Quantitative Cardiovascular Tissue Characterization
Cardiovascular Thursday, 20 May 2021

Oral Session - Quantitative Cardiovascular Tissue Characterization
Cardiovascular
Thursday, 20 May 2021 12:00 - 14:00
  • Myofiber strain in healthy humans using cDTI and Cine DENSE MRI
    Kevin Moulin1,2,3, Pierre Croisille4,5, Magalie Viallon4,5, Ilya A Verzhbinsky6, Luigi E Perotti7, and Daniel B Ennis1,2,3
    1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Radiology, Veterans Administration Health Care System, Palo Alto, CA, United States, 3Cardiovascular Institute, Stanford University, Stanford, CA, United States, 4University of Lyon, UJM-Saint-Etienne, INSA, CNRS UMR 5520, INSERM U1206, CREATIS, F-42023, Saint-Etienne, France, 5Department of Radiology, University Hospital Saint-Etienne, Saint-Etienne, France, 6Medical Scientist Training Program, University of California - San Diego, La Jolla, CA, United States, 7Department of Mechanical and Aerospace Engineering, University of Central Florida, Orlando, FL, United States
    After combining DENSE and cDTI images, in vivo myofiber strain (Eff) was estimated to Eff=-0.14 and was more spatially uniform than circumferential strain (Ecc). This suggests uniform cardiomyocyte shortening in healthy adults and less geometry and layer dependence.
    Figure 1: Post-processing steps used to combine DENSE and cDTI data and calculate myofiber strain Eff. (A) Myofiber orientations and Cardiac displacement fields were represented using nodes after reconstruction. (B) 2D Displacement fields from long-axis (LA) and short-axis (SA) are combined to obtain a SA 3D displacement field. (C) The SA 3D displacement field is used to generate a deformed cine of myofiber orientation(D) Finally, cardiac strains are calculated from the SA 3D displacement field and the myofiber orientations and using beginning of systole as the initial config.
    Figure 5: Computed strain (N=30) calculated after combining cDTI and DENSE. (A) Computed Eff and (B) Ecc at endo, mid, epi layers, and across the LV wall. The black dashed and dotted lines represent the median [Q1, Q3] across volunteers; the red dashed line provides a -0.15 strain ref. the colored solid lines are individual medians per volunteers. (C) Transmural distribution of Eff, Ecc, and their difference at peak-systole. Blue solid lines are the median per volunteer and the box plots are across volunteers.p-values<0.01 are represented by (**) and p-values<0.05 by (*).
  • Feasibility of creatine chemical exchange saturation transfer (CEST) imaging in evaluating cardiac dysfunction in acute infarct heart
    Yin Wu1, Jie Liu1, Qi Liu2, Hui Liu2, Jian Xu2, Yuanwei Xu3, Yucheng Chen3, Xin Liu1, and Hairong Zheng1
    1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, 2United Imaging Healthcare America, Houston, TX, United States, 3Cardiology Division, West China Hospital, Sichuan University, Chengdu, China
    This study investigated the feasibility of Cr CEST in evaluating cardiac dysfunction in acute infarct heart. Results show moderate correlation between cardiac function and Cr CEST signal, demonstrating the ability of Cr CEST in assessing heart functional impairment.
    Figure 2. (a) Cr CEST map overlaid on a CEST-weighted image of a representative animal. Negative Cr CEST contrast was largely consistent with the scar region shown on the T1w-LGE image (b). Segmental based circumferential strain, (e) radial strain (f), wall thickening (g) and wall motion (h) were measured from the respective cine images at end-diastolic (c) and end-systolic (d) cardiac phases.
    Figure 4. Correlation of segmental based Cr CEST with respective myocardium contractile function indices of (a) circumferential strain, (b) radial strain, (c) wall thickening and (d) wall motion.
  • Probing Human Myocardial Krebs Cycle Metabolism and Response to Glucose Challenge using Hyperpolarized [2-13C]Pyruvate MR Spectroscopy
    Hsin-Yu Chen1, Jeremy W. Gordon1, Nicholas Dwork1, Brian T. Chung1, Andrew Riselli2, Robert A. Bok1, James B. Slater1, M. Roselle Abraham3, Daniel B. Vigneron1, and Peder E.Z. Larson1
    1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2School of Pharmacy, University of California, San Francisco, San Francisco, CA, United States, 3Department of Medicine-Cardiology, University of California, San Francisco, San Francisco, CA, United States
    It is safe and feasible to visualize real-time myocardial Krebs cycle energetics in human heart using hyperpolarized [2-13C]pyruvate MR spectroscopy. The metabolic products [2-13C]lactate, [5-13C]glutamate, and [1-13C]acetylcarnitine increased in response to oral glucose challenge.
    Figure 4. A) Temporal evolution of the injected [2-13C]pyruvate and downstream metabolites [2-13C]lactate, [5-13C]glutamate and [1-13C]acetylcarnitine(ALCAR) in Volunteer 1 before and 30-minutes after oral glucose challenge. Time was calculated from the start of injection. B) A table showing the metabolites ratios normalized to pyruvate. The levels of lactate, glutamate and ALCAR were elevated after oral glucose compared to baseline. C) Rate constants of pyruvate-to-product conversion were calculated to a first-order approximation.
    Figure 2. Representative summed spectra (Volunteer 1) reflecting baseline Krebs cycle energetics in human heart probed with hyperpolarized C2 pyruvate. The substrates and products in the spectra were assigned [5-13C]glutamate(182.5ppm), [1-13C]acetylcarnitine(ALCAR, 173.6ppm), [2-13C]lactate(70.8, 66.2ppm), [1,2-13C]pyruvate(171.8, 169.7ppm), and [2-13C]hydrate(94.2ppm), respectively.
  • Single-shot model-based non-rigid motion-corrected T1 rho mapping for endogenous assessment of myocardial injury
    Aurelien Bustin1,2,3, Soumaya Sridi2, Solenn Toupin4, Jerome Yerly3,5, Davide Piccini3,6, Ruud B van Heeswijk3, Pierre Jaïs1,7, Hubert Cochet1,2, and Matthias Stuber1,3,5
    1IHU LIRYC, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, INSERM, Centre de recherche Cardio-Thoracique de Bordeaux, U1045, Bordeaux, France, 2Department of Cardiovascular Imaging, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Bordeaux, France, 3Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 4Siemens Healthcare France, Saint-Denis, France, 5Center for Biomedical Imaging (CIBM), Lausanne, Switzerland, 6Advanced Clinical Imaging Technology, Siemens Healthcare, Lausanne, Switzerland, 7Department of Cardiac Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, CHU de Bordeaux, Bordeaux, France
    Myocardial T1 rho mapping with model-based non-rigid motion correction enables quantitative characterization of myocardial injuries with relatively low sensitivity to respiratory motion and field inhomogeneity.
    Figure 3: Examples of 4 patients with evidence of myocardial injury on LGE and motion-corrected T1ρ mapping. (A) 59-year-old male patient with sub-epicardial LGE in the latero-apical segment. (B) 53-year-old male patient with ischemic cardiomyopathy and transmural LGE in the inferior and infero-septal mid segments. (C) 51-year-old male patient with acute myocarditis and extensive patchy intramural and subepicardial LGE in the left ventricular free wall. (D) 35-year-old male patient with myocarditis and intramural LGE in the antero-septo-basal segment.
    Figure 1: Schematic of the proposed single breath-hold 2D myocardial T1ρ mapping technique (A) with joint T1ρ fitting and model-based motion correction (B). T1ρ mapping is performed using a single-shot electrocardiogram-triggered bSSFP acquisition where five images with different spin lock times are acquired within a single breath-hold. Motion correction is performed by iterating between a T1ρ fitting (step 1), the simulation of T1ρ-weighted images (step 2) and a pair-wise non-rigid motion correction (step 3).
