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Abstract #1268

Enabling high SNR cardiac spin echo DTI with a Cima.X MR System featuring 200 mT/m maximum gradient strength

Danielle Kara1, Yuchi Liu2, Shi Chen1, Thomas Garrett1, Xiaoming Bi3, Deborah Kwon4, and Christopher T Nguyen1,4,5,6
1Cardiac Innovation Research Center, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, United States, 2Siemens Medical Solutions USA, Cleveland, OH, United States, 3Siemens Medical Solutions USA, Los Angeles, CA, United States, 4Cardiovascular Medicine, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, United States, 5Biomedical Engineering, Case Western Reserve and Cleveland Clinic, Cleveland, OH, United States, 6Imaging Institute, Cleveland Clinic, Cleveland, OH, United States

Synopsis

Keywords: DWI/DTI/DKI, Diffusion Tensor Imaging

Motivation: SNR and parameter map accuracy in cardiac DTI are limited by maximum gradient strength related to motion-compensation and diffusion encoding time, precluding evaluation of helical cardiomyocyte structure.

Goal(s): Our goal was to improve SNR and cardiac DTI tissue microstructure characterization using an MR system capable of 200mT/m maximum gradient strength.

Approach: DTI was performed in human and swine subjects using standard (40mT/m), performance (80mT/m), and ultra-high-performance (200mT/m) maximum gradient strengths, with zeroth, first, and second-order motion compensating gradients.

Results: SNR and DTI tissue characterization were improved with ultra-high-performance gradients, however second-order motion compensation continued to be required to prevent motion artifacts.

Impact: Ultra-high performance 200mT/m gradients enable high SNR cardiac DTI with improved characterization of helical cardiomyocytes, potentially addressing the clinical need for noninvasive cardiac microstructure evaluation.

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