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Abstract #4152

Simultaneous 3D Whole-Heart Bright-Blood Visualization of the Coronary Sinus and Heart Anatomy and Black-Blood PSIR Quantification of Atrial Wall Thickness for Non-Contrast Enhanced Interventional Planning

Giulia Ginami1, Karina Lopez1, Radhouene Neji1,2, Camila Munoz1, Sebastien Roujol1, Peter Mountney2, Reza Razavi1, Rene M Botnar1, and Claudia Prieto1

1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Frimley, United Kingdom

Atrial wall thickness quantification has the potential of providing important clinical information when planning electrophysiological interventions. Imprecise delivery of thermal energy during catheter ablation can prevent the success of the procedure. Furthermore, pre-interventional knowledge of subject-specific variations in the anatomy of the coronary sinus (CS) is crucial for adequate catheterization. Here, we propose a free-breathing 3D whole-heart phase-sensitive inversion recovery sequence suitable for non-contrast enhanced interventional planning, offering simultaneous visualization of the atrial walls and CS anatomy. The sequence is integrated in a framework with image-based navigation and non-rigid respiratory motion correction for 100% scan efficiency and improved image sharpness.

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