Rodgers Christopher T, Piechnik Stefan K, Delabarre Lance J, Van de Moortele Pierre-François, Snyder Carl J, Neubauer Stefan, Robson Matthew D, Vaughan J Thomas
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Magn Reson Med. 2013 Oct;70(4):1038-46. doi: 10.1002/mrm.24548. Epub 2012 Nov 29.
At clinical MRI field strengths (1.5 and 3 T), quantitative maps of the longitudinal relaxation time T1 of the myocardium reveal diseased tissue without requiring contrast agents. Cardiac T1 maps can be measured by Look-Locker inversion recovery sequences such as ShMOLLI at 1.5 and 3 T. Cardiovascular MRI at a field strength of 7 T has recently become feasible, but doubts have remained as to whether magnetization inversion is possible in the heart due to subject heating and technical limitations. This work extends the repertoire of 7 T cardiovascular MRI by implementing an adiabatic inversion pulse optimized for use in the heart at 7 T. A "ShMOLLI+IE" adaptation of the ShMOLLI pulse sequence has been introduced together with new postprocessing that accounts for the possibility of incomplete magnetization inversion. These methods were validated in phantoms and then used in a study of six healthy volunteers to determine the degree of magnetization inversion and the T1 of normal myocardium at 7 T within a 22-heartbeat breathhold. Using a scanner with 16 × 1 kW radiofrequency outputs, inversion efficiencies ranging from -0.79 to -0.83 (intrasegment means; perfect 180° would give -1) were attainable across the myocardium. The myocardial T1 was 1925 ± 48 ms (mean ± standard deviation).
在临床MRI场强(1.5和3 T)下,心肌纵向弛豫时间T1的定量图可显示病变组织,无需使用造影剂。心脏T1图可通过Look-Locker反转恢复序列(如1.5和3 T时的ShMOLLI序列)测量。最近,7 T场强的心血管MRI已成为可能,但由于受检者发热和技术限制,对于心脏中是否可能进行磁化反转仍存在疑问。这项工作通过实施针对7 T心脏优化的绝热反转脉冲,扩展了7 T心血管MRI的技术范围。引入了ShMOLLI脉冲序列的“ShMOLLI+IE”变体以及考虑不完全磁化反转可能性的新后处理方法。这些方法在体模中得到验证,然后用于一项对6名健康志愿者的研究,以确定在22次心跳屏气期间7 T时正常心肌的磁化反转程度和T1。使用具有16×1 kW射频输出的扫描仪,整个心肌的反转效率范围为-0.79至-0.83(节段内平均值;完美的180°反转会得到-1)。心肌T1为1925±48 ms(平均值±标准差)。