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Abstract #0614

Free-running motion-resolved 5D whole-heart anatomical MRI at 3T without contrast agent

Augustin C. Ogier1, Isabel Montón Quesada1, Xavier Sieber1, Pauline Calarnou1, Jean-Baptiste Ledoux1,2, Bastien Milani1, Christopher W. Roy1, Jérôme Yerly1,2, Matthias Stuber1,2, and Ruud B. van Heeswijk1
1Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 2CIBM Center for BioMedical Imaging, Lausanne, Switzerland

Synopsis

Keywords: Heart Failure, Heart, Cardiovascular; Acquisition Methods; Analysis/Processing

Motivation: Routine cardiac function assessment uses breath-held 2D cine imaging. Self-gated free-running sequences have recently been proposed to simplify the workflow. However, at 3T, GRE-based sequences require contrast agents to achieve blood-myocardium contrast.

Goal(s): This study introduced a contrast-agent-free acquisition for assessing cardiac anatomy and function at 3T.

Approach: Based on an interrupted free-running sequence, the proposed approach integrates T2 preparation and recovery modules to optimize blood-to-myocardium-contrast. A compressed-sensing-based reconstruction was used to generate 5D images of the whole heart.

Results: The framework was validated in 11 healthy volunteers, where it demonstrated slightly lower contrast but enabled effective left-ventricle segmentation and exhibited high reproducibility.

Impact: The proposed study introduces a contrast-agent-free method for a comprehensive 5D assessment of cardiac anatomy and function at 3T in a 5-minute acquisition. Demonstrating high agreement with the routine method, this approach holds promise for enhancing the overall patient management.

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