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Abstract #2440

Reduction of Device Artifacts using Wideband Late Gadolinium Enhancement (LGE) MRI for Patients with Implanted Cardiac Devices: A Two-Center Study

Shams Rashid 1 , Adam Plotnik 1 , Harold Litt 2 , Yuchi Han 3,4 , Stanislas Rapacchi 1 , Roderick H Tung 5 , Kalyanam Shivkumar 5 , J. Paul Finn 1,6 , and Peng Hu 1,6

1 Department of Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2 Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States, 3 Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States, 4 Penn Cardiovascular Institute, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States, 5 Cardiac Arrhythmia Center, University of California, Los Angeles, Los Angeles, CA, United States, 6 Biomedical Physics Inter-Departmental Graduate Program, University of California, Los Angeles, Los Angeles, CA, United States

We developed a wideband-IR LGE technique to eliminate the hyper-intensity artifacts seen in LGE MRI of patients with implantable cardioverter defibrillators (ICDs). This technique was implemented at two institutions and evaluated on 25 patients. The new wideband LGE sequence was compared with the conventional (narrowband-IR) LGE sequence by quantifying hyper-intensity artifacts. While hyper-intensity artifacts were prominent in the conventional LGE images, artifacts were completely eliminated in the wideband LGE images. The wideband LGE technique may enable widespread utility of LGE MRI in patients with implanted cardiac devices, in whom LGE MRI otherwise could not be used for diagnosis.

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