Respiratory Motion-Registered Isotropic Whole-Heart T<sub>2</sub> Mapping in Patients With Acute Non-ischemic Myocardial Injury.
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License: CC BY 4.0
UNIL restricted access
State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_9F79FD18E008
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Respiratory Motion-Registered Isotropic Whole-Heart T<sub>2</sub> Mapping in Patients With Acute Non-ischemic Myocardial Injury.
Journal
Frontiers in cardiovascular medicine
ISSN
2297-055X (Print)
ISSN-L
2297-055X
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
8
Pages
712383
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
Background: T <sub>2</sub> mapping is a magnetic resonance imaging technique that can be used to detect myocardial edema and inflammation. However, the focal nature of myocardial inflammation may render conventional 2D approaches suboptimal and make whole-heart isotropic 3D mapping desirable. While self-navigated 3D radial T <sub>2</sub> mapping has been demonstrated to work well at a magnetic field strength of 3T, it results in too noisy maps at 1.5T. We therefore implemented a novel respiratory motion-resolved compressed-sensing reconstruction in order to improve the 3D T <sub>2</sub> mapping precision and accuracy at 1.5T, and tested this in a heterogeneous patient cohort. Materials and Methods: Nine healthy volunteers and 25 consecutive patients with suspected acute non-ischemic myocardial injury (sarcoidosis, n = 19; systemic sclerosis, n = 2; acute graft rejection, n = 2, and myocarditis, n = 2) were included. The free-breathing T <sub>2</sub> maps were acquired as three ECG-triggered T <sub>2</sub> -prepared 3D radial volumes. A respiratory motion-resolved reconstruction was followed by image registration of the respiratory states and pixel-wise T <sub>2</sub> mapping. The resulting 3D maps were compared to routine 2D T <sub>2</sub> maps. The T <sub>2</sub> values of segments with and without late gadolinium enhancement (LGE) were compared in patients. Results: In the healthy volunteers, the myocardial T <sub>2</sub> values obtained with the 2D and 3D techniques were similar (45.8 ± 1.8 vs. 46.8 ± 2.9 ms, respectively; P = 0.33). Conversely, in patients, T <sub>2</sub> values did differ between 2D (46.7 ± 3.6 ms) and 3D techniques (50.1 ± 4.2 ms, P = 0.004). Moreover, with the 2D technique, T <sub>2</sub> values of the LGE-positive segments were similar to those of the LGE-negative segments (T <sub>2LGE-</sub> = 46.2 ± 3.7 vs. T <sub>2LGE+</sub> = 47.6 ± 4.1 ms; P = 0.49), whereas the 3D technique did show a significant difference (T <sub>2LGE-</sub> = 49.3 ± 6.7 vs. T <sub>2LGE+</sub> = 52.6 ± 8.7 ms, P = 0.006). Conclusion: Respiratory motion-registered 3D radial imaging at 1.5T led to accurate isotropic 3D whole-heart T <sub>2</sub> maps, both in the healthy volunteers and in a small patient cohort with suspected non-ischemic myocardial injury. Significantly higher T <sub>2</sub> values were found in patients as compared to controls in 3D but not in 2D, suggestive of the technique's potential to increase the sensitivity of CMR at earlier stages of disease. Further study will be needed to demonstrate its accuracy.
Keywords
T2 mapping, acute non-ischemic myocardial injury, cardiac magnetic resonance(CMR), isotropic 3D imaging, respiratory motion correction
Pubmed
Web of science
Open Access
Yes
Create date
25/10/2021 8:35
Last modification date
27/11/2021 6:36