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屏气电影磁共振成像评估左心室功能:不同稳态自由进动序列的比较

Assessment of left ventricular function by breath-hold cine MR imaging: Comparison of different steady-state free precession sequences.

作者信息

Kunz R Peter, Oellig Florian, Krummenauer Frank, Oberholzer Katja, Romaneehsen Bernd, Vomweg Toni W, Horstick Georg, Hayes Carmel, Thelen Manfred, Kreitner Karl-Friedrich

机构信息

Department of Radiology, Johannes Gutenberg-University, Mainz, Germany.

出版信息

J Magn Reson Imaging. 2005 Feb;21(2):140-8. doi: 10.1002/jmri.20230.


DOI:10.1002/jmri.20230
PMID:15666401
Abstract

PURPOSE: To compare steady-state free precession (SSFP) sequence protocols with different acquisition times (TA) and temporal resolutions (tRes) due to the implementation of a view sharing technique called shared phases for the assessment of left ventricular (LV) function by breath-hold cine magnetic resonance (MR) imaging. MATERIALS AND METHODS: End-diastolic and end-systolic volumes (EDV, ESV) were measured in contiguous short-axis slices with a thickness of 8 mm acquired in 10 healthy male volunteers. The following true fast imaging with steady-state precession (TrueFISP) sequence protocols were compared: protocol A) internal standard of reference, segmented: tRes 34.5 msec, TA 18 beats per slice; protocol B) segmented, shared phases: tRes 34.1 msec, TA 10 beats per slice; and protocol C) real-time, shared phases, parallel acquisition technique: tRes 47.3 msec, TA 24 beats for 12 slices covering the entire left ventricle. RESULTS: Phase sharing leads to a significant decrease in EDV, stroke volume (SV), and ejection fraction (EF) (median difference -7.0 mL [*], -9.6 mL, and -3.4%, respectively, for protocol B; -15.3 mL, -13.3 mL, and -2.4% for protocol C; P = 0.002, *P = 0.021). The observed median difference of real-time EDV and SV estimates is of clinical relevance. Real-time cine MR imaging shows a greater variability of EDV and SV. No relevant differences in ESV were observed. CONCLUSION: The true cine frame duration of both shared phases sequence protocols exceeds the period of isovolumetric contraction (IVCT) of the left ventricle resulting in a systematic and significant underestimation of EDV and consequently SV and EF. SSFP sequence protocol parameters, particularly tRes and use of view sharing techniques, should therefore be known at follow-up examinations in order to be able to assess LV remodeling in patients with heart failure.

摘要

目的:通过屏气电影磁共振(MR)成像评估左心室(LV)功能,比较由于实施一种称为共享相位的视图共享技术而具有不同采集时间(TA)和时间分辨率(tRes)的稳态自由进动(SSFP)序列协议。 材料与方法:在10名健康男性志愿者中,对厚度为8mm的连续短轴切片测量舒张末期和收缩末期容积(EDV、ESV)。比较了以下稳态进动真快速成像(TrueFISP)序列协议:协议A)内部参考标准,分段采集:tRes 34.5毫秒,每切片TA 18次心跳;协议B)分段采集,共享相位:tRes 34.1毫秒,每切片TA 10次心跳;协议C)实时,共享相位,并行采集技术:tRes 47.3毫秒,覆盖整个左心室的12个切片TA 24次心跳。 结果:相位共享导致EDV、每搏输出量(SV)和射血分数(EF)显著降低(协议B的中位数差异分别为-7.0mL[*]、-9.6mL和-3.4%;协议C为-15.3mL、-13.3mL和-2.4%;P = 0.002,*P = 0.021)。观察到的实时EDV和SV估计值的中位数差异具有临床相关性。实时电影MR成像显示EDV和SV的变异性更大。未观察到ESV的相关差异。 结论:两种共享相位序列协议的真正电影帧持续时间超过左心室等容收缩期(IVCT),导致EDV以及SV和EF出现系统性且显著的低估。因此,在随访检查中应了解SSFP序列协议参数,特别是tRes和视图共享技术的使用情况,以便能够评估心力衰竭患者的左心室重构。

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