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Published on: July 19, 2013
[Study of optimal flip angle for inversion-recovery gradient echo method in delayed contrast-enhanced cardiac
Masashi Ogawa1, Yoshio Matsumura, Toshio Tsuchihashi
1Department of Radiology, Nippon Medical School Hospital.
Abstract:
Delayed contrast-enhanced cardiac magnetic resonance imaging (MRI) is a valuable tool for detecting myocardial infarction and assessing myocardial viability. The standard viability MRI technique is the inversion-recovery gradient echo (IR-GRE) method. Several previous studies have demonstrated that this imaging technique provides superior image quality at high magnetic field strengths, e.g., 3.0 T. However, there are numerous possible flip angles. We investigated the optimal flip angle of IR-GRE in delayed contrast-enhanced cardiac MRI. Phantoms were made that modeled infarcted myocardium and normal myocardium after administration of contrast agent. To determine optimal flip angle, we compared the contrast-to-noise ratio (CNR) among these phantoms and evaluated the degree of artifacts induced by increased flip angle. The flip angle that showed the highest CNR for 2D IR-GRE and 3D IR-GRE was 30°/15° at 1.5 T and 25°/15° at 3.0 T. The flip angle that showed the highest CNR was independent of R-R interval. Streak artifacts induced by increased flip angle tended to occur more readily at 3.0 T than 1.5 T. The optimal flip angle for 2D IR-GRE and 3D IR-GRE at 1.5 T was 30° and 15°, respectively. At 3.0 T, taking into account the results for both CNR and streak artifacts, we concluded the optimal flip angle of 2D IR-GRE to be 15-20°.
Insights
This study determined the best flip angles for inversion-recovery gradient echo (IR-GRE) cardiac MRI to improve image quality. Optimal angles enhance contrast-to-noise ratio for better detection of myocardial infarction and viability assessment.
Area of Science:
- Cardiovascular Imaging
- Medical Physics
- Radiology
Context:
- Delayed contrast-enhanced cardiac MRI is crucial for evaluating myocardial infarction and viability.
- The inversion-recovery gradient echo (IR-GRE) technique is standard for viability MRI.
- Higher magnetic field strengths (e.g., 3.0 T) offer potential for superior image quality.
Purpose:
- To determine the optimal flip angle for IR-GRE in delayed contrast-enhanced cardiac MRI.
- To compare contrast-to-noise ratio (CNR) and image artifacts across different flip angles.
- To evaluate the impact of magnetic field strength (1.5 T vs. 3.0 T) on optimal parameters.
Summary:
- Phantoms simulating infarcted and normal myocardium were used to assess CNR and artifacts.
- Optimal flip angles for highest CNR were 30°/15° (2D/3D) at 1.5 T and 25°/15° at 3.0 T.
- At 3.0 T, 15-20° was concluded as optimal for 2D IR-GRE, considering CNR and streak artifacts, which were more prevalent at higher field strengths.
Impact:
- Provides crucial parameter guidance for optimizing IR-GRE cardiac MRI protocols.
- Aims to enhance diagnostic accuracy in myocardial infarction detection and viability assessment.
- Facilitates improved image quality and reduced artifacts in clinical cardiac MRI practice.
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