3D joint T1 /T1𝛒/T2 mapping and water-fat imaging forcontrast-agent free myocardial tissue characterization at1.5T

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Abstract

Purpose: To develop a novel, free-breathing, 3D joint T1 /T1𝜌/T2 mapping sequence with Dixon encoding to provide co-registered 3D T1 , T1𝜌, and T2 maps and water-fat volumes with isotropic spatial resolution in a single β‰ˆ 7 min scan for comprehensive contrast-agent-free myocardial tissue characterization and simultaneous evaluation of the whole-heart anatomy.

Methods: An interleaving sequence over 5 heartbeats is proposed to provide T1 , T1𝜌,and T2 encoding, with 3D data acquired with Dixon gradient-echo readout and 2Dimage navigators to enable 100% respiratory scan efficiency. Images were reconstructed with a non-rigid motion-corrected, low-rank patch-based reconstruction, and maps we regenerated through dictionary matching. The proposed sequence was compared against conventional 2D techniques in phantoms, 10 healthy subjects, and 1 patient.

Results: The proposed 3D T1 , T1𝜌, and T2 measurements showed excellent correlation with 2D reference measurements in phantoms. For healthy subjects, the mapping values of septal myocardial tissue were T1 = 1060 ± 48 ms, T1𝜌 = 48.1 ± 3.9 ms, and T2 =44.2 ± 3.2 ms for the proposed sequence, against T1 = 959 ± 15 ms, T1𝜌 = 56.4 ± 1.9 ms,and T2 = 47.3 ± 1.5 ms for 2D MOLLI, 2D T1𝜌-prep bSSFP and 2D T2 -prep bSSFP, respectively. Promising results were obtained when comparing the proposed mapping to 2D references in 1 patient with active myocarditis.

Conclusion: The proposed approach enables simultaneous 3D whole-heart jointT1 /T1𝜌/T2 mapping and water/fat imaging in β‰ˆ 7 min scan time, demonstrating good agreement with conventional mapping techniques in phantoms and healthy subjects and promising results in 1 patient with suspected cardiovascular disease.

Original languageEnglish
Pages (from-to)2297-2310
Number of pages14
JournalMagnetic Resonance in Medicine
Volume93
Issue number6
Early online date21 Feb 2025
DOIs
Publication statusE-pub ahead of print - 21 Feb 2025

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