Literature DB >> 30686503

Compressed SENSE single-breath-hold and free-breathing cine imaging for accelerated clinical evaluation of the left ventricle.

Y Ma1, Y Hou2, Q Ma1, X Wang1, S Sui1, B Wang3.   

Abstract

AIM: To assess the accuracy of compressed SENSE (CS-SENSE) cine cardiac magnetic resonance imaging (CMR) with and without breath-hold in comparison to standard cine CMR with breath-hold for the assessment of left ventricular (LV) function.
MATERIALS AND METHODS: Thirty-three healthy volunteers underwent balanced turbo field-echo cine CMR with breath-hold (BTFE-BH; reference standard), single breath-hold CS-SENSE (csBTFE-BH) cine CMR, and free-breathing (FB) CS-SENSE (csBTFE-FB) cine CMR on a 3 T MRI system. All images were acquired in stacks of eight short-axis sections. Image quality was assessed and compared by the Wilcoxon matched-pairs signed-rank test. End-diastolic volume, end-systolic volume, stroke volume, ejection fraction, LV end-diastolic (LVED) mass, regional myocardial wall motion, and scan time were compared by paired t-test, linear regression, and Bland-Altman analyses.
RESULTS: All techniques provided acceptable image quality (score ≥3) for LV volumetric analysis in all participants (BTFE-BH [reference standard]: 5.00±0.00; csBTFE-BH: 4.03±0.17 [p<0.001]; csBTFE-FB: 3.76±0.44 [p<0.001]), with good agreement in LV function assessment; however, there was a slight but significant underestimation of LVED mass by csBTFE-FB (csBTFE-FB: 73.63±17.31 g versus BTFE-BH [reference standard]: 75.12±18.18 g, p=0.037). All methods showed a strong correlation with quantitative regional myocardial wall motion. Acquisition times for both csBTFE-BH and csBTFE-FB were significantly shorter than that for BTFE-BH (BTFE-BH [reference standard]: 89.3±5.70 seconds; csBTFE-BH: 24.42±2.18 seconds [p<0.001]; csBTFE-FB: 22.48±1.85 seconds [p<0.001]).
CONCLUSION: LV function assessment with the novel CS-SENSE cine CMR is not inferior to standard cine CMR, irrespective of BH; however, LVED mass is underestimated by csBTFE-FB.
Copyright © 2019 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

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Year:  2019        PMID: 30686503     DOI: 10.1016/j.crad.2018.12.012

Source DB:  PubMed          Journal:  Clin Radiol        ISSN: 0009-9260            Impact factor:   2.350


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