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Multicenter validation of the magnetic resonance t2* technique for segmental and global quantification of myocardial iron
Authors:Anna Ramazzotti PhD  Alessia Pepe MD  PhD  Vincenzo Positano MSc  Giuseppe Rossi MSc  Daniele De Marchi RT  Maria Gabriella Brizi MD  Antongiulio Luciani MD  Massimo Midiri MD  Giuseppina Sallustio MD  Gianluca Valeri MD  Vincenzo Caruso MD  Michele Centra MD  Paolo Cianciulli MD  Vincenzo De Sanctis MD  Aurelio Maggio MD  Massimo Lombardi MD
Affiliation:1. MRI Laboratory, “G Monasterio” Foundation and Institute of Clinical Physiology, Pisa, Italy;2. Epidemiology and Biostatistics Unit, Institute of Clinical Physiology, Pisa, Italy;3. Department of Radiology, Università Cattolica del Sacro Cuore, Roma, Italy;4. Department of Radiology, “G Garibaldi” Hospital, Catania, Italy;5. Department of Radiology, University of Palermo, Palermo, Italy;6. Department of Radiology, Università Cattolica del Sacro Cuore, Campobasso, Italy;7. Department of Radiology, University of Marche, Ancona, Italy;8. Department of Thalassemia, POU “S. Luigi‐Currò”, Catania, Italy;9. Department of Microcitemia, “Casa Sollievo della Sofferenza” Hospital, San Giovanni Rotondo(FG), Italy;10. Department of Thalassemia, “Sant'Eugenio Papa” Hospital, Roma, Italy;11. Department of Thalassemia, “S.Anna” Hospital, Ferrara, Italy;12. Haematology II with Thalassemia, “V. Cervello” Hospital, Palermo, Italy
Abstract:

Purpose

To assess the transferability of the magnetic resonance imaging (MRI) multislice multiecho T2* technique for global and segmental measurement of iron overload in thalassemia patients.

Materials and Methods

Multiecho T2* sequences were installed on six MRI scanners. Five healthy subjects (n = 30) were scanned at each site; five thalassemia major (TM) patients were scanned at the reference site and were rescanned locally (n = 25) within 1 month. T2* images were analyzed using previously validated software.

Results

T2* values of healthy subjects showed intersite homogeneity. On TM patients, for global heart T2* values the correlation coefficient was 0.97, coefficients of variation (CoVs) ranged from 0.04–0.12, and intraclass coefficients (ICCs) ranged from 0.94–0.99. The mean CoV and ICC for segmental T2* distribution were 0.198 and 88, respectively.

Conclusion

The multislice multiecho T2* technique is transferable among scanners with good reproducibility. J. Magn. Reson. Imaging 2009;30:62–68. © 2009 Wiley‐Liss, Inc.
Keywords:cardiac magnetic resonance  iron overload  thalassemia  T2* multiecho
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