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MRI and PET in Mouse Models of Myocardial Infarction
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Tracer kinetic modeling in myocardial perfusion quantification using MRI.

Felix Schwab1, Michael Ingrisch, Roy Marcus

  • 1Josef Lissner Laboratory for Biomedical Imaging, Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Munich, Germany; Munich Heart Alliance, Munich, Germany.

Magnetic Resonance in Medicine
|April 2, 2014
PubMed
Summary

Model-free deconvolution offers stable myocardial perfusion MRI quantification, outperforming tracer kinetic models, especially for shorter measurement durations. This ensures reliable results in cardiac imaging.

Keywords:
cardiac MRImodel selectionmyocardial blood flowmyocardial perfusion reserveperfusion quantificationtracer kinetics

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Area of Science:

  • Cardiovascular Magnetic Resonance Imaging
  • Medical Imaging Physics

Background:

  • Accurate quantification of myocardial perfusion is crucial for diagnosing and managing cardiac diseases.
  • Various tracer kinetic models and deconvolution techniques exist for analyzing cardiac perfusion MRI data.

Purpose of the Study:

  • To compare different quantification methods for myocardial perfusion measurements using 3T MRI.
  • To evaluate the impact of measurement duration on the accuracy and stability of these methods.

Main Methods:

  • Seven patients underwent contrast-enhanced rest and stress cardiac perfusion MRI at 3T.
  • Data from 112 rest and stress curves across three slices were analyzed using tracer kinetic models and model-free deconvolution.
  • Analysis included plasma flow, plasma volume, and myocardial perfusion reserve, considering both first-pass and complete acquisition data.

Main Results:

  • Model-free deconvolution provided stable results for both rest and stress conditions.
  • Fermi and one-compartment models showed good agreement for specific data subsets (rest first-pass, stress prolonged acquisition).
  • More complex models were unsatisfactory for the short measurement times studied.

Conclusions:

  • The choice of myocardial perfusion quantification method must align with the measurement time frame.
  • Numerical deconvolution yields more stable results compared to traditional tracer kinetic models in cardiac MRI.
  • Careful method selection is essential for reliable MRI-based myocardial perfusion quantification.