A dual-projection respiratory self-gating technique for whole-heart coronary MRA.

A dual-projection respiratory self-gating technique for whole-heart coronary MRA.
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DOI:
10.1002/jmri.21479
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发表时间:
2008-09
影响因子:
4.4
通讯作者:
Li, Debiao
Li, Debiao
中科院分区:
医学2区
文献类型:
--
作者:
Lai, Peng;Larson, Andrew C.;Bi, Xiaoming;Jerecic, Renate;Li, Debiao

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目的探讨双投影呼吸自门控(DP-RSG)技术在自由呼吸全心脏磁共振冠状动脉成像(MRA)中测量动态心脏位置的准确性及其可行性。提出了一种DP-RSG方法,通过获取两个全心脏投影来实现心脏位置的精确直接测量。在14名志愿者中,我们通过与血管导航仪(NAV)和基于单投影的呼吸自门控(SP-RSG)方法的比较,定量评估了DP-RSG的有效性。对于DP-RSG,我们还比较了质心和两个轮廓匹配算法在推导心脏运动。采用回顾性门控方法对8例志愿者进行冠状动脉成像,初步验证DP-RSG用于全心冠状动脉MRA的有效性。比较不同门控方法重建图像的血管轮廓。定量评估表明,DP-RSG比NAV更准确地跟踪心脏运动,所有门控窗口(GW)值和SP-RSG方法,GW ≥2.5mm,轮廓匹配算法比质心计算更可靠的运动推导,GW ≥1.0mm。全心脏冠状动脉MRA研究证明了使用DP-RSG改善冠状动脉整体勾画的可行性。与传统NAV和SP-RSG相比,DP-RSG是一种很有前途的方法,可以更好地解决全心冠状动脉MRA的呼吸运动。
To investigate the accuracy of a dual-projection respiratory self-gating (DP-RSG) technique in dynamic heart position measurement and its feasibility for free-breathing whole-heart coronary MR angiography (MRA). A DP-RSG method is proposed to enable accurate direct measurement of heart position by acquiring two whole-heart projections. On 14 volunteers, we quantitatively evaluated the efficacy of DP-RSG by comparison with diaphragmatic navigator (NAV) and single-projection-based respiratory self-gating (SP-RSG) methods. For DP-RSG, we also compared center-of-mass and two profile-matching algorithms in deriving heart motion. Coronary imaging was conducted on 8 volunteers based on retrospective gating to preliminarily validate the effectiveness of DP-RSG for whole-heart coronary MRA. Comparison of vessel delineation was performed between images reconstructed using different gating methods. The quantitative evaluation shows that DP-RSG more accurately tracks heart motion than NAV with all gating window (GW) values and SP-RSG approaches with GW ≥2.5mm and profile-matching algorithms are more reliable for motion derivation than center-of-mass calculations with GW ≥1.0mm. Whole-heart coronary MRA studies demonstrate the feasibility of using DP-RSG to improve overall delineation of the coronary arteries. DP-RSG is a promising approach to better resolve respiratory motion for whole-heart coronary MRA compared to conventional NAV and SP-RSG.
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