Accurate quantification of right ventricular mass at MR imaging by using cine true fast imaging with steady-state

Stephanie M Shors1, Carina W Fung, Christopher J François

  • 1Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA.

Radiology
|December 31, 2003
PubMed
Abstract

Insights

True fast imaging with steady-state precession (FISP) cine MRI accurately quantifies right ventricular (RV) mass in dogs. This imaging technique shows high accuracy and minimal observer variability for RV mass measurement.

Area of Science:

  • Cardiovascular Imaging
  • Medical Physics

Background:

  • Accurate quantification of right ventricular (RV) mass is crucial for diagnosing and managing cardiovascular diseases.
  • Traditional methods for RV mass measurement can be invasive or lack precision.

Purpose of the Study:

  • To evaluate the accuracy of segmented true fast imaging with steady-state precession (FISP) cine magnetic resonance (MR) imaging for quantifying right ventricular (RV) mass.
  • To compare MR-derived RV mass measurements with autopsy results in an animal model.

Main Methods:

  • Fourteen dogs underwent 1.5-T clinical MR imaging using an electrocardiographically gated true FISP sequence.
  • Contiguous segmented cine images were acquired from the RV base to apex.
  • RV free wall mass was determined post-mortem and compared to MR imaging measurements using linear regression and Bland-Altman analysis.

Main Results:

  • True FISP cine MR imaging demonstrated high accuracy in RV mass quantification, with measurements nearly identical to autopsy results (R = 0.82).
  • The mean difference between autopsy and MR imaging measurements was minimal (0.3 g +/- 1.7 g), representing a 1.9% +/- 8.2% difference.
  • Inter- and intraobserver variability for RV mass measurements were small, indicating good reproducibility.

Conclusions:

  • Segmented true FISP cine MR imaging is an accurate method for quantifying right ventricular (RV) mass in an animal model.
  • This non-invasive MR technique shows potential for clinical application in assessing RV mass.

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