Wednesday 13:30-15:30 Computer 34
13:30 3656. Highly Accelerated Single Breath-Hold Myocardial T2* Mapping Using Susceptibility Weighted Fast Spin-Echo Imaging
Fabian Hezel1, Gabriele Krombach2, Sebastian Kozerke3, Thoralf Niendorf1,4
1Berlin Ultrahigh Field Facility, Max-Delbrueck Center for Molecular Medicine, Berlin, Germany; 2Department of Diagnostic Radiology, University Hospital, RWTH Aachen, Aachen, Germany; 3Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland; 4Experimental and Clinical Research Center (ECRC), Charité Campus Buch, Humboldt-University, Berlin, Germany
Myocardial T2* mapping is proven value for the assessment of myocardial iron content and tissue oxygenation. This study examines the feasibility of highly accelerated fast-spin echo based T2* mapping. Acceleration is accomplished by (i) inner volume imaging, (ii) regional saturation slab based blood suppression,(iii) partial Fourier and (iv) k-t BLAST. A four-fold acceleration is feasible without compromising image quality and the accuracy of calculated T2* values.
14:00 3657. Contrast Optimization for LGE Imaging of Left Atrium
Sathya Vijayakumar1, Eugene G. Kholmovski1, Nassir F. Marrouche2
1UCAIR, Department of Radiology, University of Utah, Salt Lake City, UT, United States; 2Department of Cardiology, University of Utah, Salt Lake City, UT, United States
While imaging the left atrial wall to assess procedure outcome of RF ablation therapy in the heart, it is necessary to have optimal contrast between scar and blood and scar and normal myocardium. In this work, we present a technique to get optimal contrast between scar and both blood and myocardium using phase sensitive reconstruction and an appropriate choice of inversion time TI.
14:30 3658. Reducing Motion Sensitivity in Free Breathing DWI of the Heart with Localized Principal Component Analysis
Stanislas Rapacchi1, Pierre Croisille, 1,2, Vinay Pai3, Denis Grenier1, Magalie Viallon4, Peter Kellman3, Nathan Mewton, 1,2, Han Wen3
1CREATIS, Université Lyon 1, INSA Lyon, Villeurbanne, France; 2Hopital Cardiologique et Pneumologique L. Pradel, Lyon, France, France; 3LCE/NHLBI/NIH, United States; 4Hopital Cantonal Universitaire de Genève, Switzerland
Free breathing in vivo cardiac Diffusion Weighted Imaging (DWI) is highly sensitive to physiologic motion. To cope with this issue, we designed a DWI protocol which repeats image acquisition multiple times with incremental trigger delays to cover a large time window in diastole. After registration, a localized Principal Component Analysis (PCA) is employed to reduce inter images myocardium deformation, thus improving final image quality. Then temporal Maximal Intensity Projection (tMIP) (3) is used to find the diffusion weighted intensity for each pixel. We present the benefits of our method and preliminary results in healthy and diseased volunteers.
15:00 3659. Delineating Myocardial Edema and Hemorrhage Using T2, T2*, and Diastolic Wall Thickness Post Acute Myocardial Infarction at 2 Early Time Intervals
Mohammad Imran Zia1, Nilesh R. Ghugre1, Gideon A. Paul1, Jeffrey A. Stainsby1, Venkat Ramanan1, Kim A. Connelly1, Graham A. Wright1, Alexander J. Dick1
1Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Our goal was to demonstrate myocardial edema using T2 spiral and diastolic wall thickness (DWT) and myocardial hemorrhage using T2* in patients post acute myocardial infarction (AMI) at 48 hours and 3 weeks. Assessing the presence and evolution of edema and myocardial hemorrhage early post AMI demonstrates distinct patterns. If myocardial hemorrhage is present, then early scans are affected by the competing effects of T2*, counteracting an increased T2 signal. This may be important in accurately quantifying AAR and identifying those patients most likely to suffer deleterious left ventricular remodeling.
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