PMID- 24243575 OWN - NLM STAT- MEDLINE DCOM- 20150701 LR - 20220309 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 40 IP - 6 DP - 2014 Dec TI - Rapid single-breath-hold 3D late gadolinium enhancement cardiac MRI using a stack-of-spirals acquisition. PG - 1496-502 LID - 10.1002/jmri.24494 [doi] AB - PURPOSE: To develop a rapid single-breath-hold 3D late gadolinium enhancement (LGE) magnetic resonance imaging (MRI) method, and demonstrate its feasibility in cardiac patients. MATERIALS AND METHODS: An inversion recovery dual-density 3D stack-of-spirals imaging sequence was developed. The spiral acquisition was 2-fold accelerated by self-consistent parallel imaging reconstruction (SPIRiT), which resulted in a total scan time of 12 heartbeats. Field map-based linear off-resonance correction was incorporated to the SPIRiT reconstruction. The 3D spiral LGE scans were performed in 15 patients who were referred for clinically ordered cardiac MR examinations that included the standard 2D multislice LGE imaging. Image sharpness and overall quality were qualitatively assessed based on 5-point scales. RESULTS: Scar-induced hyper-LGE was identified in 4 out of the 15 patients by both 3D spiral and 2D multislice LGE tests. On average over all datasets (n = 15), the image sharpness scores were 3.9 (3D spiral) and 4.0 (2D multislice), and the image quality scores were 4.1 (3D spiral) and 4.0 (2D multislice) with no significant difference in both metrics (paired t-test; P > 0.1). The average scar contrast enhancement ratios were 0.72 and 0.75 in 3D and 2D images, respectively (n = 4). The average difference of fractional scar volumes measured in 3D and 2D images was 4.3% (n = 3). CONCLUSION: Stack-of-spiral acquisition combined with non-Cartesian SPIRiT parallel imaging enables rapid 3D LGE MRI in a 12 heartbeat-long breath-hold.J. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Shin, Taehoon AU - Shin T AD - Department of Electrical Engineering, Stanford University, Stanford, California, USA. FAU - Lustig, Michael AU - Lustig M FAU - Nishimura, Dwight G AU - Nishimura DG FAU - Hu, Bob S AU - Hu BS LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131115 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) SB - IM MH - Aged MH - Aged, 80 and over MH - *Artifacts MH - *Breath Holding MH - Contrast Media/administration & dosage MH - Feasibility Studies MH - Humans MH - Image Enhancement/*methods MH - Image Interpretation, Computer-Assisted/*methods MH - Imaging, Three-Dimensional/*methods MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Myocardial Infarction/*pathology MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Signal Processing, Computer-Assisted OTO - NOTNLM OT - 3D late gadolinium enhancement (LGE) MRI OT - parallel imaging reconstruction OT - stack-of-spirals imaging EDAT- 2013/11/19 06:00 MHDA- 2015/07/02 06:00 CRDT- 2013/11/19 06:00 PHST- 2013/06/01 00:00 [received] PHST- 2013/10/08 00:00 [accepted] PHST- 2013/11/19 06:00 [entrez] PHST- 2013/11/19 06:00 [pubmed] PHST- 2015/07/02 06:00 [medline] AID - 10.1002/jmri.24494 [doi] PST - ppublish SO - J Magn Reson Imaging. 2014 Dec;40(6):1496-502. doi: 10.1002/jmri.24494. Epub 2013 Nov 15.