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Simultaneous myocardial strain and dark‐blood perfusion imaging using a displacement‐encoded MRI pulse sequence
Author(s) -
Le Yuan,
Stein Ashley,
Berry Colin,
Kellman Peter,
Bennett Eric E.,
Taylor Joni,
Lucas Katherine,
Kopace Rael,
Chefd'Hotel Christophe,
Lorenz Christine H.,
Croisille Pierre,
Wen Han
Publication year - 2010
Publication title -
magnetic resonance in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.696
H-Index - 225
eISSN - 1522-2594
pISSN - 0740-3194
DOI - 10.1002/mrm.22461
Subject(s) - perfusion , nuclear medicine , perfusion scanning , medicine , pulse sequence , magnetic resonance imaging , biomedical engineering , nuclear magnetic resonance , cardiology , radiology , physics
The purpose of this study is to develop and evaluate a displacement‐encoded pulse sequence for simultaneous perfusion and strain imaging. Displacement‐encoded images in two to three myocardial slices were repeatedly acquired using a single‐shot pulse sequence for 3 to 4 min, which covers a bolus infusion of Gadolinium contrast. The magnitudes of the images were T 1 weighted and provided quantitative measures of perfusion, while the phase maps yielded strain measurements. In an acute coronary occlusion swine protocol ( n = 9), segmental perfusion measurements were validated against microsphere reference standard with a linear regression (slope 0.986, R 2 = 0.765, Bland‐Altman standard deviation = 0.15 mL/min/g). In a group of ST‐elevation myocardial infarction patients ( n = 11), the scan success rate was 76%. Short‐term contrast washout rate and perfusion are highly correlated ( R 2 = 0.72), and the pixelwise relationship between circumferential strain and perfusion was better described with a sigmoidal Hill curve than linear functions. This study demonstrates the feasibility of measuring strain and perfusion from a single set of images. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.

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