Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Imaging
Assessment of Left Ventricular Function and Mass on Free-Breathing Compressed Sensing Real-Time Cine Imaging
Tomoyuki KidoTeruhito KidoMasashi NakamuraKouki WatanabeMichaela SchmidtChristoph FormanTeruhito Mochizuki
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2017 Volume 81 Issue 10 Pages 1463-1468

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Abstract

Background:Compressed sensing (CS) cine magnetic resonance imaging (MRI) has the advantage of being inherently insensitive to respiratory motion. This study compared the accuracy of free-breathing (FB) CS and breath-hold (BH) standard cine MRI for left ventricular (LV) volume assessment.

Methods and Results:Sixty-three patients underwent cine MRI with both techniques. Both types of images were acquired in stacks of 8 short-axis slices (temporal/spatial resolution, 41 ms/1.7×1.7×6 mm3) and compared for ejection fraction, end-diastolic and systolic volumes, stroke volume, and LV mass. Both BH standard and FB CS cine MRI provided acceptable image quality for LV volumetric analysis (score ≥3) in all patients (4.7±0.5 and 3.7±0.5, respectively; P<0.0001) and had good agreement on LV functional assessment. LV mass, however, was slightly underestimated on FB CS cine MRI (median, IQR: BH standard, 83.8 mL, 64.7–102.7 mL; FB CS, 79.0 mL, 66.0–101.0 mL; P=0.0006). The total acquisition times for BH standard and FB CS cine MRI were 113±7 s and 24±4 s, respectively (P<0.0001).

Conclusions:Despite underestimation of LV mass, FB CS cine MRI is a clinically useful alternative to BH standard cine MRI in patients with impaired BH capacity.

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© 2017 THE JAPANESE CIRCULATION SOCIETY
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