  • Characterization of Cardiac Amyloidosis using Cardiac Magnetic Resonance Fingerprinting: Preliminary Results
    Brendan L Eck1, Nicole Seiberlich2, Scott D Flamm1,3, Jesse I Hamilton2, Mazen Hanna3, Yash Kumar4, Abhilash Suresh3, Angel Lawrence1,3, W. H. Wilson Tang3, and Deborah Kwon3
    1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, 2Radiology, University of Michigan, Ann Arbor, MI, United States, 3Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, United States, 4Case Western Reserve University, Cleveland, OH, United States
    Native myocardial T1 and T2 from cardiac Magnetic Resonance Fingerprinting were elevated in cardiac amyloidosis patients relative to healthy controls. Analysis of signal evolutions improved discrimination of disease as compared to T1 and T2 analysis.
    Figure 1. Example T1 and T2 maps obtained from the cMRF sequence for a healthy control subject and a patient with light-chain cardiac amyloidosis (AL). Myocardial T1 and T2 appear to be elevated in the AL patient as compared to the healthy control.
    Figure 5. Linear discriminant analysis (LDA) of relaxometric data and signal data. (a) Bar plots of LDA score means and standard deviations obtained for patients and controls for relaxometric data and signal evolution data. LDA scores for relaxometric data and signal data were normalized by a constant factor for each group for visualization. The * indicates a statistically significant difference (p<0.05). (b) Fisher coefficient indicating separability of amyloid and control groups (greater value indicates greater separation).
  • 3D Whole-ventricle, Free-Breathing, Non-ECG, T1-T2-B1+ Mapping and Cine Imaging with Cardiac MR Multitasking
    Xianglun Mao1, Fardad M Serry1, Sen Ma1, Zhehao Hu1,2, Alan C Kwan1,3, Fei Han4, Yibin Xie1, Debiao Li1,2, and Anthony G Christodoulou1,2
    1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California in Los Angeles, Los Angeles, CA, United States, 3Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Siemens Medical Solutions Inc., Los Angeles, CA, United States
    The 3D Multitasking acquisition technique simultaneously acquires co-registered T1, T2, and B1+ maps with cine capability in whole ventricle. Multitasking resolves the cardiac and respiratory motions, allowing for free-breathing acquisition without need for ECG.
    Fig.5 (animated): Cardiac motion-resolved images of two subjects of proposed 3D Stack-of-Stars Multitasking in short axis orientation with 3D (1.4x1.4x8.0 mm3 resolution) whole-ventricle coverage in TA=9:14min. Comparative multi-slice and multi breath-hold 2D TrueFisp CINE in short axis (non-fat suppressed, 1.3x1.3x8.0 mm3 resolution, TA=11s per slice).
    Fig.3: The proposed 3D Multitasking T1,T2, B1+ cine mapping results (basal, mid and apical) and short-axis 2D MOLLI T1 maps, T2-prep FLASH T2 maps for one subject (F, 27).
  • Simultaneous T1, T2 and T1ρ cardiac Magnetic Resonance Fingerprinting for Contrast-free Myocardial Tissue Characterization
    Carlos Velasco1, Gastao Cruz1, René M. Botnar1, and Claudia Prieto1
    1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
    A cardiac MRF acquisition scheme for simultaneous quantification of myocardial T1, T2 and T in a contrast-free single breath-hold MR scan of ~16s is proposed.
    Fig 4: Short axis view of T1, T2 and T quantitative maps in two representative healthy subjects. Reference maps (top row) of T1-MOLLI, T2-GRaSE and T1⍴-Reference are compared against the regularized T1, T2 and T1⍴ cardiac MRF maps (bottom row) obtained from the same ~16s cardiac MRF acquisition.
    Fig 5: a) Scatter plots and T1, T2 and T cardiac MRF quantification compared against their reference values obtained from T1-MOLLI, T2-GRaSE and T1⍴-Reference. Green dashed lines depict the identity line. b) Bland-Altman plots of T1, T2 and T cardiac MRF against their respective references. Black lines denote the mean bias and dashed-dotted red lines show the limits of agreement (95% confidence interval).
  • Fast high-resolution isotropic whole-heart T2 mapping using focused navigation
    Simone Rumac1, Christopher W. Roy2, Jérôme Yerly2,3, John Heerfordt2,4, Davide Piccini2,4, Matthias Stuber3,5, and Ruud B. van Heeswijk2
    1Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Laus, Lausanne, Switzerland, 2Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, Lausanne, Switzerland, 3CIBM Center for BioMedical Imaging, Lausanne, Switzerland, Lausanne, Switzerland, 4Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, Lausanne, Switzerland, 5Department of Radiology, Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
    We developed a novel fast high-resolution free-breathing 3D isotropic T2 mapping technique for the heart. The resulting whole-heart T2 maps were both accurate and sharp, and the T2 values in the myocardium matched those measured with routine 2D T2 mapping (p=0.57).
    Sharp source images and precise T2 maps in healthy volunteers. A-E) The source images contain sharp features (papillary muscles, edge definition) and are well aligned to one another. F-H) The resulting short-axis T2 map and its two perpendicular views are similarly sharp.
    T2 mapping in a patient with myocardial infarction. A) LGE can be observed in the septum. B) The corresponding T2 map obtained with 2D T2-prepared bSSFP shows a small T2 elevation in the infarcted area. C) The proposed technique accurately confirms the T2 elevation.
  • Single breath-holding three-dimensional cardiac T2 mapping with low-rank plus sparsity reconstruction
    Dongyue Si1, Shuo Chen1, Daniel A. Herzka2, and Haiyan Ding1
    1Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China, 2National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States
    3D T2 mapping techniques enables quantitative detection of edematous tissue in whole heart. In this study, an accelerated 3D T2 mapping sequence was developed based on low-rank plus sparsity reconstruction. Homogeneous whole left ventricular T2 map can be acquired in single breath-hold.
    Figure 4. Representative 3D T2 map from one healthy human subject by BH3DT2 sequence. A: 3D whole left ventricle T2 maps from apex to base. B: mean and standard deviation of T2 values within every slice. C: Histogram of myocardium T2 over the whole left ventricle. The mean (μ) and standard deviation (σ) across the whole left ventricle are shown on the graph. D: AHA 16-segment bull's-eye plot for showing T2 of each region.
    Figure 2. Representative slice from a swine with acute MI, nRMSE was increased at higher acceleration factor (R). Image artefacts were subtle at R=2 and 4. At R=6, obvious artefacts were observed at the blood pool in the T2 weighted image (red arrow), and septal T2 value was overestimated (white arrow).
  • Comparison of free-breathing self-gated continuous IR spiral T1 mapping: dual flip angle versus Bloch-Siegert B1-corrected techniques
    Ruixi Zhou1, Daniel S. Weller2, Yang Yang3, Junyu Wang1, John P. Mugler4, and Michael Salerno5
    1Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 2Electrical and Computer Engineering, University of Virginia, Charlottesville, VA, United States, 3Biomedical Engineering and Imaging Institute and Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Radiology, Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 5Cardiology, Radiology, Biomedical Engineering, University of Virginia, Charlottesville, VA, United States
    In a single acquisition, a free breathing Bloch-Siegert shift B1 map, and a self-gated B1 and slice profile corrected T1 map are acquired. The technique is compared to our prior dual-flip angle approach and yields more accurate T1 values.
    Figure 1. Schematic of the acquisition. Data in the first two seconds acquired with off-resonance Fermi pulses were used to reconstruct the Bloch-Siegert B1 map. Data acquired with repetitive inversion pulses were used to reconstruct the T1* map.
    Figure 4. Human results. Short-axis basal (a) and middle (b) slices from one human subject are shown. As indicated by the bracket, 3° and 15° T1* maps are used to generate the 2FAs T1 map, while 3° T1* and BS B1 maps are used to generate the 1FA+B1 T1 map. MOLLI and SASHA T1 maps are also shown as comparison.
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Digital Poster Session - Cardiovascular Parameter Mapping
Cardiovascular
Thursday, 20 May 2021 13:00 - 14:00
  • T2* VERSUS NATIVE T1, T2 MAPPING IN PATIENTS WITH SUSPECTED MYOCARDIAL IRON OVERLOAD
    Rosh Varghese Georgy1, Elizabeth Joseph1, Aparna Irodi1, Binita Riya Chacko1, Leena Vimala Robinson1, and Roshan Samuel Livingstone1
    1Department of Radiology, Christian Medical College, Vellore, India
    T1, T2 mapping showed a strong positive correlation with T2* and T1 was shown to be superior to T2 in the non-invasive assessment of cardiac iron overload. 30% of the study population had normal T2* values, but low T1 values - an interesting finding.
