Myocardial Viability Imaging using HYPR-based MRI Techniques

نویسندگان

  • O. Unal
  • J. Velikina
  • K. M. Johnson
  • C. A. Mistretta
چکیده

INTRODUCTION Assessing myocardial viability in patients with coronary artery disease and left ventricular dysfunction can be critical to determine which patients might benefit from revascularization [1]. Delayed-enhancement MR imaging (DE-MRI) has shown promise in distinguishing healthy myocardium from infarcted myocardium since infarcted myocardium exhibits higher signal than normal myocardium [2-3]. However, the selection of optimal inversion time (TI), which depends on contrast dosage and also varies from patient to patient, to null normal myocardium signal greatly affects the diagnostic value. Therefore, a fast MRI technique that allows retrospective selection of TI to null normal myocardium would be advantageous. Here, we have investigated the potential of HYPR-based DE-MRI techniques [4-5] for 2D / 3D myocardial viability imaging to allow retrospective selection of inversion time (TI) for nulling normal myocardial signal.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Adenosine-induced stress myocardial perfusion MRI using SW-CG-HYPR with whole left ventricular coverage: comparison of results with X-ray angiography in patients with suspected CAD

Results The prevalence of CAD was 55%. In the per-patient analysis, the sensitivity, specificity and accuracy of SW-CG-HYPR myocardial perfusion imaging were 95%, 83% and 90%, respectively. In the per-vessel analysis, these values were 98%, 89% and 93%, respectively. Figure 1 illustrates the detection of significant CAD by SW-CG-HYPR myocardial perfusion imaging with correlation to X-ray corona...

متن کامل

Free-breathing myocardial perfusion MRI using SW-CG-HYPR and motion correction.

First-pass perfusion MRI is a promising technique to detect ischemic heart disease. Sliding window (SW) conjugate-gradient (CG) highly constrained back-projection reconstruction (HYPR) (SW-CG-HYPR) has been proposed to increase spatial coverage, spatial resolution, and SNR. However, this method is sensitive to respiratory motion and thus requires breath-hold. This work presents a non-model-base...

متن کامل

Myocardial perfusion MRI using SW-CG-HYPR for the detection of coronary artery disease

In this work, we have prospectively examined the diagnostic value of adenosine-induced stress myocardial perfusion MRI using SW-CG-HYPR in 50 patients with suspected CAD. Using the high-resolution, whole left ventricle SW-CG-HYPR method, perfusion MRI was able to depict hemodynamically relevant coronary artery stenosis with an accuracy of 90% and 93% based on perpatient and per-vessel analyses,...

متن کامل

Three-Dimensional Myocardial Perfusion MRI Using SW-CG-HYPR

Introduction: First-pass perfusion MRI is a promising technique for detecting ischemic heart disease. However, the diagnostic value of the method is limited by the low spatial coverage, resolution, SNR, and cardiac motion related image artifacts. Parallel imaging methods have been applied in myocardial perfusion MRI, but the spatial coverage and SNR remain limited. Time-resolved data acquisitio...

متن کامل

Myocardial Perfusion MRI Using SW-CG-HYPR in Canines with Improved Spatial Coverage, Resolution and SNR

SW-CG-HYPR and the conventional methods. The delineation of the myocardial territories supplied by LCX stenoses in SW-CG-HYPR images is clearly improved as compared to the reference images. Figure 3. Comparison of the signal changes vs. time curves between SW-CG-HYPR and reference methods in a dog study. Figure 1. Schematic of the perfusion data acquisition structure: (a) Conventional SR prepar...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2008