Despite the advances to date, myocardial BOLD MRI continues to be plagued by imaging confounders, which limit its reliability. We hypothesized that (a) the loss in BOLD sensitivity is dependent on the magnitude of the change in heart rate (HR) between rest and vasodilator stress; and (b) HR-insensitive T2 maps can enable BOLD changes to be accurately captured. We tested our hypothesis by examining the BOLD response to a HR-insensitive T2 mapping approach and conventional T2 mapping. Our results show that reliability of T2-based myocardial BOLD MRI could be markedly improved through heart-rate-insensitive T2 acquisitions.
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