Automated rectilinear self-gated cardiac cine imaging.

ECG-based gating in cardiac MR imaging requires additional patient preparation time, is susceptible to RF and magnetic interference, and is ineffective in a significant percentage of patients. "Wireless" or "self-gating" techniques have been described using either interleaved central k-space lines or projection reconstruction to obtain MR signals synchronous with the cardiac cycle. However, the interleaved, central line method results in a doubling of the acquisition time, while radial streak artifacts are encountered with the projection reconstruction method. In this work, a new self-gating technique is presented to overcome these limitations. A retrospectively gated TrueFISP cine sequence was modified to acquire a short second echo after the readout and phase gradients are rewound. The information obtained from this second echo was used to derive a gating signal. This technique was compared to ECG-based gating in 10 healthy volunteers and shown to have no significant difference in image quality. The results indicate that this method could serve as an alternative gating strategy without the need for external physiological signal detection.     

Preliminary investigation of respiratory self-gating for free-breathing segmented cine MRI.

Segmented cine MRI generally requires breath-holding, which can be problematic for many patients. Navigator echo techniques, particularly successful for free-breathing coronary MRA, are incompatible with the acquisition strategies and SSFP pulse sequences commonly used for cine MRI. The purpose of this work is to introduce a new self-gating technique deriving respiratory gating information directly from the raw imaging data acquired for segmented cine MRI. The respiratory self-gating technique uses interleaved radial k-space sampling to provide low-resolution images in real time during the free-breathing acquisition that are compared to target expiration images. Only the raw data-producing images with high correlation to the target images are included in the final high-resolution reconstruction. The self-gating technique produced cine series with no significant differences in quantitative image sharpness to series produced using comparable breath-held techniques. Because of the difficulties associated with breath-holding, the respiratory self-gating technique represents an important practical advance for cardiac MRI. , Inc.     

Free‐breathing cine MRI

Standard MRI cine exams for the study of cardiac function are segmented over several heartbeats and thus require a breath‐hold to minimize breathing motion artifacts, which is a current limitation of this approach. The purpose of this study was to develop a method for the measurement and correction of respiratory motion that is compatible with cine imaging. Real‐time images were used to measure the respiratory motion of heart, to allow translations, rotations, and shears to be measured and corrected in the k‐space domain prior to a final gated‐segmented reconstruction, using the same data for both purposes. A method for data rejection to address the effects of through‐plane motion and complex deformations is described (respiratory gating). A radial k‐space trajectory was used in this study to allow direct reconstruction of undersampled real‐time images, although the techniques presented are applicable with Cartesian k‐space trajectories. Corrected and uncorrected free‐breathing gated‐segmented images acquired over 18 sec were compared to the current standard breath‐hold Cartesian images using both quantitative sharpness profiles (mm^?1) and clinical scoring (1 to 5 scale, 3: clinically acceptable). Free‐breathing, free‐breathing corrected, and breath‐hold images had average sharpness values of 0.23 ± 0.04, 0.38 ± 0.04, and 0.44 ± 0.04 mm^?1 measured at the blood–endocardium interface, and clinical scores of 2.2 ± 0.5, 4.2 ± 0.4, and 4.7 ± 0.5, respectively. Magn Reson Med 60:709–717, 2008. © 2008 Wiley‐Liss, Inc.     

Retrospective gating for mouse cardiac MRI.

Cardiac MR imaging in small animals presents some difficulties due to shorter cardiac cycles and smaller dimensions than in human beings, but prospectively gated techniques have been successfully applied. As with human imaging, there may be certain applications in animal imaging for which retrospective gating is preferable to prospective gating. For example, cardiac imaging in multiple mice simultaneously is one such application. In this work we investigate the use of retrospective gating for cardiac imaging in a mouse. Using a three-dimensional imaging protocol, we show that image quality with retrospective gating is comparable to prospectively gated imaging. We conclude that retrospective gating is applicable for small animal cardiac MRI and show how it can be applied to the problem of cardiac MRI in multiple mice.     

