Quantification of porcine myocardial perfusion with modified dual bolus MRI - a prospective study with a PET

Minna Husso1, Mikko J Nissi2, Antti Kuivanen3

  • 1Diagnostic Imaging Center, Kuopio University Hospital, PO Box 100, 70029, Kuopio, KYS, Finland. minna.husso@kuh.fi.

BMC Medical Imaging
|July 28, 2019
PubMed
Abstract

Insights

A modified dual bolus MRI method improves myocardial blood flow (MBF) quantification accuracy compared to the traditional method, especially with heart rate variations. Both MRI methods showed statistically significant differences from PET measurements.

Area of Science:

  • Cardiovascular Imaging
  • Medical Physics
  • Radiology

Background:

  • Accurate myocardial blood flow (MBF) quantification using MRI requires correcting arterial input function (AIF) errors due to T1 saturation.
  • Myocardial ischemia studies necessitate reliable MBF measurements.

Purpose of the Study:

  • To compare MBF determined by a traditional dual bolus MRI method against a modified dual bolus approach.
  • To evaluate both MRI methods against Positron Emission Tomography (PET) in a porcine model of myocardial ischemia.

Main Methods:

  • Myocardial ischemia was induced in pigs, followed by contrast-enhanced MRI and PET scans.
  • AIF correction was applied using the ratio of low and high contrast AIF areas, normalized for heart rate.
  • MBF was calculated using both dual bolus MRI methods and compared against PET-derived MBF.

Main Results:

  • The modified dual bolus MRI method demonstrated a strong correlation with PET (rs=0.84, ICC=0.85).
  • The traditional dual bolus MRI method showed a weaker correlation with PET (rs=0.79, ICC=0.07).
  • Despite improved agreement, statistically significant differences existed between MRI-derived and PET-derived MBF values.

Conclusions:

  • The modified dual bolus method offers improved reliability for MBF quantification over the traditional method, particularly with heart rate variability.
  • Further refinement is needed as statistically significant differences persist between MRI and PET MBF measurements.

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