    Figure 4 - 12 patients (30%) out of the total 40 patients showed T1 value below the normal range (<966ms), despite having T2* value in the normal range (>20ms)
    Figure 1 – T2* colour map in a normal patient (A) and a patient with severe cardiac iron overload (B). T1 colour map in a normal patient (C) and a patient with severe cardiac iron overload (D). T2 colour map in a normal patient (E) and a patient with severe cardiac iron overload (F)
  • Free-breathing, motion-resolved myocardial T1 mapping using inversion-recovery radial FLASH and model-based reconstruction
    Xiaoqing Wang1,2, Sebastian Rosenzweig1,2, Moritz Blumenthal1, Zhengguo Tan1,2, Nick Scholand1,2, and Martin Uecker1,2,3,4
    1University Medical Center Göttingen, Göttingen, Germany, 2Partner Site Göttingen, German Centre for Cardiovascular Research (DZHK), Göttingen, Germany, 3Cluster of Excellence "Multiscale Bioimaging: from Molecular Machines to Networks of Excitable Cells" (MBExC), University of Göttingen, Göttingen, Germany, 4Campus Institute Data Science (CIDAS), University of Göttingen, Göttingen, Germany
    This work develops a free-breathing myocardial T1 mapping technique. Initial results have demonstrated that the proposed method could achieve motion-resolved T1 mapping at a spatial resolution of 1.33 × 1.33 × 6 mm3 with good accuracy, precision and reproducibility.
    A representative cardiac motion-resolved T1 mapping at the end-expiration state for subject 1.
    A. MOLLI (mid-diastolic) and the representative motion-resolved myocardial T1 maps (mid-diastolic and mid-systolic) for two repetitive scans and two subjects. The line profiles along the motion dimension are presented in the bottom row for both subjects. B. Quantitative myocardial T1 values (ms, mean $$$\pm$$$ standard deviation) in left-ventricular septum for T1 maps in Figure 4A.
  • ProMyoT1: Open-source Inversion recovery myocardial T1 mapping sequence for fast prototyping
    Andreia S Gaspar1, Nuno A da Silva2, and Rita G Nunes1
    1Institute for Systems and Robotics - Lisboa and Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal, 2Hospital da Luz Learning Health, Lisboa, Portugal
    Open-source Prototype of Myocardial T1 mapping (ProMyoT1) allows faster implementation of new ideas for T1 mapping, while its applicability to different vendors though Pulseq versatility makes it an easier route to study reproducibility of new methods. 
    Figure 4 - T1 maps (in ms) estimated from ProMyoT1 and MOLLI with: a. Linear filling order; and b. Centric filling order. Vial segmentation is presented on the left.
    Figure 3 - T1 weighted image series of NIST/ISMRM phantom obtained with ProMyoT1 sequence with: a. Linear filling order; and b. Centric filling order. The time of inversion (in ms) for each image is presented according to the acquisition order and before the reordering required for T1 estimation. Simulated heart rate of 60 bpm.
  • A novel MOLLI T1 analysis method with data matching for reduced T1 underestimation
    Yuta Endo1, Haruna Shibo1, Makoto Amanuma1, Kuninori Kobayashi1, and Shigehide Kuhara1
    1Faculty of Health Sciences, Kyorin University, Mitaka-shi, Tokyo, Japan
    We developed a novel T1 analysis method by applying a data-matching strategy to the MOLLI method. The proposed method sufficiently reduces T1 underestimation of the MOLLI method and obtains more accurate T1 values.
    Figure: 2. T1 map obtained using the data-matching analysis method
    Figure: 3. Comparison of the measured T1 values obtained using the conventional and data-matching analysis methods
  • Evaluation of various image descriptor for motion correction between pre- and post-injected cardiac T1 maps, based on a demon algorithm
    Habib Rebbah1, Anaîs Bernard1, Julien Rouyer1, and Timothé Boutelier1
    1Research & Innovation, Olea Medical, La Ciotat, France
    The Sobel filter is the most adequate descriptor for registration of pre- and post-injected T1 maps. The main influencing parameters on its performances are the lesion size, the cross-slice motion and the cardiac phase mismatch
    Images descriptors for the same slice in pre- (first line) and post-injected (second line) MOLLI. The original images (first column) correspond to the higher TI images.
    Global evaluation of the performances of the registration algorithms in term of Dice (1st line), HD (2nd line) and NMI (3rd line). The second column presents the difference between the algorithm’s performance before and after motion correction. The table below presents the average results (+/-sd) for each parameter (rows) and each descriptor (columns).
  • Multi-Echo GRASP for Cardiac T2*-Relaxometry
    Thomas Lottner1, Joannes Fischer1, Simon Reiss1, Lars Bielak1, Timo Heidt2, Ali Caglar Özen1,3, Julien Thielmann2, Constantin von zur Mühlen2, and Michael Bock1
    1Department of Radiology, Medical Physics, Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Freiburg, Germany, 2University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 3German Consortium for Translational Cancer Research Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany
    T2* mapping can be a useful tool in therapy planning for iron accumulation in the heart, Multi-echo-GRASP offers a method of T2* mapping for all phases of the cardiac cycle without the need for a breath hold which is beneficial for patients with an impaired cardiac and/or respiratory capacity.
    Human Multiecho-GRASP magnitude images and T2* maps for 20 cardiac cycles. T2* values with low magnitude data (< 5% of mean signal intensity) was omitted.
    Reference multi-echo gradient echo acquisition compared to multiecho GRASP (5th echo not shown). The T2* map shows the color-coded values in the myocardium together with a bullseye plot of the mean T2* values in each segment.
  • Improvement of multi-echo gradient-spin-echo (mGraSE) myocardial T2 mapping utilizing Compressed SENSE reconstruction framework
    Isao Shiina1, Michinobu Nagao2, Masami Yoneyama3, Yasuhiro Goto4, Kazuo Kodaira4, takumi ogawa4, Mamoru Takeyama4, Isao Tanaka4, and Shuji Sakai2
    1Radiological Services, Tokyo Women's Medical University Hospital, tokyo, Japan, 2Department of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan, 3Philips Electronics Japan, Tokyo, Japan, 4Department of Radiological Services, Tokyo Women's Medical University Hospital, Tokyo, Japan
    mGraSE myocardial T2 mapping with C-SENSEdemonstrated improved image quality with higher image uniformity entire the shot-axis myocardium compared with conventional SENSE.
    (Fig:3)A short-axis image of color T2map. Comparison between conventional method and C-SENSE combined color T2map
    (Fig:2)A short-axis image of T2map. Comparison between conventional method and C-SENSE combined T2map
  • Native T1 and T2 mapping cardiovascular magnetic resonance for detection of cardiac allograft vasculopathy after heart transplantation
    Yurie Shirai1, Michinobu Nagao1, Noriko Kikuchi1, Atsushi Yamamoto1, Yuka Matsuo1, Risako Nakao1, Kiyoe Ando1, Eri Watanabe1, Shinichi Nunoda1, Masami Yoneyama2, and Syuji Sakai1
    1Tokyo Women’s Medical University, Tokyo, Japan, 2Philips Japan, Tokyo, Japan
    Native T1 mapping can be minimally invasive and have high diagnostic accuracy for CAV after heart transplantation, with no contrast and radiation exposure required.
    A man in his 60s man who underwent heart transplantation 16 years ago due to dilated cardiomyopathy. NH3-PET can quantify the absolute MBF and MFR by coronary territory (upper row). MRI T1 and T2 values in four territories were measured using the short-axis of mid left ventricular T1 and T2 mappings (lower row).
    Comparison of T1 (left) and T2 (right) between territories with MFR >2.0 and <2.0.
