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Related Experiment Video

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Black blood myocardial T2 mapping.

Chengyan Wang1,2, Jihye Jang1,3, Ulf Neisius1

  • 1Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.

Magnetic Resonance in Medicine
|July 31, 2018
PubMed
Summary

A new black blood imaging sequence, BEATS, improves myocardial T2 mapping by enhancing the blood-myocardium border definition. This cardiac MRI technique shows promise for clearer visualization in patients.

Keywords:
black blooddouble inversion recoverymyocardial T2 mappingmyocardial edemapartial volume effect

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Area of Science:

  • Cardiovascular Magnetic Resonance Imaging
  • Biomedical Engineering
  • Medical Physics

Background:

  • Myocardial T2 mapping is crucial for assessing tissue characteristics.
  • Conventional bright-blood T2 mapping can be limited by blood pool artifacts.
  • Developing black blood techniques enhances image clarity and diagnostic potential.

Purpose of the Study:

  • To develop and evaluate a novel black blood, heart-rate adaptive T2-prepared balanced steady-state free-precession (BEATS) sequence for myocardial T2 mapping.
  • To assess the performance of the BEATS sequence in phantom and in vivo studies, including clinical cardiac MRI and animal models.

Main Methods:

  • The BEATS sequence utilizes preexcitation and double inversion recovery pulses for blood suppression.
  • Heart rate adaptation is achieved through auto-calculated timing and flip angles of the preexcitation pulse.
  • Image quality and artifacts were evaluated through numerical simulations, phantom studies, in vivo imaging in 36 patients and 1 swine, and reader assessments.

Main Results:

  • Phantom studies confirmed accurate T2 values across various heart rates.
  • Black blood myocardial T2 maps were successfully acquired in all subjects.
  • BEATS demonstrated sharper blood-myocardium border definition and reduced partial voluming compared to bright-blood T2 mapping, despite a slight decrease in precision and occasional residual blood artifacts.

Conclusions:

  • The BEATS sequence provides dark blood myocardial T2 maps with improved blood-myocardium border definition.
  • Further research is needed to establish the diagnostic accuracy of black blood T2 mapping using this novel sequence.