Chun Yuan

Carotid vessel wall imaging complements angiographic techniques, which are based on measurements of luminal stenosis, has the ability to identify atherosclerotic plaque features associated with increased risk for ischemic events. These features include luminal morphology, fibrous cap rupture, and ulcerations, intraplaque hemorrhage, lipid rich necrotic core, neovasculature and inflammation, and overall plaque burden. There are many imaging techniques developed for vessel wall imaging and quantitative analysis in recent years.This talk will summarize the current expert consensus on carotid vessel wall imaging and introduce recent advances in MRI based techniques.

Huilin Zhao

3D MR vessel wall imaging (3D MR VWI) can characterise vessel wall pathology affecting extra- and intracranial arteries and helps in differentiating vasculopathies. 3D MR VWI has emerged as an invaluable technique for understanding and evaluating cerebrovascular diseases. In this talk, technical considerations of 3D MR VWI are discussed and current applications of 3D MR VWI in cerebrovascular atherosclerosis, aneurysm and dissection are reviewed.

Oliver Wieben

Exercise cardiovascular magnetic resonance (CMR) is an emerging technique with great clinical potential. Advances in device design and availability and image acquisition and reconstruction and MR methodology continue to improve the image quality and robustness and enable novel research approaches such as realtime MRI or complex quantitative hemodynamic analysis with 4D Flow MRI under exercise conditions.

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Adrianus Bakermans

Metabolic derangements have been identified in various cardiovascular pathologies, and many metabolic disorders may lead to a cardiac phenotype. Magnetic resonance spectroscopy (MRS) has the unique capability to provide quantitative data on in vivo tissue content of relevant metabolites, and can therefore be of added value to cardiac MRI protocols. Human anatomy and physiology pose substantial challenges to adequately localized MRS of the in vivo heart. This educational will discuss localization strategies for MRS of the in vivo heart, consider aspects for a meaningful quantitative interpretation of acquired spectra, and highlight various applications of proton, phosphorus-31 and carbon-13 MRS.

Jessica Bastiaansen

Hyperpolarization methods have enabled metabolic imaging of the heart with unprecedented signal gains. Hyperpolarized metabolic imaging following dissolution DNP made its way to the clinic within 10 years of its discovery. Despite its fast progress, the field relies on the proximity of dedicated hardware and fast imaging approaches to get around the rapid T1 induced signal loss. In this educational talk we will introduce the topic of hyperpolarization and its application to cardiac metabolic imaging. We will compare its strengths and weaknesses with other imaging modalities, and discuss the current challenges and remaining opportunities of this promising field. 

Su-Zhen Dong, Ming Zhu

The objective of this presentation is to provide an overview of fetal cardiac MR imaging methods and their applications in congenital heart disease.

Eric Schrauben

Pediatric cardiac patients have high heart rates and fast and often irregular breathing. Aperiodic and sporadic bulk motion is also an issue, especially for very young patients. Mitigation, compensation, or correction of motion is therefore paramount. This educational talk will describe patient preparation, hardware, acquisition, and reconstruction strategies for motion. Simple routine approaches will be discussed, such as: sedation versus general anesthesia and breath-holding versus averaging. More advanced and emerging approaches, which include real-time imaging, resolving cardiorespiratory motion, and the application of machine learning, will also be addressed. Examples from literature and ISMRM will be highlighted to exemplify these approaches.