Whole‐heart contrast‐enhanced coronary magnetic resonance angiography using gradient echo interleaved EPI

Whole‐heart coronary MR angiography (MRA) is a promising method for detecting coronary artery disease. However, the imaging time is relatively long (on the order of 10–15 min). Such a long imaging time may result in patient discomfort and compromise the robustness of whole‐heart coronary MRA due to increased respiratory and cardiac motion artifacts. The goal of this study was to optimize a gradient echo interleaved echo planar imaging (GRE‐EPI) acquisition scheme for reducing the imaging time of contrast‐enhanced whole‐heart coronary MRA. Numerical simulations and phantom studies were used to optimize the GRE‐EPI sequence parameters. Healthy volunteers were scanned with both the proposed GRE‐EPI sequence and a 3D TrueFISP sequence for comparison purposes. Slow infusion (0.5 cc/sec) of Gd‐DTPA was used to enhance the signal‐to‐noise ratio (SNR) of the GRE‐EPI acquisition. Whole‐heart images with the GRE‐EPI technique were acquired with a true resolution of 1.0 × 1.1 × 2.0 mm³ in an average scan time of 4.7 ± 0.7 min with an average navigator efficiency of 44 ± 6%. The GRE‐EPI acquisition showed excellent delineation of all the major coronary arteries with scan time reduced by a factor of 2 compared with the TrueFISP acquisition. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.