  • The suggested possibility of the T2rho contrast in the modified Look-Locker MRI technique used for the T1 quantification
    Seonghwan Yee1, Lorna Browne1, and Justin Honce1
    1Radiology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
    The MOLLI technique for T1 mapping was investigated using a phantom for its possible use as a T2-rho (T2 in the rotating frame) information tool. Since the T2rho is sensitive to iron content, the tool may be used as a composite relaxometry tool beyond the conventional use for cardiac T1 mapping.
    Fig. 4. In comparison to the reference T1 values for the T1 phantom, the actual T1 values measured by the MOLLI techniques are shown in (a) and (b). The top row is for HR=60 bpm, while the bottom is for HR=80 bpm. The comparisons were made three times for the flip angle (FA) 20°, 35° and 50°. The apparent T1 comparisons for the three FAs are shown in (c) and (d), and the correction factors are in (e) and (f).
    Fig. 2. If the relaxation under the influence of the B1 field is non-negligible, the longitudinal relaxation of the magnetization can be described as Eq. 4, where the T2rho relaxation is added. If the apparent T1 relaxation, T1’ in Eq. 5, can be expressed as Eq. 5, the signal model can still be the same way as Eq. 1 in Fig.1, and the correction factor can be expressed as Eq. 6. The actual T1 can still be obtained by multiplying the apparent T1 (T1’) and the correction factor, as in Eq. 7.
  • Right ventricular T1 mapping using a novel STEAM-based approach: STEAM-SASHA
    Malte Roehl1,2, Peter D Gatehouse1,2, Pedro F Ferreira1,2, Sonya V Babu-Narayan1,2, David N Firmin1,2, Dudley J Pennell1,2, Sonia Nielles-Vallespin1,2, and Andrew D Scott1,2
    1National Heart and Lung Institute, Imperial College London, London, United Kingdom, 2Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, United Kingdom
    To avoid errors in right ventricular T1 mapping caused by partial volume blood and epicardial fat signal we demonstrate a novel dark-blood fat-suppressed STEAM-SASHA method both in a phantom and in vivo.
    Figure 4:Full field of view example STEAM-SASHA images after averaging two sequence repeats (top line) with the associated STEAM-SASHA T1 map (bottom left) and the equivalent systolic product MOLLI T1 map acquired in one typical volunteer (T1 maps cropped). The STEAM-SASHA images show the reduction in signal intensity at the top and bottom of the image due to the in-plane slice select gradient used. The STEAM-SASHA T1 map provides excellent blood and fat suppression in the left and right ventricles.
    Figure 2:Example STEAM-SASHA images (full field of view) after averaging two sequence repeats (top line) with the associated STEAM-SASHA map (cropped) and the equivalent product MOLLI T1 map acquired in the T1MES phantom7.
  • Three-dimensional cardiac T1 mapping using subspace and sparsity constrained direct estimation
    Thibault Marin1, Paul K. Han1, Yue Zhuo1, Yanis Djebra1,2, Fang Liu1, Georges El Fakhri1, and Chao Ma1
    1Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 2LTCI, Telecom Paris, Institut Polytechnique de Paris, Paris, France

     

    Cardiac T1 mapping is a valuable tool to assess myocardial structure and assess cardiomyopathies.  We develop a direct estimation method for estimation of 3D cardiac T1 mapping using subspace modeling and physical modeling though the Bloch equation.

    Figure 4. T1 mapping result. T1 maps obtained by simple fitting of low-rank reconstruction (top row), the proposed direct estimation method (middle row) and MOLLI (bottom row) are shown over multiple slices. Green arrows indicate regions in the myocardium where the Fit (top row) and Direct (middle row) differ. The T1 maps from the proposed method better match those from MOLLI, with correction of artifacts resulting in overestimation of T1 values within the myocardium.
    Figure 2. MR images at different time frames. Top-row shows images from low-rank reconstruction (LR). The central row shows synthesized images obtained from a T1 model fit of the low-rank reconstruction (Fit). The bottom row shows temporal images obtained using the proposed direct method (Direct). Low-rank reconstructions are degraded by aliasing artifacts, which are reduced in synthesized images obtained from T1 model fitting. The proposed method shows improvement by further reducing the artifacts.
  • Altered T1 and T2 relaxation times in leg muscles are linked to hemodynamic and ambulatory parameters in patients with Peripheral Artery Disease.
    Constance J Mietus1, Yue Gao1, Mariano G Uberti2, Nicholas G Lambert1, Panagiotis Koutakis3, Evlampia Papoutsi3, Jonathan R Thompson1, Holly K DeSpiegelaere4, Michael D Boska2, Sara A Myers5, George P Casale1, Iraklis I Pipinos1,4, and Balasrinivasa R Sajja2
    1Department of Surgery, University of Nebraska Medical Center, Omaha, NE, United States, 2Department of Radiology, University of Nebraska Medical Center, Omaha, NE, United States, 3Department of Biology, Baylor University, Waco, TX, United States, 4Department of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, NE, United States, 5Department of Biomechanics, University of Nebraska Omaha, Omaha, NE, United States
    Alterations of T1 and T2 relaxation times are linked to the hemodynamic decline (ABI, ischemic window) and ambulatory impairment (peak plantar flexion, claudication onset time, peak walking time) of patients with Peripheral Artery Disease.
    Figure 1: A) Overlay of manually drawn regions on T2-weighted cross-section. B & C) Corresponding T1 and T2 relaxation time maps. MG = medial gastrocnemius, LG = lateral gastrocnemius, and SOL = soleus muscle regions.
    Figure 2: Ankle Brachial Index (ABI) is positively correlated with T1 relaxation time in the medial gastrocnemius and soleus (upper panel). Decreasing ABI reflects worsening arterial blockages. Ischemic window is negatively correlated with T2 relaxation time in the soleus and lateral gastrocnemius (lower panel). Increasing ischemic window reflects worsening arterial blockages.
  • Carotid T1 mapping with Muscle Referenced B1 Mapping Correction Using Variable Flip Angle Imaging without Extra Scan
    Huiyu Qiao1, Shuo Chen1, Zihan Ning1, Hualu Han1, Rui Shen1, and Xihai Zhao1
    1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine Tsinghua University, Beijing, China
    This study proposed a muscle referenced B1 mapping which could effectively adjust the B1 inhomogeneity for a more accurate carotid T1 mapping using variable flip angle imaging but without the need of additional B1 mapping scan.
    Figure 1. The flowchart of in-vivo data analysis for the T1 and B1 mapping calculation.
    Figure 2. The T1 values of left, right and both carotid vessel walls on the T1 mapping without or with B1 correction.
  • Improving T1 mapping robustness by automatic segmentation of myocardial tissue in MOLLI series
    María A Iglesias1, Daniel Lorenzatti2, José T Ortiz2, Susanna Prat2, Adelina Doltra2, Rosario J Perea2, Teresa M Caralt2, Oscar Camara1, Gaspar Delso3, and Marta Sitges2
    1Universitat Pompeu Fabra, Barcelona, Spain, 2Hospital Clínic de Barcelona, Barcelona, Spain, 3GE Healthcare, Barcelona, Spain
    A myocardial tissue segmentation pipeline based on Deep Learning has been implemented and tested on a large clinical database of T1 mapping MOLLI series. Whole heart segmentation was successful, but blood pool segmentation requires additional pre-processing to improve its accuracy.
    Figure 2. The first row corresponds to a sample of blood pool extraction result, the rest to whole-heart identification results. The first column shows the contours of the user-defined masks used as target to train the model. The second column corresponds to the contours of the inferred mask. The third column shows the overlay of both segmentations: in green, true positives; in red, false negatives and in yellow, false positives.
    Figure 1. U-net architecture implemented for both segmentation tasks.
