Single breath-hold magnetic resonance cine imaging for fast assessment of global and regional left ventricular function in clinical routine

Eur Radiol. 2010 Oct;20(10):2341-7. doi: 10.1007/s00330-010-1827-2. Epub 2010 Jun 9.

Abstract

Objective: To evaluate a TGRAPPA (temporal parallel acquisition technique)-accelerated, single breath-hold multi-slice cine imaging approach for the assessment of left ventricular (LV) function.

Methods: One hundred eleven patients were examined at 1.5 T. Cine imaging was performed with single-slice breath-hold acquisitions in short-axis orientation using a SSFP (TR 2.63 ms, TE 1.12 ms, FA 72°) sequence and a TGRAPPA SSFP (TR 2.66 ms, TE 1.11 ms, FA 72°, AF 3) sequence, which covered the entire LV in multiple short-axis slices during a single breath-hold. End-diastolic (EDV), end-systolic (ESV), stroke volumes (SV), ejection fraction (EF), muscle mass (MM) and regional wall motion were assessed for both data sets.

Results: Single breath-hold imaging was feasible in 108 patients. Excellent correlations were observed for all volumetric parameters derived from both data sets (all r > 0.97). While EDV and ESV showed marginally lower values for single breath-hold imaging (EDV: -1.6 ± 7.9 ml; ESV: -1.8 ± 6.0 ml, p < 0.05), no differences were observed for SV, EF, MM and regional wall motion assessment. Single breath-hold imaging required significant shorter acquisition times (28 ± 6 s vs. 335 ± 87 s).

Conclusion: TGRAPPA-accelerated multi-slice SSPF imaging allows for fast and accurate assessment of regional and global LV function within a single breath-hold.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cardiology / methods
  • Female
  • Heart / physiopathology*
  • Heart Diseases / physiopathology
  • Humans
  • Image Processing, Computer-Assisted
  • Kinetics
  • Magnetic Resonance Imaging, Cine / methods*
  • Male
  • Middle Aged
  • Respiration
  • Ventricular Function, Left*