PMID- 19787723 OWN - NLM STAT- MEDLINE DCOM- 20091217 LR - 20151119 IS - 1053-1807 (Print) IS - 1053-1807 (Linking) VI - 30 IP - 4 DP - 2009 Oct TI - Multicontrast late gadolinium enhancement imaging enables viability and wall motion assessment in a single acquisition with reduced scan times. PG - 771-7 LID - 10.1002/jmri.21907 [doi] AB - PURPOSE: To determine the accuracy of multicontrast late enhancement imaging (MCLE) in the assessment of myocardial viability and wall motion compared to the conventional wall motion and viability cardiac magnetic resonance imaging (MRI) pulse sequences. MATERIALS AND METHODS: Forty-one patients with suspected myocardial infarction were studied. Patients underwent assessment of cardiac function with cine steady-state free-precession (SSFP), followed by late gadolinium enhancement (LGE) imaging using inversion recovery gradient echo scanning (IR-GRE) sequence and MCLE. MCLE was compared to cine SSFP in the assessment of wall motion, ejection fraction (EF), left ventricular (LV) mass, LV end-diastolic volume (EDV), and to IR-GRE for measuring infarct size. RESULTS: MCLE, IR-GRE, and SSFP imaging demonstrated excellent agreement in the assessment of EF, LV infarct size, and LV mass (r > 0.95, P < 0.001 for all measures), as well as in the assessment of wall motion (kappa statistic 0.75). CONCLUSION: MCLE provided coregistered images for the assessment of viability and wall motion without loss of accuracy in the assessment of quantitative cardiac parameters. MCLE provides accurate quantitative cardiac assessment with reduced scan times compared to the conventional sequences and thus may be used as an alternative to conventional cine SSFP and IR-GRE imaging. CI - (c) 2009 Wiley-Liss, Inc. FAU - Connelly, Kim A AU - Connelly KA AD - Imaging Research, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. connellyk@smh.toronto.on.ca FAU - Detsky, Jay S AU - Detsky JS FAU - Graham, John J AU - Graham JJ FAU - Paul, Gideon AU - Paul G FAU - Vijayaragavan, Ram AU - Vijayaragavan R FAU - Dick, Alexander J AU - Dick AJ FAU - Wright, Graham A AU - Wright GA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Aged MH - Contrast Media MH - Female MH - *Gadolinium DTPA MH - Humans MH - Image Interpretation, Computer-Assisted MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnosis MH - Reproducibility of Results EDAT- 2009/09/30 06:00 MHDA- 2009/12/18 06:00 CRDT- 2009/09/30 06:00 PHST- 2009/09/30 06:00 [entrez] PHST- 2009/09/30 06:00 [pubmed] PHST- 2009/12/18 06:00 [medline] AID - 10.1002/jmri.21907 [doi] PST - ppublish SO - J Magn Reson Imaging. 2009 Oct;30(4):771-7. doi: 10.1002/jmri.21907.