  • Visualization of Coronary Myocardial Chemoablation: Comparison of Ethanol and Acetic Acid
    Daniel A Herzka1, Rajiv A Ramasawny1, Chris G. Bruce1, Delaney R. McGuirt1, William H. Schenke1, Jaffar M. Khan1, Adrienne E. Campbell-Washburn1,2, Aravindan A Kolandaivelu1,3, Toby A Rogers1,4, and Robert J. Lederman1
    1NHLBI, Division of Intramural Research, National Institutes of Health, Bethesda, MD, United States, 2Biophysics and Biochemistry Branch, Division of Intramural Research, NHLBI, NIH, Bethesda, MD, United States, 3Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Cardiology, Medstar Washington Hospital Center, Washington, DC, United States
    We examine 3D MRI to visualize chemoablation lesions created by intracoronary injection as used in septal ablation for the treatment of hypertrophic obstructive cardiomyopathy. In swine, 3D native contrast and gadolinium-enhanced MRI clearly delineated lesion extent.
    Figure 2: 3D imaging of acetic acid chemoablations (green arrows). Acutely, acetic acid produces strong T1 enhancement, which in combination with SPGR (inherently T1-weighted) results in signal contamination of T2W imaging. LGE appears hyperenhanced though heterogeneous. At later time points the T1W highlights lesion extent with good correspondence with ex-vivo MRI but with potentially confounding microvascular obstruction (orange arrows). Comparison with ex-vivo LGE indicates good correspondence to in-vivo imaging with both LGE and T1W imaging.
    Figure 1: 3D imaging of ethanol chemoablation lesions (red arrows). Acutely, edema is mildly visible on T2-W imaging, T1-W imaging reflects hypointense signal, and lesions appear hypointense on LGE, indicating no contrast agent was present within lesions. At later time points the inherent T1 weighting of SPGR resulted in lesion visualization on T2-W imaging. 3D T1-W imaging resulted in hyperintense lesion cores, surrounded by thin layer of hypointensity depicting onset of encapsulating scar (yellow arrows). Comparison with ex-vivo imaging demonstrates good correspondence.
  • Simultaneous Multi-slice Cardiac MR Multitasking for Motion-Resolved, Non-ECG, Free-Breathing Joint T1-T2 Mapping
    Xianglun Mao1, Hsu-Lei Lee1, Sen Ma1, Zhehao Hu1,2, Fei Han3, Yibin Xie1, Debiao Li1,2, and Anthony G Christodoulou1,2
    1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Department of Bioengineering, University of California in Los Angeles, Los Angeles, CA, United States, 3Siemens Medical Solutions Inc., Los Angeles, CA, United States
    We combined 2D MR Multitasking framework with simultaneous multi-slice (SMS) acquisition to perform T1/T2 mapping of basal, mid, and apical short-axis slices in 3 min. Multitasking resolves the cardiac and respiratory motions, allowing for free-breathing acquisition without need for ECG.
    Fig.2: Cardiac and respiratory motion-resolved T1 images of one subject (F,27) of proposed 2D SMS Multitasking protocol in base, mid, apex slices (1.7x1.7x8.0 mm3 resolution, TA=3min). Comparative ECG-gated, breath-held MOLLI T1 maps (base, mid, apex, 1.4x1.4x8.0 mm3 resolution, TA=11s) in short-axis orientation.
    Fig.3: Cardiac and respiratory motion-resolved T2 images of one subject (F,27) of proposed 2D SMS Multitasking protocol in base, mid, apex slices (1.7x1.7x8.0 mm3 resolution, TA=3min). Comparative ECG-gated, breath-held T2-prep FLASH T2 maps (base, mid, apex, 1.4x1.4x8.0 mm3 resolution, TA=11s) in short-axis orientation.
  • Myocardial tissue characterization by T2 mapping in thalassemia major
    Antonella Meloni1, Nicola Martini1, Rita Laura Borrello2, Vincenzo Positano1, Laura Pistoia1, Calogera Gerardi3, Mauro Murgia4, Valentina Carrai5, Monica Benni6, Sara Gentili7, Roberto Pedrinelli2, and Alessia Pepe1
    1MRI Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy, 2Università degli Studi di Pisa, Pisa, Italy, 3Presidio Ospedaliero "Giovanni Paolo II" - Distretto AG2 di Sciacca, Sciacca (AG), Italy, 4Ospedale San Martino di Oristano, Oristano, Italy, 5Azienda Ospedaliero - Universitaria Careggi, Firenze, Italy, 6Policlinico S. Orsola "L. e A. Seragnoli", Bologna, Italy, 7Ospedale "San Donato", Arezzo, Italy
    T2 mapping could reveal subclinical myocardial involvement (edema/inflammation) in patients with thalassemia major.
    Figure 2
    Figure 1
  • Self-Navigated Spiral T1 CMR Multitasking
    Jingyuan Lyu1, Qi Liu1, Zhongqi Zhang2, Jian Xu1, and Weiguo Zhang1
    1UIH America, Inc., Houston, TX, United States, 2United Imaging Healthcare, Shanghai, China
    This abstract presents a new approach to accelerated T1 mapping of the heart under free-breathing and without ECG. The proposed approach is still within the “multitasking” framework, but requires no navigator data.
    Figure 2. Typical volunteer multitasking images. (a) 30.7s imaging data were acquired and used for spiral, navigator-less multitasking reconstruction. (b) Both imaging data and navigator data were acquired from a total of 61.4s scan and used for spiral multitasking reconstruction.
    Figure 1. Spiral sampling trajectory used in self-navigated multitasking.
  • Clinical validation of a dedicated motion correction algorithm for cardiac MOLLI series using a quantitative metric
    Gaspar Delso1, Laura Farre2, Daniel Lorenzatti3, Santi Sotes3, Adelina Doltra3, Susanna Prat3, Rosario J Perea3, Teresa M Caralt3, José T Ortiz3, and Marta Sitges3
    1GE Healthcare, Barcelona, Spain, 2Universitat de Barcelona, Barcelona, Spain, 3Hospital Clínic de Barcelona, Barcelona, Spain
    A quantitative metric of cardiac alignment has been defined and validated. Using this metric, a dedicated motion correction for MOLLI series has been tested on a large clinical database, showing a noticeable increase in robustness.
    Figure 2.- Scatter plot of the improvement in the anatomical alignment metric, obtained with each of the motion correction methods, with respect to uncorrected data. Each data sample corresponds to one 2D MOLLI series.
    Figure 3.- Box & whisker plot illustrating the quantitative metric values for the three myocardial motion classes used in the qualitative analysis.
  • Evaluation of cardiac pre- and post-T1 maps registration for extracellular volume computation
    Habib Rebbah1, Anaïs Bernard1, Julien Rouyer1, and Timothé Boutelier1
    1Department of Research & Innovation, Olea Medical, La Ciotat, France
    The myocardial ECV compute after the registration of pre- and post-injection was significantly different than the ECV obtained by manual segmentation of structures. However, the bias remained thin (<1%/3% for remote/infarct).
    Registration result. The green contours and bars refer to the post-injection T1 map mask and the yellow one to the pre-T1 map mask. The second row presents the overlap (in red) of the masks before (1st column) and after (2nd column) Moco. The histogram plot shows the distribution of the pre-T1 values in the mask defined on the pre-T1 map before registration (yellow) and the distribution of the pre-T1 values in the mask defined on the post-T1 map after registration (green). HD: Hausdorff Distance.
    Global results. The 1st row presents the results in term of ECV for the remote (left) and infarct part (right), and for manual computed ECV (blue) and registration-based computation of ECV (orange). The divergence plot shows the difference between the distribution of pre-T1 value of the myocardium before and after registration in term of L2 distance and Jeffrey’s divergence. The final plot represents the difference between manual and Moco ECV regarding the obtained Dice after registration.
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Digital Poster Session - Cardiovascular Tissue Characterization: Beyond Relaxometry
Cardiovascular
Thursday, 20 May 2021 13:00 - 14:00
  • Time-averaged wall shear stress: a potential indicator for carotid intra-plaque hemorrhage
    Rui Shen1, Huiyu Qiao1, Zihan Ning1, Dongye Li2, Dandan Yang1, and Xihai Zhao1
    1Center for Biomedical Imaging Research, Tsinghua University, Beijing, China, 2Department of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China
    In this study, TAWSS was found to be associated with carotid IPH. In discriminating carotid IPH, the strength of combination between TAWSS and plaque burden was higher than each measurement alone, which suggests that TAWSS is a potential indicator for carotid vulnerable plaque features of IPH.
