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Abstract #0557

Time-resolved multifrequency cardiac MR elastography of the in-vivo human heart using a segmented gradient echo spiral sequence.

Matthias Anders1, Carsten Warmuth1, Tom Meyer1, Heiko Tzschätzsch2, Josef Pfeuffer3, Jeanette Schulz-Menger4,5,6,7, Jürgen Braun2, and Ingolf Sack1
1Department of Radiology, Charité – Universitätsmedizin Berlin, Berlin, Germany, 2Institute of Medical Informatics, Charité – Universitätsmedizin Berlin, Berlin, Germany, 3Application Development, Siemens Healthcare GmbH, Erlangen, Germany, 4Charité – Universitätsmedizin Berlin, Berlin, Germany, 5Working Group On CMR, Experimental and Clinical Research Center, Berlin, Germany, 6Department of Cardiology and Nephrology, HELIOS Hospital Berlin-Buch, Berlin, Germany, 7DZHK (German Centre for Cardiovascular Research), Berlin, Germany

Synopsis

Keywords: Elastography, Elastography

Motivation: Abnormal changes in myocardial stiffness during the cardiac cycle are a potential biomarker for cardiac diseases. However, there is currently no established MR-method for time-resolved mapping of cardiac stiffness.

Goal(s): To demonstrate the reproducibility of time-resolved stiffness mapping of the in-vivo human heart over the cardiac cycle by MR elastography (MRE).

Approach: Eleven healthy volunteers were examined twice using multifrequency cardiac-triggered, segmented gradient echo spiral MRE for stiffness mapping of the left ventricular myocardium in a short-axis view.

Results: Excellent, good, and moderate reproducibility was achieved for isovolumetric contraction, systolic, and diastolic phases, respectively. Significant differences among all phases were apparent.

Impact: The achieved high reproducibility of cardiac multifrequency MRE, together with its ability to identify distinct time-resolved stiffness levels during the cardiac phases of isovolumetric contraction, systole and diastole, could potentially detect stiffness related cardiac pathology in early disease stages.

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Keywords