Comparison of self-gated cine MRI retrospective cardiac synchronization algorithms

PURPOSE: To determine whether improved self-gating (SG) algorithms can provide superior synchronization accuracy for retrospectively gated cine MRI. MATERIALS AND METHODS: First difference, template matching, and polynomial fitting algorithms were implemented to improve the synchronization of MRI data using cardiac SG signals. Cine datasets were acquired during short-axis, two-, three-, and four-chamber cardiac MRI scans. The root-mean-square (RMS) error of SG synchronization positions compared to detected R-wave positions were calculated along with the mean square error (MSE) and peak signal-to-noise ratio (PSNR) comparing SG to electrocardiogram (ECG)-gated images. Overall image quality was also compared by two expert reviewers. RESULTS: RMS errors were highest for the first difference method for all orientations. Improvements for both template matching and cubic polynomial fitting methods were significant for two-, three-, and four-chamber scans. MSE values were lower and PSNR were significantly higher for the cubic method compared to the first difference method for all orientations. Reviewers scored the images to be of comparable quality. CONCLUSION: Template matching and polynomial fitting improved the accuracy of cardiac cycle synchronization for two-, three-, and four-chamber scans; improvements in SG synchronization accuracy were reflected in improvements in analytical image quality. Implementation of robust postprocessing algorithms may bring SG approaches closer to clinical utilization.     

Wireless self-gated multiple-mouse cardiac cine MRI.

Despite the excellent image-contrast capability of MRI and the ability to synchronize MRI with the murine cardiac cycle, this technique is underused for assessing mouse models of cardiovascular disease because of its perceived cost and complexity. This perception stems, in part, from complications associated with the placement and adjustment of electrocardiographic leads that may interact with gradient pulses and the relatively long acquisition times required with traditional gating schemes. To improve the efficiency and reduce the cost and complexity of using cardiac MRI in mice, we combined wireless self-gating techniques (with which we derived cardiac synchronization signals from acquired data) with an imaging technique that acquires multislice cardiac cine images from four mice simultaneously. As a result, the wireless self-gated acquisitions minimized animal preparation time and improved image quality. The simultaneous acquisition of cardiac cine data from multiple animals greatly increased throughput and reduced costs associated with instrument access.     

Whole-heart cine MRI using real-time respiratory self-gating.

Two-dimensional (2D) breath-hold cine MRI is used to assess cardiac anatomy and function. However, this technique requires cooperation from the patient, and in some cases the scan planning is complicated. Isotropic nonangulated three-dimensional (3D) cardiac MR can overcome some of these problems because it requires minimal planning and can be reformatted in any plane. However, current methods, even those that use undersampling techniques, involve breath-holding for periods that are too long for many patients. Free-breathing respiratory gating sequences represent a possible solution for realizing 3D cine imaging. A real-time respiratory self-gating technique for whole-heart cine MRI is presented. The technique enables assessment of cardiac anatomy and function with minimum planning or patient cooperation. Nonangulated isotropic 3D data were acquired from five healthy volunteers and then reformatted into 2D clinical views. The respiratory self-gating technique is shown to improve image quality in free-breathing scanning. In addition, ventricular volumetric data obtained using the 3D approach were comparable to those acquired with the conventional multislice 2D approach.     

Motion correction using coil arrays (MOCCA) for free‐breathing cardiac cine MRI

In this study, we present a motion correction technique using coil arrays (MOCCA) and evaluate its application in free‐breathing respiratory self‐gated cine MRI. Motion correction technique using coil arrays takes advantages of the fact that motion‐induced changes in k‐space signal are modulated by individual coil sensitivity profiles. In the proposed implementation of motion correction technique using coil arrays self‐gating for free‐breathing cine MRI, the k‐space center line is acquired at the beginning of each k‐space segment for each cardiac cycle with 4 repetitions. For each k‐space segment, the k‐space center line acquired immediately before was used to select one of the 4 acquired repetitions to be included in the final self‐gated cine image by calculating the cross correlation between the k‐space center line with a reference line. The proposed method was tested on a cohort of healthy adult subjects for subjective image quality and objective blood‐myocardium border sharpness. The method was also tested on a cohort of patients to compare the left and right ventricular volumes and ejection fraction measurements with that of standard breath‐hold cine MRI. Our data indicate that the proposed motion correction technique using coil arrays method provides significantly improved image quality and sharpness compared with free‐breathing cine without respiratory self‐gating and provides similar volume measurements compared with breath‐hold cine MRI. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Single-breathhold 3D-trueFISP cine cardiac imaging.

