PMID- 32078075 OWN - NLM STAT- MEDLINE DCOM- 20210915 LR - 20231115 IS - 1352-8661 (Electronic) IS - 0968-5243 (Print) IS - 0968-5243 (Linking) VI - 33 IP - 5 DP - 2020 Oct TI - Contrast-free high-resolution 3D magnetization transfer imaging for simultaneous myocardial scar and cardiac vein visualization. PG - 627-640 LID - 10.1007/s10334-020-00833-9 [doi] AB - OBJECTIVE: To develop a three-dimensional (3D) high-resolution free-breathing magnetization transfer ratio (MTR) sequence for contrast-free assessment of myocardial infarct and coronary vein anatomy. MATERIALS AND METHODS: Two datasets with and without off-resonance magnetization transfer preparation were sequentially acquired to compute MTR. 2D image navigators enabled beat-to-beat translational and bin-to-bin non-rigid motion correction. Two different imaging sequences were explored. MTR scar localization was compared against 3D late gadolinium enhancement (LGE) in a porcine model of myocardial infarction. MTR variability across the left ventricle and vessel sharpness in the coronary veins were evaluated in healthy human subjects. RESULTS: A decrease in MTR was observed in areas with LGE in all pigs (non-infarct: 25.1 +/- 1.7% vs infarct: 16.8 +/- 1.9%). The average infarct volume overlap on MTR and LGE was 62.5 +/- 19.2%. In humans, mean MTR in myocardium was between 37 and 40%. Spatial variability was between 15 and 20% of the mean value. 3D whole heart MT-prepared datasets enabled coronary vein visualization with up to 8% improved vessel sharpness for non-rigid compared to translational motion correction. DISCUSSION: MTR and LGE showed agreement in infarct detection and localization in a swine model. Free-breathing 3D MTR maps are feasible in humans but high spatial variability was observed. Further clinical studies are warranted. FAU - Lopez, Karina AU - Lopez K AUID- ORCID: 0000-0003-1477-8879 AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. karina.lopez@kcl.ac.uk. FAU - Neji, Radhouene AU - Neji R AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. AD - MR Research Collaborations, Siemens Healthcare Limited, Frimley, UK. FAU - Mukherjee, Rahul K AU - Mukherjee RK AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Whitaker, John AU - Whitaker J AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Phinikaridou, Alkystis AU - Phinikaridou A AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Razavi, Reza AU - Razavi R AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Prieto, Claudia AU - Prieto C AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Roujol, Sebastien AU - Roujol S AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. FAU - Botnar, Rene AU - Botnar R AD - School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 3rd Floor Lambeth Wing, London, SE1 7EH, UK. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - PG/18/59/33955/BHF_/British Heart Foundation/United Kingdom GR - HICF-R10-698/WT_/Wellcome Trust/United Kingdom GR - MRC CRTF N001877/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20200220 PL - Germany TA - MAGMA JT - Magma (New York, N.Y.) JID - 9310752 RN - 0 (Contrast Media) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Animals MH - *Cicatrix MH - Contrast Media MH - *Gadolinium MH - Imaging, Three-Dimensional MH - Magnetic Resonance Imaging MH - Myocardium/pathology MH - Reproducibility of Results MH - Swine PMC - PMC7502043 OTO - NOTNLM OT - Coronary vessels OT - Fibrosis OT - Magnetic resonance imaging COIS- R. Neji is an employee of Siemens Heathcare Limited. All other authors declare that they have no conflict of interest. EDAT- 2020/02/23 06:00 MHDA- 2021/09/16 06:00 PMCR- 2020/02/20 CRDT- 2020/02/21 06:00 PHST- 2019/07/30 00:00 [received] PHST- 2020/01/29 00:00 [accepted] PHST- 2020/01/27 00:00 [revised] PHST- 2020/02/23 06:00 [pubmed] PHST- 2021/09/16 06:00 [medline] PHST- 2020/02/21 06:00 [entrez] PHST- 2020/02/20 00:00 [pmc-release] AID - 10.1007/s10334-020-00833-9 [pii] AID - 833 [pii] AID - 10.1007/s10334-020-00833-9 [doi] PST - ppublish SO - MAGMA. 2020 Oct;33(5):627-640. doi: 10.1007/s10334-020-00833-9. Epub 2020 Feb 20.