Real-time radial tagging for quantification of left ventricular torsion

PURPOSE

To develop a real-time radial tagging MRI for accurate measurement of rotational motion and twist of the left ventricle (LV).

METHODS

A FLASH-based radial tagging sequence with an undersampled radial reading scheme was developed for both single and double-slice imaging in real-time. The Polar Fourier Transform was used for reconstruction to push the undersampling artifacts out of a reduced FOV. The developed technique was used to image five normal subjects during rest, plus one during both exercise and rest conditions. LV rotational motions were estimated for five consecutive cardiac cycles in all cases. The process was validated using a numerical phantom. The real-time measurement of global rotational motion was compared with those measured from a non-real-time exam using linear regression analysis and the Bland-Altman plot.

RESULTS

The real-time acquisition was performed successfully with a temporal resolution of 46.2 ms. Image quality was sufficient for the reproducible calculation of rotation at rest and exercise. The feasibility of double-slice acquisition on human was further studied and a real-time twist of the left ventricle was demonstrated. The difference between LV global rotations from real-time and non-real-time approaches was 0.27 degrees. A significant reverse recoiling, induced by exercise, was reproducibly measured by the technique.

CONCLUSION

A real-time radial tagging MRI technique was developed based on the undersampled radial acquisition and Polar Fourier Transform reconstruction, for accurate measuring of the heart rotational motion and twist. The technique was able to extract a meaningful change of diastolic recoiling under stress test conditions during physical activities (cycling).

Efficient radial tagging CMR exam: A coherent k-space reading and image reconstruction approach

PURPOSE

Cardiac MR tagging techniques, which facilitate the strain evaluation, have not yet been widely adopted in clinics due to inefficiencies in acquisition and postprocessing. This problem may be alleviated by exploiting the coherency in the three steps of tagging: preparation, acquisition, and reconstruction. Herein, we propose a fully polar-based tagging approach that may lead to real-time strain mapping.

METHODS

Radial readout trajectories were used to acquire radial tagging images and a Hankel-based algorithm, referred to as Polar Fourier Transform (PFT), has been adapted for reconstruction of the acquired raw data. In both phantom and human subjects, the overall performance of the method was investigated against radial undersampling and compared with the conventional reconstruction methods.

RESULTS

Radially tagged images were reconstructed by the proposed PFT method from as few as 24 spokes with normalized root-mean-square-error of less than 3%. The reconstructed images showed a central focusing behavior, where the undersampling effects were pushed to the peripheral areas out of the central region of interest. Comparing the results with the re-gridding reconstruction technique, superior image quality and high robustness of the method were further established. In addition, a relative increase of 68 ± 2.5% in tagline sharpness was achieved for the PFT images and also higher tagging contrast (72 ± 5.6%), resulted from the well-tolerated undersampling artifacts, was observed in all reconstructions.

CONCLUSION

The proposed approach led to the acceleration of the acquisition process, which was evaluated for up to eight-fold retrospectively from the fully sampled data. This is promising toward real-time imaging, and in contrast to iterative techniques, the method is consistent with online reconstruction. Magn Reson Med 77:1459-1472, 2017. © 2016 International Society for Magnetic Resonance in Medicine.