Three-dimensional whole-heart T2 mapping at 3T

Haiyan Ding, Laura Fernandez-de-Manuel, Michael Schär, Karl H Schuleri, Henry Halperin, Le He, M Muz Zviman, Roy Beinart, Daniel A Herzka, Haiyan Ding, Laura Fernandez-de-Manuel, Michael Schär, Karl H Schuleri, Henry Halperin, Le He, M Muz Zviman, Roy Beinart, Daniel A Herzka

Abstract

Purpose: Detecting variations in myocardial water content with T2 mapping is superior to conventional T2 -weighted MRI since quantification enables direct observation of complicated pathology. Most commonly used T2 mapping techniques are limited in achievable spatial and/or temporal resolution, both of which reduce accuracy due to partial-volume averaging and misregistration between images. The goal of this study was to validate a novel free breathing T2 mapping sequence that overcomes these limitations.

Methods: The proposed technique was made insensitive to heart rate variability through the use of a saturation prepulse to reset magnetization every heartbeat. Respiratory navigator-gated, differentially T2 -weighted volumes were interleaved per heartbeat, guaranteeing registered images and robust voxel-by-voxel T2 maps. Free breathing acquisitions removed limits on spatial resolution and allowed short diastolic windows. Accuracy was quantified with simulations and phantoms.

Results: Homogeneous three-dimensional (3D) T2 maps were obtained from normal human subjects and swine. Normal human and swine left ventricular T2 values were 42.3 ± 4.0 and 43.5 ± 4.3 ms, respectively. The T2 value for edematous myocardium obtained from a swine model of acute myocardial infarction was 59.1 ± 7.1 ms.

Conclusion: Free-breathing accurate 3D T2 mapping is feasible and may be applicable in myocardial assessment in lieu of current clinical black blood, T2 -weighted techniques.

Keywords: 3D; T2 mapping; T2 relaxation time; cardiac magnetic resonance imaging; free breathing; relaxometry.

© 2014 Wiley Periodicals, Inc.

Source: PubMed

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