under 4 min. We describe its use in part during the global iodinated contrast shortage. VD-CASPR/iNAV framework was applied to ECG-gated inversion and saturation recovery gradient recalled echo PV CE-MRA in 65 patients (66 exams) using .15 mmol/kg Gadobutrol. Image quality was assessed by three physicians, and anatomical segmentation quality by two technologists. Left atrial SNR and left atrial/myocardial CNR were measured. 12 patients had CTA within 6 months of MRA. Two readers assessed PV ostial measurements versus CTA for intermodality/interobserver agreement. Inter-rater/intermodality reliability, reproducibility of ostial measurements, SNR/CNR, image, and anatomical segmentation quality was compared. The mean acquisition time was 3.58 ± 0.60 min. Of 35 PV pre-ablation datasets (34 patients), mean anatomical segmentation quality score was 3.66 ± 0.54 and 3.63 ± 0.55 as rated by technologists 1 and 2, respectively (p = 0.7113). Good/excellent anatomical segmentation quality (grade 3/4) was seen in 97% of exams. Each rated one exam as moderate quality (grade 2). 95% received a majority image quality score of good/excellent by three physicians. Ostial PV measurements correlated moderate to excellently with CTA (ICCs range 0.52-0.86). No difference in SNR was observed between IR and SR. High quality PV CE-MRA is possible in under 4 min using iNAV bolus timing/motion correction and VD-CASPR.
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Affiliation(s)
- Jason Craft
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA.
| | - Jonathan Weber
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Yulee Li
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Joshua Y Cheng
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Nancy Diaz
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Karl P Kunze
- MR Research Collaborations, Siemens Healthcare Limited, Camberley, UK
| | | | - Marie Grgas
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Suzanne Weber
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - John Tang
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Roosha Parikh
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Afiachukwu Onuegbu
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Ann-Marie Yamashita
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Elizabeth Haag
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | | | | | - Radhouene Neji
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
| | - Cristian B Espada
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Leana Figueroa
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Jonathan A Rothbaum
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Kana Fujikura
- Division of Cardiology, NYU Grossman School of Medicine, New York, NY, USA
| | - Ruqiyya Bano
- Department of Nephrology and Hypertension, Stony Brook University Hospital, New York, NY, 11794, USA
| | - Omar K Khalique
- Division of Cardiovascular Imaging, DeMatteis Cardiovascular Institute, St Francis Hospital & Heart Center, 101 Northern Blvd, Greenvale, NY, 11548, USA
| | - Claudia Prieto
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
- School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Rene M Botnar
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
- Institute of Biological and Medical Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile
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Fei Z, Liu M, Yao P, Zhao M, Gong C, Chen M, Fei Y, Mo B, Zhang R, Yu Y, Yang Y, Wang Q, Li W, Zhang P, Sun J, Wang Q, Li Y. Effect of combined catheter ablation of atrial fibrillation and left atrial appendage closure on left atrial structure compared with a single procedure. Chin Med J (Engl) 2023; 136:3010-3012. [PMID: 37365140 PMCID: PMC10752458 DOI: 10.1097/cm9.0000000000002746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Indexed: 06/28/2023] Open
Affiliation(s)
- Zhentao Fei
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Ming Liu
- Department of Radiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Pengcheng Yao
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Mingzhe Zhao
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Changqi Gong
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Mu Chen
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Yudong Fei
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Binfeng Mo
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Rui Zhang
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Yichi Yu
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Yuli Yang
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Qian Wang
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Wei Li
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Pengpai Zhang
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Jian Sun
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Qunshan Wang
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
| | - Yigang Li
- Department of Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
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