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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Double inversion black-blood fast spin-echo imaging of the human heart: a comparison between 1.5T and 3.0T
Robert L Greenman1, John E Shirosky, Robert V Mulkern
1Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02115, USA. rgreenma@caregroup.harvard.edu
Insights
Black-blood cardiac MRI at 3.0 Tesla shows equivalent blood suppression but poorer signal uniformity compared to 1.5 Tesla. Modifications are needed for high-field MRI to improve image quality.
Area of Science:
- Medical Imaging
- Magnetic Resonance Imaging (MRI)
Background:
- High-field MRI (3.0 Tesla) offers potential for improved signal-to-noise ratio (SNR).
- Black-blood imaging techniques are crucial for cardiac MRI to suppress blood signal.
- Double-inversion recovery fast spin-echo (DIR FSE) is a common sequence for black-blood imaging.
Purpose of the Study:
- To compare the effectiveness of blood suppression and image quality of black-blood cardiac MRI at 3.0T versus 1.5T.
- To evaluate signal uniformity and SNR in cardiac images acquired at different magnetic field strengths.
Main Methods:
- Cardiac MRI was performed on normal volunteers using T2-weighted DIR FSE sequences at 1.5T and 3.0T.
- Region-of-interest measurements assessed blood suppression, myocardial SNR, and signal uniformity.
- B1 field maps were acquired at both field strengths.
Main Results:
- Blood suppression performance was comparable between 1.5T and 3.0T.
- The SNR improvement at 3.0T was less than anticipated.
- Signal uniformity was significantly reduced at 3.0T due to dielectric effects and shorter RF wavelengths.
Conclusions:
- Standard DIR FSE sequences may produce significant signal variations at 3.0T without adjustments.
- Further research into B1-insensitive methods is necessary to optimize spin-echo sequences for high-field cardiac MRI.
Purpose:
To evaluate the effectiveness of blood suppression and the quality of black-blood cardiac images acquired at 3.0 Tesla using a double-inversion recovery fast spin-echo sequence by comparing data acquired at 3.0T to data acquired at 1.5T.
Materials And Methods:
Black-blood T2-weighted fast spin-echo images of the heart were acquired from five normal volunteers at 1.5T and five normal volunteers at 3.0T. Region-of-interest signal intensity measurements were performed at several locations in the suppressed blood regions of the left and right ventricles and around the left ventricle walls to assess the effectiveness and uniformity of the blood suppression, the myocardial signal-to-noise ratio (SNR), and the signal uniformity at both field strengths. B1 field maps were produced in phantoms and in subjects at both field strengths.
Results:
Blood suppression performance is equivalent at 1.5T and 3.0T. The improvement in SNR at 3.0T compared with 1.5T is less than has been predicted in previous studies. The signal uniformity is significantly poorer at 3.0T than at 1.5T due to dielectric effects and shorter radio frequency wavelengths (P < 0.005).
Conclusion:
Spin-echo and spin-echo echo-train sequences that perform well at 1.5T will produce large signal variations in the chest cavity at 3.0T without modifications. B1 insensitive methods must be explored and implemented for spin-echo sequences to fully realize the advantages of using these sequences for high-field MRI.
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