Cardiac MRI function measurements are typically based on multiple breathhold 2D sequences to acquire images of the entire heart. In the present study, the feasibility of a cine 3D TrueFISP technique in which several complete volumetric measurements may be obtained during a single breathhold is demonstrated. In contrast to 3D FLASH, the TrueFISP sequence offers an excellent contrast between the myocardium and the intraventricular cavity without the use of contrast agent. An ECG-gated 3D cine TrueFISP sequence was implemented with a repetition time of 2.4-2.8 ms, which allows imaging of the complete heart within a single breathhold throughout 20-46 heartbeats with a 3D frame rate of 8-13 volumes per cardiac cycle and a spatial resolution of about 1.5 x 3.5 x 3.5 mm(3). Breathhold volumetric cine imaging with the 3D TrueFISP technique holds promise for rapid and accurate evaluation of the cardiac regional wall motion and the calculation of cardiac volume and ejection fraction.     

Model‐based reconstruction for cardiac cine MRI without ECG or breath holding

This paper describes an acquisition and reconstruction strategy for cardiac cine MRI that does not require the use of electrocardiogram or breath holding. The method has similarities with self‐gated techniques as information about cardiac and respiratory motion is derived from the imaging sequence itself; here, by acquiring the center k‐space line at the beginning of each segment of a balanced steady‐state free precession sequence. However, the reconstruction step is fundamentally different: a generalized reconstruction by inversion of coupled systems is used instead of conventional gating. By correcting for nonrigid cardiac and respiratory motion, generalized reconstruction by inversion of coupled systems (GRICS) uses all acquired data, whereas gating rejects data acquired in certain motion states. The method relies on the processing and analysis of the k‐space central line data: local information from a 32‐channel cardiac coil is used in order to automatically extract eigenmodes of both cardiac and respiratory motion. In the GRICS framework, these eigenmodes are used as driving signals of a motion model. The motion model is defined piecewise, so that each cardiac phase is reconstructed independently. Results from six healthy volunteers, with various slice orientations, show improved image quality compared to combined respiratory and cardiac gating. Magn Reson Med 63:1247–1257, 2010. © 2010 Wiley‐Liss, Inc.     

屏气流速电影MRI评价左右心室功能的初步研究

目的:评价屏气相位流速电影法MRI(phase-velocitycineMRI,PVCMRI)测量心功能方面的价值。方法:应用PVCMRI检查了25例心脏病患者,将流速法测量的左心室搏出量(LVSV)、主动脉峰值流速(APV)、主动脉平均流速(AAV),分别与右心室搏出量(RVSV)、肺动脉峰值流速(PPV)、肺动脉平均流速(PAV)进行均值比较。结果:PVC法所测的左右心室搏出量均值比较差异无显著性,并且具有明显的直线相关关系。肺动脉AV均值要明显大于主动脉AV,并且具有明显的直线相关关系。主动脉PV要明显大于肺动脉PV,两者没有明显直线相关关系。结论:相位流速电影MRI成像可以无创监测心脏、大血管血流动力学改变,准确评价心功能,是一种有价值的检查方法。     

Comparison of four magnetization preparation schemes to improve blood-wall contrast in cine short-axis cardiac imaging

Improvements in short-axis blood-myocardium contrast in the heart with the use of four magnetization preparation schemes applied before the imaging sequence are demonstrated. Gradient-echo cine cardiac images are acquired and compared at 0.95 T incorporating T₂, T_1p, magnetization transfer, and double inversion (black blood) preparations in a series of volunteer studies over the first 550 ms of the cardiac cycle. T₂ and T_1p preparations exhibit improvements of 100% and above in image contrast. Magnetization transfer preparation exhibits improvements of 50% in image contrast, whereas an initial improvement (50%) followed by a large loss in contrast is observed using the black blood preparation. Improvements in contrast are dependent on tissue relaxation parameters and therefore are suitable for studies involving patients exhibiting poor in-flow enhancement of blood caused by poor heart function.