Key result
Free-breathing 3D sector-wise golden-angle (3D-SWIG) MR cine imaging agreed with conventional breath-held 2D-Cartesian cine for LVEF measurement with a mean difference of -3.1 ± 3.5% points.
Why the study?
To develop and evaluate a 3D sector-wise golden-angle (3D-SWIG) profile ordering scheme for CMR cine imaging that maintains high k-space uniformity after ECG binning.
Does free-breathing 3D-SWIG CMR provide comparable LVEF measurements to conventional breath-held 2D cine in patients referred for CMR?
Does free-breathing 3D-SWIG CMR provide comparable LVEF measurements to conventional breath-held 2D cine in patients referred for CMR?
Answers are grounded in this paper and cite their sources.
The 3D-SWIG acquisition enables highly reproducible whole-heart cine imaging during free breathing in under 1 minute, with LVEF measurements comparable to conventional breath-held 2D cine.
PURPOSE: To develop and evaluate a 3D sector-wise golden-angle (3D-SWIG) profile ordering scheme for cardiovascular MR cine imaging that maintains high k-space uniformity after electrocardiogram (ECG) binning. METHOD: Cardiovascular MR (CMR) was performed at 1.5 T. A balanced SSFP pulse sequence was implemented with a novel 3D-SWIG radial ordering, where k-space was divided into wedges, and each wedge was acquired in a separate heartbeat. The high uniformity of k-space coverage after physiological binning can be used to perform functional imaging using a very short acquisition. The 3D-SWIG was compared with two commonly used 3D radial trajectories for CMR (i.e., double golden angle and spiral phyllotaxis) in numerical simulations. Free-breathing 3D-SWIG and conventional breath-held 2D cine were compared in patients (n = 17) referred clinically for CMR. Quantitative comparison was performed based on left ventricular segmentation. RESULTS: Numerical simulations showed that 3D-SWIG both required smaller steps between successive readouts and achieved better k-space sampling uniformity after binning than either the double golden angle or spiral phyllotaxis trajectories. In vivo evaluation showed that measurements of left ventricular ejection fraction calculated from a 48 heart-beat free-breathing 3D-SWIG acquisition were highly reproducible and agreed with breath-held 2D-Cartesian cine (mean ± SD difference of -3.1 ± 3.5% points). CONCLUSIONS: The 3D-SWIG acquisition offers a simple solution for highly improved k-space uniformity after physiological binning. The feasibility of the 3D-SWIG method is demonstrated in this study through whole-heart cine imaging during free breathing with an acquisition time of less than 1 min.
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Fyrdahl et al. (2023) studied Patients referred clinically for cardiovascular magnetic resonance (CMR) (n=17). Free-breathing 3D sector-wise golden-angle (3D-SWIG) cardiovascular MR cine imaging vs. Conventional breath-held 2D-Cartesian cine was evaluated on Left ventricular ejection fraction (LVEF) agreement (mean difference -3.1 ± 3.5% points). Free-breathing 3D sector-wise golden-angle (3D-SWIG) MR cine imaging agreed with conventional breath-held 2D-Cartesian cine for LVEF measurement with a mean difference of -3.1 ± 3.5% points.
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