    Figure 1. The demonstration of CFD analysis parameters, to multi-contrast MRI images and histological images.

    Figure 2. ROC curves of TAWSS combined with max wall thickness (MWT) and normal wall index (NWI) in discriminating IPH.

    (The black line represents the ROC curves for predicting IPH with TAWSS. The orange and green lines represent the ROC curves for predicting IPH with TAWSS of combined MWT and of combined NWI.)

  • Multidimensional Diffusion MRI in the Ex Vivo Mouse Heart
    Irvin Teh1, Samo Lasič2,3, Henrik Lundell3, Beata Wereszczyńska1, Matthew Budde4, Erica Dall'Armellina1, Nadira Yuldasheva1, Filip Szczepankiewicz5,6,7, and Jürgen E. Schneider1
    1Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom, 2Random Walk Imaging, Lund, Sweden, 3Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark, 4Department of Neurosurgery, Neurobiology, and Anatomy, Medical College of Wisconsin, Milwaukee, WI, United States, 5Clinical Sciences, Lund University, Lund, Sweden, 6Harvard Medical School, Boston, MA, United States, 7Brigham and Women's Hospital, Boston, MA, United States
    Multidimensional diffusion MRI has the potential to improve specificity in cardiac diffusion MRI beyond that achievable with DTI. We present initial data in ex vivo mouse hearts at 7T, that demonstrate the feasibility and potential of the technique.
    Figure 3. Parameter maps in control and isoproterenol hearts generated by fitting the (top-bottom) DTI, covariance and gamma models scaled to [0 1]. DTI and covariance methods yield mean diffusivity (MD in µm2/ms) and fractional anisotropy (FA). Additional maps of microscopic fractional anisotropy (µFA), mean anisotropic kurtosis (MKa), mean isotropic kurtosis (MKi), mean total kurtosis (MKt), microscopic orientation coherence (Cc) and normalised size variance (CMD) are shown, along with ROI masks (bottom right).
    Figure 2. (Left) Normalised signal attenuation curves for spherical and linear tensor encoding in myocardium (myo) of the control heart and gel. Non-monoexponential behaviour of gel at high b was governed by noise. (Right) Zoomed section showing signal kurtosis attributable to isotropic and anisotropic components (MKi; MKa). (Top) Example LTE images averaged across diffusion directions.
  • Conventional balanced SSFP magnetic resonance images reveal patterns of clinically suspected myocarditis using texture analysis
    Evin Ina Papalini1, Christian Polte2, and Kerstin Magdalena Lagerstrand1
    1Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden, 2Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Gothenburg, Sweden
    The non-contrast-based MRI technique balanced-SSFP displays quantitative texture features in patients with clinically suspected myocarditis.
    Figure 1. Example of a typical free-hand region of interest drawn on a short axis bSSFP image, encompassing the left ventricular myocardium.
    Figure 2. Box-Whisker plots illustrating the differences for the significant texture features between patients with myocarditis and controls on bSSFP images. The median is represented by the centerline of the boxplot with upper and lower limits of 25th and 75th percentiles, respectively. The Whiskers extending from the boxes indicates the most extreme values within 25th and 75th percentiles ±1.5*interquartile range; data points beyond the whiskers are displayed as +. Texture features are dimensionless. bSSFP = balanced steady-state-free-precession.
  • Imaging of cardiac skeleton without contrast agents
    Yi Li1, Jiri Mares1, and Timo Liimatainen1
    1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
    We applied RAFFn to study contrast between cardiac skeleton and myocardium. We found the relationship between relaxation times and RAFFn pulse duration. The optimal pulse duration to gain maximum contrast was close to 2.5 ms. RAFF2 and T2 maps demonstrated higher contrast compared to others.
    Figure 3. Relationship between CNR and TRAFF2 pulse duration. Mean and SEM of CNR, CNR, contrast to noise ratio. CNR is calculated as follow CNR=[T(fibrous skeleton)-T(myocardium)]/σo(myocardium)×100%; σo, standard deviation of the noise; SEM, standard error of the mean.*p<0.05, **p<0.01, Paired two-tail Student’s t-test.
    Figure 2. Relationship between relaxation times in fibrous skeleton and myocardium areas and TRAFF2 pulse duration.
  • Microstructure-Based Simulation of Myocardial Diffusion Using Extended Volume Confocal Microscopy
    Alexander James Wilson1, Kevin M Moulin2, Gregory B Sands3, and Daniel B Ennis2
    1Radiology, Stanford University, Palo Alto, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States, 3Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
    A physics-based diffusion tensor MRI simulation of a confocal tissue volume yielded a transmural helix angle well matched to structure tensor analysis. Direct comparisons of confocal tissue volumes with cardiac DTI are feasible and can provide insight to experimental design.
    Figure 1: Overview of study design. (Left) Flow chart of the main study steps from imaging, through segmentation and analysis to comparison of results. (Top Right) Histology image produced from the extended volume confocal microscopy, presented using a ‘Glow’ look up table. (Bottom right) The same image after segmentation of the following compartments: intracellular (blue), extracellular (red) and blood vessel/cleavage space (green).
    Figure 3: Results of the diffusion tensor simulation. Vector representations of the primary eigenvector of the diffusion tensor analysis from the four rows of voxel-blocks (top row and middle row). Color maps of the helix angle (bottom). The vector plots show a transition from longitudinal myofibers at the epicardium, through circumferential fibers at the mid-wall, to longitudinal fibers at the endocardium.
  • Quantitative Susceptibility Mapping for Mitral Annulus Calcification Detection via Validation of Computed Tomography/Echocardiography
    Jiahao Li1,2, Hannah Mitlak3, Lakshmi Nambiar3, Romina Tafreshi3, Jiwon Kim3, Yi Wang1,2, Jonathan W. Weinsaft3, and Pascal Spincemaille2
    1Biomedical Engineering, Cornell University, Ithaca, NY, United States, 2Radiology, Weill Cornell Medicine, New York, NY, United States, 3Medicine, Weill Cornell Medicine, New York, NY, United States
    Cardiac QSM is able to detect mitral annulus calcification as confirmed by CT and echocardiography.
    Figure 1. Gradient echo (GRE), QSM and R2* in representative cases of A) moderate MAC, B) mild MAC, and C) non-calcification. The corresponding computed tomography of each case is shown in the first column as the reference for presence and severity of calcification. The red arrows indicate the location of mitral annular calcification.
    Figure 3. Correlation between CT value and susceptibility in calcification regions from MAC patients. Susceptibility detected by thresholding aligned well with CT reference as linear relationship. H.U., Hounsfield unit; ppm, parts per million. Red points: moderate calcification; blue points: mild calcification.
  • Microstructural CMR imaging in a longitudinal pig model of acute to chronic myocardial infarction
    Christian T Stoeck1, Constantin von Deuster1, Maximilian Fuetterer1, Malgorzata Polacin1,2, Conny F Waschkies1, Robbert JH van Gorkum1, Mareike Kron3, Thea Fleischmann3, Nikola Cesarovic3,4, Miriam Weisskopf3, and Sebastian Kozerke1
    1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland, 2Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland, 3Division of Surgical Research, University Hospital Zurich, Zurich, Switzerland, 4Institute of Translational Cardiovascular Technologies, ETH Zurich, Zurich, Switzerland
    Cardiac diffusion tensor imaging shows great potential as non-contrast imaging method for assessing the dynamics of myocardial infarction, when compared to native relaxometry.
    Figure 1: 1 Example images over the time course of the experiment. The systolic timeframe shows hypocontraction in the inferior lateral wall coinciding with late gadolinium enhancement (LGE), native T1, extra cellular volume fraction (ECV), T2 mapping, mean diffusivity (MD) and fractional anisotropy (FA).
    Figure 3 relative change in native T1, extra cellular volume (ECV), T2, mean diffusivity (MD) and fractional anisotropy (FA) in the infarcted area compared to the remote area. Error bars indicate one standard deviation across cases. The asterisk indicates statistically significanct (p<0.05) difference compared to baseline contrast.
