Multislice, dual-imaging sequence for increasing the dynamic range of the contrast-enhanced blood signal and CNR of myocardial enhancement at 3T

Multislice, dual-imaging sequence for increasing the dynamic range of the contrast-enhanced blood signal and CNR of myocardial enhancement at 3T
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DOI:
10.1002/jmri.20471
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发表时间:
2006-01-01
影响因子:
4.4
通讯作者:
Axel, L
Axel, L
中科院分区:
医学2区
文献类型:
--
作者:
Kim, D;Axel, L

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目的:建立一种多层首过灌注成像序列,提高血液增强信号的有效动态范围和心肌壁增强的噪比(CNR)。材料和方法:对混合回波平面成像(EPI)脉冲序列进行修改,以获取动脉输入功能(AIF)和心肌的数据,在单次饱和脉冲后使用两种不同的饱和恢复时间延迟(td)和空间分辨率。5名健康受试者在接受高剂量造影剂注射期间,在每次心跳的三个短轴水平上进行3T扫描。将血液t -1加权信号时间曲线转换为AIF,采用模拟实验的经验转换表。结果:在所有受试者中,与长期td方案相比,短td方案计算的AIF畸变较小,且较高(峰值浓度:5.0 +/- 1.0 mM vs. 3.0 +/- 0.6 mM; P < 0.01)。结合EPI、长TD、大剂量造影剂和3T成像,心肌峰值增强相对较强(CNR 11.9 +/- 3.3)。结论:我们的3T双成像方法似乎有望获得相对准确的AIF和每次心跳多片心肌壁增强的高CNR。
Purpose: To develop a multislice, first-pass perfusion imaging sequence for increasing the effective dynamic range of the contrast-enhanced blood signal and the contrast-to-noise ratio (CNR) of myocardial wall enhancement.Materials and Methods: A hybrid echo-planar imaging (EPI) pulse sequence was modified to acquire data for both the arterial input function (AIF) and the myocardium, using two different saturation-recovery time delays (TDs) and spatial resolutions, after a single saturation pulse. Five healthy subjects were scanned at 3T in three short-axis levels of the heart per heartbeat during passage of a high-dose bolus of contrast agent. The T-1-weighted signal-time curve of the blood was converted to AIF using empirical conversion tables derived from phantom experiments.Results: In all subjects the calculated AIF was consistently less distorted and higher for the short-TD protocol than for the long-TD protocol (peak concentration: 5.0 +/- 1.0 mM vs. 3.0 +/- 0.6 mM; P < 0.01). A combination of EPI, long TD, high-dose bolus of contrast agent, and 3T imaging yielded relatively strong peak enhancement in the myocardium (CNR 11.9 +/- 3.3).Conclusion: Our dual-imaging approach at 3T seems promising for acquiring both a relatively accurate AIF and a high CNR of myocardial wall enhancement in multiple slices per heartbeat.