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Fast myocardial T1 mapping using shortened inversion recovery based schemes

Research output: Contribution to journalArticlepeer-review

Original languageEnglish
Pages (from-to)641-654
Number of pages14
JournalJournal of Magnetic Resonance Imaging
Volume50
Issue number2
Early online date22 Jan 2019
DOIs
Accepted/In press27 Dec 2018
E-pub ahead of print22 Jan 2019
Published1 Aug 2019

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Abstract

BACKGROUND: Myocardial T1 mapping shows promise for assessment of cardiomyopathies. Most myocardial T1 mapping techniques, such as modified Look-Locker inversion recovery (MOLLI), generate one T1 map per breath-held acquisition (9-17 heartbeats), which prolongs multislice protocols and may be unsuitable for patients with breath-holding difficulties. PURPOSE: To develop and characterize novel shortened inversion recovery based T1 mapping schemes of 2-5 heartbeats. STUDY TYPE: Prospective. POPULATION/PHANTOM: Numerical simulations, agarose/NiCl2 phantom, 16 healthy volunteers, and 24 patients. FIELD STRENGTH/SEQUENCE: 1.5T/MOLLI. ASSESSMENT: All shortened T1 mapping schemes were characterized and compared with a conventional MOLLI scheme (5-(3)-3) in terms of accuracy, precision, spatial variability, and repeatability. STATISTICAL TESTS: Kruskal-Wallis, Wilcoxon rank sum tests, analysis of variance, Student's t-tests, Bland-Altman analysis, and Pearson correlation analysis. RESULTS: All shortened schemes provided limited T1 time variations ( 0.71). In healthy volunteers, there were no statistically significant differences between all schemes in terms of native T1 times and repeatability for myocardium (P = 0.21 and P = 0.87, respectively) and blood (P = 0.79 and P = 0.41, respectively). All shortened schemes led to a limited increase of spatial variability for native myocardial T1 mapping with respect to MOLLI (by a factor of 1.2) (P <0.0001). In both healthy volunteers and patients, the two-heartbeat scheme and MOLLI led to highly linearly correlated T1 times (correlation coefficients >/=0.83). DATA CONCLUSION: The proposed two-heartbeat T1 mapping scheme yields a 5-fold acceleration compared with MOLLI, with highly linearly correlated T1 times, no significant difference of repeatability, and limited spatial variability penalty at 1.5T. This approach may enable myocardial T1 mapping in patients with severe breath-holding difficulties and reduce the examination time of multislice protocols. LEVEL OF EVIDENCE: 1 Technical Efficacy Stage: 3 J. Magn. Reson. Imaging 2019.

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