PMID- 26717865 OWN - NLM STAT- MEDLINE DCOM- 20180102 LR - 20180105 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 44 IP - 1 DP - 2016 Jul TI - Signal decay mapping of myocardial edema using dual-contrast fast spin-echo MRI. PG - 186-93 LID - 10.1002/jmri.25142 [doi] AB - PURPOSE: To introduce a dual-contrast fast spin-echo (dcFSE) sequence for signal decay mapping of myocardial edema. MATERIALS AND METHODS: After consultation with the Institutional Review Board, 22 acute myocardial infarction (MI) patients were examined with magnetic resonance imaging (MRI) at 1.5T 2 days after revascularization. Edema was evaluated in 16 myocardial segments with an exponential fit for signal decay time (SDT) in dcFSE mapping and T2 signal intensity ratio for single-contrast FSE. Myocardial viability was evaluated in late gadolinium enhancement (LGE). A control group of 10 volunteers was examined for edema imaging. SDT was compared in segment groups: 1) with LGE in MI, 2) penumbra, 3) remote from LGE, 4) controls. Groups 1/3 and 3/4 were tested on difference. Three phantoms providing similar T2 but different T1 relaxation times (low, intermediate, high) were examined with dcFSE and multicontrast spin echo sequence as a reference. RESULTS: The SDT/T2 ratio for segment groups was 1) 82msec/1.7 in segments with LGE; 2) 65msec/1.6 for penumbra, 3) 62msec/1.7 for remote segments, and 4) 50msec/1.6 in controls. In dcFSE group 1/3 (P < 0.0001) and in group 3/4 (P = 0.0002) SDT was significantly different. In single-contrast FSE the T2 ratio was not significantly different for both tests: 1/3 P = 0.1889; 3/4 P = 0.8879. T2 -overestimation of dcFSE was 23% in low, 29% in intermediate, and 35% in highly T1 contaminated phantoms. CONCLUSION: dcFSE signal decay edema mapping is feasible in volunteers and patients. DcFSE SDT is superior to T2 ratio for detection of high-grade and diffuse myocardial edema. J. Magn. Reson. Imaging 2016;44:186-193. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Krumm, Patrick AU - Krumm P AUID- ORCID: 0000-0003-1705-8439 AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Martirosian, Petros AU - Martirosian P AD - Department of Diagnostic and Interventional Radiology, Section on Experimental Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Rath, Dominik AU - Rath D AD - Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University, Tubingen, Germany. FAU - Zitzelsberger, Tanja AU - Zitzelsberger T AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Ruff, Christer Andreas AU - Ruff CA AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Klumpp, Bernhard Daniel AU - Klumpp BD AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Nikolaou, Konstantin AU - Nikolaou K AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Gawaz, Meinrad AU - Gawaz M AD - Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University, Tubingen, Germany. FAU - Geisler, Tobias AU - Geisler T AD - Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University, Tubingen, Germany. FAU - Schick, Fritz AU - Schick F AD - Department of Diagnostic and Interventional Radiology, Section on Experimental Radiology, Eberhard Karls University, Tubingen, Germany. FAU - Kramer, Ulrich AU - Kramer U AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University, Tubingen, Germany. LA - eng PT - Journal Article DEP - 20151231 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) RN - 0 (Spin Labels) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Algorithms MH - Cardiac Imaging Techniques/*methods MH - Contrast Media/administration & dosage MH - Edema, Cardiac/*diagnostic imaging MH - Female MH - Humans MH - Image Enhancement/methods MH - Image Interpretation, Computer-Assisted/*methods MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Middle Aged MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Spin Labels OTO - NOTNLM OT - FSE OT - T2 mapping OT - cardiac MRI OT - edema OT - fast-spin-echo EDAT- 2016/01/01 06:00 MHDA- 2018/01/03 06:00 CRDT- 2016/01/01 06:00 PHST- 2015/10/01 00:00 [received] PHST- 2015/12/10 00:00 [accepted] PHST- 2016/01/01 06:00 [entrez] PHST- 2016/01/01 06:00 [pubmed] PHST- 2018/01/03 06:00 [medline] AID - 10.1002/jmri.25142 [doi] PST - ppublish SO - J Magn Reson Imaging. 2016 Jul;44(1):186-93. doi: 10.1002/jmri.25142. Epub 2015 Dec 31.