De la Sotta Rafael I, Crabb Michael G, Kunze Karl P, Botnar René M, Prieto Claudia
Millennium Institute for Intelligent Healthcare Engineering, Santiago, Chile.
School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Magn Reson Med. 2025 Aug 24. doi: 10.1002/mrm.70038.
To propose a novel highly efficient isotropic-resolution 3D whole-heart saturation-recovery and variable-flip-angle (SAVA) T mapping sequence at 0.55 T, incorporating image navigator (iNAV)-based non-rigid motion correction and dictionary matching.
The proposed iNAV-based isotropic-resolution 3D whole-heart SAVA T mapping sequence at 0.55 T acquires three gradient echo T-weighted volumes sequentially: an equilibrium contrast with 4° flip angle, and two saturation recovery T-weighted contrasts with 10° flip angles and different saturation delays. Sequence parameters were optimized for the lower field strength by simulations and phantom experiments. Two-dimensional iNAVs are acquired at each heartbeat to enable respiratory motion estimation and correction and 100% respiratory scan efficiency. The T mapping is computed by dictionary matching, using subject-specific dictionaries based on Bloch equations simulations. Non-rigid motion correction is implemented based on respiratory bins reconstructed by iterative-SENSE and subsequent patch-based low-rank denoising, for each contrast separately. The proposed approach was evaluated in a standardized T phantom and 10 healthy subjects, in comparison to spin-echo reference and 2D MOLLI, respectively.
Excellent agreement is observed between iNAV-based SAVA T mapping at 0.55 T and spin echo reference in phantom, with a for all phantom vials. Good image quality was obtained in vivo for the contrast images and corresponding T maps in a scan time of 6:30 min ±40 s. Average and SD of myocardial T values across subjects and segments was 706 ± 41 ms, which is comparable to acquired 2D MOLLI values of 681 ± 26 ms, and previously reported 2D MOLLI values of 701 ± 24 ms. Coefficient of variation values (12%) are higher than those previously reported for diaphragmatic navigator-based non-isotropic SAVA T mapping at 3 T (7.4%).
The proposed iNAV-based SAVA approach achieves free-breathing motion-corrected 3D whole-heart T mapping at 0.55 T in approximately 7 min scan time for an isotropic resolution of 2 mm. In vivo experiments showed that the proposed sequence achieves good map quality, with comparable T values and spatial variability compared to 2D MOLLI T mapping. Further evaluation is warranted in patients with cardiovascular disease.
提出一种新型的高效各向同性分辨率三维全心饱和恢复与可变翻转角(SAVA)T 映射序列,该序列工作于 0.55 T,集成了基于图像导航器(iNAV)的非刚性运动校正和字典匹配。
所提出的基于 iNAV 的 0.55 T 各向同性分辨率三维全心 SAVA T 映射序列依次采集三个梯度回波 T 加权容积:一个 4°翻转角的平衡对比图像,以及两个 10°翻转角且具有不同饱和延迟的饱和恢复 T 加权对比图像。通过模拟和体模实验针对较低场强优化序列参数。在每个心动周期采集二维 iNAV 以实现呼吸运动估计和校正,并达到 100%的呼吸扫描效率。T 映射通过字典匹配计算,使用基于布洛赫方程模拟的特定受试者字典。基于通过迭代敏感性编码(iterative-SENSE)重建的呼吸区间以及随后基于块的低秩去噪,分别对每个对比图像实施非刚性运动校正。与自旋回波参考和二维改良 Look-Locker 成像(2D MOLLI)相比,在标准化 T 体模和 10 名健康受试者中对所提出的方法进行评估。
在体模中,基于 iNAV 的 0.55 T SAVA T 映射与自旋回波参考之间观察到极佳的一致性,所有体模小瓶的[此处原文缺失相关数据]。在 6:30 分钟±40 秒的扫描时间内,体内获得了高质量的对比图像和相应的 T 映射。各受试者和节段心肌 T 值的平均值和标准差为 706±41 毫秒,这与所获得的二维 MOLLI 值 681±26 毫秒以及先前报道的二维 MOLLI 值 701±24 毫秒相当。变异系数值(12%)高于先前报道的基于膈肌导航器的 3 T 非各向同性 SAVA T 映射的变异系数值(7.4%)。
所提出的基于 iNAV 的 SAVA 方法在约 7 分钟扫描时间内实现了 0.55 T 下自由呼吸运动校正的三维全心 T 映射,各向同性分辨率为 2 毫米。体内实验表明,所提出的序列获得了良好的映射质量,与二维 MOLLI T 映射相比,T 值和空间变异性相当。有必要在心血管疾病患者中进行进一步评估。