  • Metabolic changes in coronary artery disease assessed using 1H NMR Metabolomics
    Pawan Kumar1, Uma Sharma1, Rajeev Narang2, and Sujeet Mewar1
    1Nuclear Magnetic Resonance and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 2Cardiology, All India Institute of Medical Sciences, New Delhi, India
    Significant differences in the concentration of metabolites like lactate, pyruvate, choline, acetate and alanine in the blood plasma of CAD patients compared to healthy controls indicating metabolic abnormalities related to the development of CAD.
    Figure 2: PLS-DA plot showing separation of patients with CAD (Red) from controls (Green).
    Figure 1: 1D 1H NMR spectrum of blood plasma of a patient with CAD acquired at 700 MHz.
  • Increased SNR and improved reproducibility for cardiac 31P MRS at 7T using compartmentalized spectroscopy
    Andrew Tyler1,2, Justin Y C Lau1, Jane Ellis1, Jack J Miller1,2,3, Paul A. Bottomley4, Christopher T Rodgers1,5, Damian J Tyler1,2, and Ladislav Valkovic1,6
    1Oxford Centre for Clinical Cardiac Magnetic Resonance Research, University of Oxford, Oxford, United Kingdom, 2Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, United Kingdom, 3Department of Physics, University of Oxford, Oxford, United Kingdom, 4The Division of MR Research, Johns Hopkins Medicine, Baltimore, MD, United States, 5Wolfson Brain Imaging Centre, University of Cambidge, Cambridge, United Kingdom, 6Department of Imaging Methods, Institute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovakia
    31P compartmentalized spectroscopy techniques at 7T can achieve a significantly higher SNR than a CSI acquisition, for the same acquisition time, while improving inter-scan reproducibility and providing similar cardiac PCr/ATP ratio.
    Figure 2: (A) A sample segmentation map of one slice of the heart, showing (blue) chest wall, (orange) heart and (green) other compartments, and (black) the midseptal voxel (64% threshold of voxel PSF) used in the short AW CSI reconstruction. (B) Sample spectra for each compartment in (A) reconstructed using the SLAM algorithm and AW acquisition. (C) Fit, using the OXSA toolbox of the heart compartment spectra in (B). (D) SLIM and SLAM reconstruction of heart compartment in (A) with AW data and the mid-septal voxel of the short AW CSI reconstruction. Spectra in B and D are normalized by noise.
    Figure 4: Box-plot showing PCr SNR values for each acquisition, median and IQR indicated by box. * indicates significant difference to midseptal CSI reconstruction (Wilcoxon signed-rank paired, α=0.05/6, P-values above box-plot). SLAM/SLIM reconstructions which use the same data acquisition as the midseptal reconstruction are highlighted.
  • Evaluating the Myocardial Diffusion Status in Cardiac Amyloidosis: A Novel Intravoxel Incoherent Motion Diffusion-weighted MR Imaging Study
    Mengdi Jiang1, Xianghua Huang2, Guifen Yang3, Weiqiang Dou4, and Yong Shen5
    1Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, NanJing, China, 2National Clinical Research Center of Kidney Disease, Jinling Hospital, Medical School of Nanjing University, NanJing, China, 3Department of Nuclear Medical, Jinling Hospital, Medical School of Nanjing University, NanJing, China, 4GE Healthcare,MR Research China, BeiJing, China, 5GE Healthcare,MR Enhanced Application China, BeiJing, China
    IVIM parameters  ADCslow and ADCfast were found to be significantly altered by cardiac amyloidosis, allowing to identify amyloidosis specific patterns.   
    Figure 4 Typical example of IVIM-derived parameters, strain and LGE for (A) a healthy control and (B) a LGE(+) patient with cardiac amyloidosis. Other abbreviations as in Figure 2&3.
    Figure 2 Box plot indicating the distribution of the ADCslow, ADCfast, and F values among the healthy controls and LGE(+) or LGE(-) patients. LGE= late gadolinium enhancement.
  • 3D wave Cardiac Magnetic Resonance for myocardial scar tissue characterization
    Quentin Lebret1,2, Pierre Bour1,2, Valéry Ozenne1,2, Nestór Pallares-Lupon1,2, Richard Walton1,2, and Bruno Quesson1,2
    1IHU Liryc, Electrophysiology and Heart Modeling Institute, fondation Bordeaux Université, Pessac, France, 2Univ. Bordeaux, INSERM, Centre de recherche CardioThoracique de Bordeaux, U1045, Bordeaux, France
    Using a combination of wave acquisitions and Poisson undersampling, we retrospectively subsampled images of a sheep heart by an acceleration factor of 4, and successfully reconstructed said images, opening the path to a fast high-resolution 3D LGE acquisition.
    (a.) Fully sampled reconstruction compared to a 2x2 CAIPI scheme and a VD Poisson 4-fold retrospectively accelerated. The red arrow indicates the infarct. (b.) Relative error between the fully sampled and the accelerated data.

    Sequence diagrams. Zoom in on the Trajectory Calibration Sequence (b.) and on the Wave sequence (c.).

    a.) The sequence is triggered in diastole and respiratory gating was performed using an echo navigator played before data acquisition.

    b.) The trajectories calibration module takes place during the first 25 seconds (4 averages are performed).

    c.) The wave encoding gradients are applied during the readout, in both phase and slice directions. The slice encoding wave gradient starts ¼ of a cycle before the phase wave gradient.

  • Quantification of strain analysis in coronary chronic total occlusion: A cardiovascular magnetic resonance imaging follow-up study
    Lijun Zhang1, Jinfan Tian2, Xueyao Yang2, Jing An 3, Yi He4, and Xiantao Song2
    1Department of Radiology, Beijing AnZhen Hospital, Capital Medical University, Beijing, China, 2Department of Cardiology, Beijing AnZhen Hospital, Capital Medical University, Beijing, China, 33Siemens Shenzhen Magnetic Resonance Ltd, Beijing, China, 4Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
    The main findings of the present study are as follows: (1) global and segmental strains improved over time, and GCS showed a significant treatment effect of successful CTO-PCI; (2) GCS and GLS determined by CMR-FT were strongly correlated with LVEF.
    Table 1. Analysis for CMR of Baseline and Flow-up
    Figure 2. Comparison of left ventricular global strain parameters between baseline and follow-up based on per-patient subgroup analysis. In the subgroup per-patient analysis, the global peak systolic radial strain (GRS), global circumferential strain (GCS), and global longitudinal strain (GLS) of the viable (SIE < 50%) and nonviable (SIE ≥ 50%) groups were not significantly improved after successful CTO-PCI in 1-year follow-up.
  • 3D Whole Heart Grey-blood PSIR Slow Infusion Imaging for High-resolution Isotropic LGE Imaging
    Alina Psenicny1, Reza Hajhosseiny1, Giorgia Milotta2, Karl P Kunze3, Radhouene Neji1,3, Amedeo Chiribiri1, Pier Giorgio Masci1, Claudia Prieto1, and René M Botnar1
    1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Wellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom, 3MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom
    A free-breathing non-rigid motion corrected high-resolution 3D whole heart grey-blood PSIR slow infusion imaging protocol with water/fat Dixon encoding at 1.5 mm3 isotropic resolution was proposed for improved scar visualization.
    3D grey-blood PSIR image and fat volume in coronal and short axis views for two representative cases with scar. Excellent scar to myocardium SNR can be observed in both cases.
    Comparison between the 2D and 3D grey-blood PSIR images for 3 patients. Corresponding slice positions of the 2D short-axis images were reformatted for the 3D grey-blood PSIR images. Image quality is comparable across the slices for all the cases with a good depiction of scar observed across the whole 3D volume compared to the 2D acquisition.
