PMID- 25324205 OWN - NLM STAT- MEDLINE DCOM- 20160620 LR - 20211021 IS - 1522-2594 (Electronic) IS - 0740-3194 (Print) IS - 0740-3194 (Linking) VI - 74 IP - 4 DP - 2015 Oct TI - Free-breathing combined three-dimensional phase sensitive late gadolinium enhancement and T1 mapping for myocardial tissue characterization. PG - 1032-41 LID - 10.1002/mrm.25495 [doi] AB - PURPOSE: To develop a novel MR sequence for combined three-dimensional (3D) phase-sensitive (PS) late gadolinium enhancement (LGE) and T1 mapping to allow for simultaneous assessment of focal and diffuse myocardial fibrosis. METHODS: In the proposed sequence, four 3D imaging volumes are acquired with different T1 weightings using a combined saturation and inversion preparation, after administration of a gadolinium contrast agent. One image is acquired fully sampled with the inversion time selected to null the healthy myocardial signal (the LGE image). The other three images are three-fold under-sampled and reconstructed using compressed sensing. An acquisition scheme with two interleaved imaging cycles and joint navigator-gating of those cycles ensures spatial registration of the imaging volumes. T1 maps are generated using all four imaging volumes. The signal-polarity in the LGE image is restored using supplementary information from the T1 fit to generate PS-LGE images. The accuracy of the proposed method was assessed with respect to a inversion-recovery spin-echo sequence. In vivo T1 maps and LGE images were acquired with the proposed sequence and quantitatively compared with 2D multislice Modified Look-Locker inversion recovery (MOLLI) T1 maps. Exemplary images in a patient with focal scar were compared with conventional LGE imaging. RESULTS: The deviation of the proposed method and the spin-echo reference was < 11 ms in phantom for T1 times between 250 and 600 ms, regardless of the inversion time selected in the LGE image. There was no significant difference in the in vivo T1 times of the proposed sequence and the 2D MOLLI technique (myocardium: 292 +/- 75 ms versus 310 +/- 49 ms, blood-pools: 191 +/- 75 ms versus 182.0 +/- 33). The LGE images showed proper nulling of the healthy myocardium in all subjects and clear depiction of scar in the patient. CONCLUSION: The proposed sequence enables simultaneous acquisition of 3D PS-LGE images and spatially registered 3D T1 maps in a single scan. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Weingartner, Sebastian AU - Weingartner S AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. AD - Computer Assisted Clinical Medicine, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany. FAU - Akcakaya, Mehmet AU - Akcakaya M AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Roujol, Sebastien AU - Roujol S AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Basha, Tamer AU - Basha T AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Tschabrunn, Cory AU - Tschabrunn C AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Berg, Sophie AU - Berg S AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Anter, Elad AU - Anter E AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. FAU - Nezafat, Reza AU - Nezafat R AD - Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. LA - eng GR - R01 EB008743/EB/NIBIB NIH HHS/United States GR - R01EB008743-01A2/EB/NIBIB NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20141016 PL - United States TA - Magn Reson Med JT - Magnetic resonance in medicine JID - 8505245 RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Adolescent MH - Adult MH - Cardiac Imaging Techniques/*methods MH - Cardiomyopathy, Hypertrophic/pathology MH - Female MH - Gadolinium/administration & dosage/*chemistry MH - Heart/anatomy & histology MH - Humans MH - Imaging, Three-Dimensional/*methods MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Phantoms, Imaging MH - Young Adult PMC - PMC4400224 MID - NIHMS631539 OTO - NOTNLM OT - 3D imaging OT - LGE imaging OT - compressed sensing OT - diffused fibrosis OT - myocardial T1 mapping OT - phase sensitive imaging OT - quantitative cardiac MRI EDAT- 2014/10/18 06:00 MHDA- 2016/06/21 06:00 PMCR- 2016/10/01 CRDT- 2014/10/18 06:00 PHST- 2014/01/29 00:00 [received] PHST- 2014/08/29 00:00 [revised] PHST- 2014/09/20 00:00 [accepted] PHST- 2014/10/18 06:00 [entrez] PHST- 2014/10/18 06:00 [pubmed] PHST- 2016/06/21 06:00 [medline] PHST- 2016/10/01 00:00 [pmc-release] AID - 10.1002/mrm.25495 [doi] PST - ppublish SO - Magn Reson Med. 2015 Oct;74(4):1032-41. doi: 10.1002/mrm.25495. Epub 2014 Oct 16.