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Magnetic Resonance Materials in Physics, Biology and Medicine
Published in: Magnetic Resonance Materials in Physics, Biology and Medicine 2/2019

01-04-2019 | Research Article

Cardiac- versus diaphragm-based respiratory navigation for proton spectroscopy of the heart

Authors: Mareike Gastl, Sophie M. Peereboom, Maximilian Fuetterer, Florian Boenner, Malte Kelm, Robert Manka, Sebastian Kozerke

Published in: Magnetic Resonance Materials in Physics, Biology and Medicine | Issue 2/2019

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Abstract

Objectives

To study inter-individual differences of the relation between diaphragm and heart motion, the objective of the present study was to implement respiratory navigation on the heart and compare it against the established method of navigator gating on the diaphragm for single-voxel cardiac 1H-MRS.

Materials and methods

1H-MRS was performed on a 1.5T system in 19 healthy volunteers of mixed age (range 24–75 years). Spectra were recorded in a 6–8 ml voxel in the ventricular septum using a PRESS (point-resolved spectroscopy) sequence and ECG gating. Water-unsuppressed data acquired with pencil beam navigation on the heart were compared to data with navigation on the diaphragm. Water-suppressed data were obtained to assess triglyceride-to-water ratios.

Results

Water phase and amplitude fluctuations for cardiac versus diaphragm navigation did not reveal significant differences. Both navigator positions provided comparable triglyceride-to-water ratios and gating efficiencies (coefficient of variation (CoV) 7.0%). The cardiac navigator showed a good reproducibility (CoV 5.2%).

Discussion

Respiratory navigation on the heart does not convey an advantage over diaphragm-based navigator gating for cardiac 1H-MRS, but also no disadvantage. Consequently, cardiac and diaphragm respiratory navigation may be used interchangeably.
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Metadata
Title
Cardiac- versus diaphragm-based respiratory navigation for proton spectroscopy of the heart
Authors
Mareike Gastl
Sophie M. Peereboom
Maximilian Fuetterer
Florian Boenner
Malte Kelm
Robert Manka
Sebastian Kozerke
Publication date
01-04-2019
Publisher
Springer International Publishing
Published in
Magnetic Resonance Materials in Physics, Biology and Medicine / Issue 2/2019
Print ISSN: 0968-5243
Electronic ISSN: 1352-8661
DOI
https://doi.org/10.1007/s10334-018-0711-y

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