MR elastography is increasingly being applied to thin or small structures in which wave propagation is dominated by waveguide effects, which can bias stiffness results with common processing approaches. Finite element simulations of a realistic cardiac geometry were used to investigate the importance of waveguide effects, and to study the ability of the curl operator to remove these effects. The results establish that waveguide effects in a cardiac geometry can strongly bias stiffness results, but can be correctly handled by application of the curl operator to the measured displacement field, followed by true 3D inversion.
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