  • An Off-Resonance Insensitive Orthogonal CSPAMM Sequence (ORI-O-CSPAMM)
    Hernán Mella1,2,3, Hui Wang4,5, and Sergio Uribe2,3,6
    1Department of Electrical Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile, 2Biomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile, 3Millennium Nucleus for Cardiovascular Magnetic Resonance, ANID - Millennium Science Initiative Program, Santiago, Chile, 4Philips, Cincinnati, OH, United States, 5Department of Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States, 6Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile
    ORI-O-CSPAMM effectively removed off-resonance effects and only two images where necessary to reconstruct CSPAMM and MICSR images
    Figure 2: Water and fat phantom images obtained using complex-difference (CD) and MICSR for a trigger-delay-time of 45 ms (the delays are different between the images due to differences in the duration of the tagging prepulse). The images were acquired using (a) CSPAMM, (b) ORI-CSPAMM, (c) O-CSPAMM, and (d) ORI-O-CSPAMM sequences. Images acquired without ORI prepulse showed a shift in the tagging pattern at the water-fat interface, while in ORI versions ((b) and (d)) the shift was corrected.
  • Assessment of myocardial involvement characteristics by cardiac MR imaging in patients with polymyositis and dermatomyositis
    Changjing Feng1, Wangyan Liu1, Xiaoxuan Sun1, Qiang Wang1, Xiaomei Zhu1, Xiaoyue Zhou2, Yi Xu1, and Yinsu Zhu1
    1The First Affiliated Hospital of Nanjing Medical University, Nanjing, China, 2Siemens Healthineers Ltd., Shanghai, China
    CMR tissue characterization imaging could early detect myocardial involvement in the PM and DM patients. The features of myocardial involvement are  different between PM and DM patients. Myocardial involvement in patients with PM is more serious when compared to patients with DM.
    Course of late gadolinium enhancement (LGE), Native myocardial T1 and ECV map images in PM and DM patients, respectively. LGE detected mid-wall enhancement in the interventricular septum and inferior in PM and subepicardial enhancement in the interventricular septum and inferior in DM. LGE volume of 16% in both the PM and DM patients. Mean global native T1 and ECV values were 1281 ms and 32%, 1283 ms and 30% in PM and DM patients, respectively.
    Global native T1 (A) in control (green), Polymyositis (PM) (red), and Dermatomyositis (DM) (blue) and global ECV (B) in Polymyositis (PM) (red), and Dermatomyositis (DM) (blue) showed by box plots.
  • Assessment of different b values in motion-controlled myocardium spin echo diffusion tensor imaging in vivo
    Yuli Huang1, Xinyang Wu2, Lifei Ma2, Haipeng Dong3, and Qian Jiang2
    1Philips Healthcare (Suzhou) Co., Ltd, Suzhou, China, 2Philips (China) Investment Co., Ltd., Shanghai, China, 3Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
    Diffusion tensor imaging using SE-EPI was performed in 9 subjects. Significant difference was found in SNR, CNR, MD, and FA between varying b values while not between myocardium segments. Intermediate b values are recommended to achieve a balance of image quality and diffusion sensitivity.
    Figure 1. Diffusion weighted images, MD maps, FA maps, and direction-encoded color FA maps at b values of 300, 500, 800 s/mm2 of one volunteer.
    Figure 3. SNR, CNR of images acquired with different myocardium quiescent duration of all subjects.
  • Early Cardiac Involvement Detected by CMR Feature Tracking in Idiopathic Inflammatory Myopathy with Preserved Ejection Fraction
    Wangyan Liu1, Yinsu Zhu1, and Yi Xu1
    1the first affiliated hospital of Nanjing medical university, Nanjing, China
    (1) The damaged LV strain in IIM patients mainly involved global and regional LV longitudinal PS; (2) LA reservoir function and conduit function were impaired in IIM patients.
    Figure 1. Receiver operating characteristic analysis of model1, model2 and model3 for differentiation of patients with IIM from the controls. Area under curve for model 3:0.876 (95% CI: 0.787-0.965; P<0.001); model 2:0.851(95% CI: 0.758-0.944; P<0.001); model 1:0.745 (95% CI: 0.623-0.868; P=0.001).
    Table 3.LA volumetric and deformation parameters assessed by CMR-FT
  • A Framework to extract and visualize the myofiber helix angle locally and globally from the cardiac diffusion tensor images
    Mehrzad Tartibi1, Randall Lee2, Christopher Nguyen3, Jaume Coll-Font3,4, Youngho Seo2, and Qizhi Fang2
    1DelBeat Inc., Berkeley, CA, United States, 2University of California San Francisco, San Francisco, CA, United States, 3Massachusetts General Hospital, Boston, MA, United States, 4Harvard Medical School, Boston, MA, United States
    Developed a method to remove the trabeculae and the ventricle papillary muscles from the segmentation of the DTI images. This tool allows for accurate measurement of the myofiber helix angle. The swine helix angle is linearly varies from the ventricle endocardium to the epicardium.  
    The statistical analysis of the myofiber angle for (A) the swine subject (A) and (B) the swine subject (B).
    wall thickness and helix angle distribution are shown on a 2D flattened polar plot of swine subject (A). (A) Swine Subject (A) 3D endocardial surface with wall-thickness contour, (B) 2D-flattened wall thickness contour, (C) 2D-flattened helix angle at the subendocardial surface, and (D) 2D-flattened helix angle at the subepicardial surface. White and black curves represent the marking of right ventricle anterior and interior insertion points, respectively.
  • Optimization of B0 Simulation Strategy in the Human Heart based on CT Images at limited Field of View
    Yun Shang1, Sebastian Theilenberg1, Laura M. Schreiber2,3, and Christoph Juchem1,4
    1Department of Biomedical Engineering, Columbia University, New York, NY, United States, 2Chair of Cellular and Molecular Imaging, Comprehensive Heart Failure Center, University Hospital Wuerzburg, Wuerzburg, Germany, 3Department of Cardiovascular Imaging, Comprehensive Heart Failure Center, University Hospital Wuerzburg, Wuerzburg, Germany, 4Department of Radiology, Columbia University Medical Center, New York, NY, United States
    B0 simulation error adopting FFT-based method converged starting from a zero-padding factor of 2-3. Higher spatial resolution led to more accurate fields distribution. Anatomical extension of CT-derived FOV from a body with similar BMI allows to elevate B0 field accuracy with lowest error.
    Figure 2. Comparison of simulated B0 fields in the heart between the FFT-based method and dipole method. A) Exemplary field distribution in the heart was calculated using dipole method based on the susceptibility distribution of Ella’s entire body at 3 mm isotropic. The standard deviation of the field difference was shown B) from fine to coarse resolution and C) a range of zero-padding factors. Zero-padding factors higher than 2.5 do not substantially improve the STD value, i.e., B0 accuracy, while a higher resolution can significantly lower this value (dash line: linear fit at zf = 2.5).
    Figure 5. The standard deviation of field difference between the extended CT-derived FOV and the entire body for ten female models (left) and ten male models (right). The anatomical extension type 3 adopting the body with a similar BMI exhibited the lowest B0 simulation error compared to other types, especially in male models. It is the optimized strategy when sufficient computation power is available while simplified anatomical extension type 4 are reasonable compromises to achieve high-resolution B0 simulation with less discretization error under limited computation resources.
  • A Comparison of Metal Artifacts in Cardiovascular MRI at 0.55T and 1.5T
    W. Patricia Bandettini1, Christine Mancini2, Sujata M. Shanbhag2, Jennifer Lynn Henry2, Margaret M. Lowery2, Marcus Y. Chen2, and Adrienne E. Campbell-Washburn2
    1NIH/NHLBI, Bethesda, MD, United States, 2NATIONAL INSTITUTES OF HEALTH/NHLBI, BETHESDA, MD, United States
    This preliminary evaluation of in vivo metallic device artifacts suggests that lower field strength (0.55T) CMR may lend some advantage in decreasing the susceptibility artifact associated with common cardiovascular implanted devices compared to conventional 1.5T field strength imaging.
    Figure 1. Sternal wire and bioprosthetic aortic valve artifact appear more prominent at 1.5T (left) compared to 0.55T field strength (right).
    Figure 5. Example pacemaker leads for two patients (4-chamber on top, short-axis ventricle on bottom) imaged at 1.5T and 0.55T. The artifact caused by the lead implants was reduced at 0.55T. In addition, the de-phased blood artifact visible in the 4-chamber view at 1.5T is diminished at 0.55T.