Does the InSiL algorithm improve myocardial T1 mapping accuracy compared to the original MOLLI sequence?
The InSiL algorithm improves myocardial T1 mapping accuracy compared to the standard MOLLI sequence, particularly at higher heart rates and longer T1 values.
PURPOSE: To propose a T1 mapping algorithm for the modified Look-Locker inversion-recovery (MOLLI) sequence that can improve T1 estimation accuracy. MATERIALS AND METHODS: The modified T1 mapping algorithm (InSiL) is based on the simulation of MOLLI signal evolution and simulates the longitudinal magnetization signal perturbation by each single-shot image acquisition in MOLLI as an instantaneous signal loss. InSiL was evaluated against original MOLLI using Bloch simulations, phantom studies, and in 15 healthy volunteers at 1.5T. RESULTS: In phantom studies, the maximum absolute error by InSiL is less than 2%, while that by MOLLI is more than 20% for T1 values from 221 msec to 1539 msec. The benefit of InSiL is greatest at heart rate (HR) >80 bpm and T1 >1000 msec, and InSiL reduced MOLLI T1 error from 14.9 ± 4.5% to 0.4 ± 0.3%. Average InSiL-derived native myocardial T1 values at 1.5T in healthy volunteers were significantly higher than MOLLI-derived values by 236.9 ± 11.7 msec (1160.3 ± 25.1 msec vs. 923.4 ± 22.3 msec, P < 0.001) at an average HR of 65.1 ± 14.7 bpm. CONCLUSION: The proposed InSiL approach yields better T1 mapping accuracy than MOLLI, and is less sensitive to HR variation in tissues with longer T1 values.
Shao et al. (Wed,) studied this question.