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Abstract #1818

Differentiating Myocardial Scar and Viable Myocardium without Gadolinium Contrast using Native Cardiac MRF Maps and Synthetic Images

Ana Cecilia Saavedra Bazan1, Jesse Hamilton1,2, Sydney Kaplan1,2, Sanjay Rajagopalan3,4, Imrad Rashid3,4, and Nicole Seiberlich1,2
1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2Radiology, University of Michigan, Ann Arbor, MI, United States, 3University Hospitals Cleveland Medical Center, Cleveland, OH, United States, 4School of Medicine, Case Western Reserve University, Cleveland, OH, United States

Synopsis

Keywords: Data Processing, Contrast Agent

Motivation: Late Gadolinium Enhancement (LGE) imaging is the gold-standard CMR imaging for distinguishing heart tissue viability. However, not all patients can receive gadolinium-based contrast agent. Native T1 have been proposed in place of LGE.

Goal(s): This study explores pre-contrast cardiac MRF T1 and T2 measurements as potential indicators of ischemic myocardial scar.

Approach: Native T1 and T2 values were measured using cMRF in eleven ischemic patients using ROIs in both scar and non-scar myocardial tissue identified through LGE imaging.

Results: Native cMRF measurements differ between scar and non-scar areas. Synthetic images from these maps highlight scar tissue, offering a potential LGE imaging alternative.

Impact: Native cMRF T1 and T2 maps and synthetic images derived from these maps may enable differentiation of scar tissue from viable myocardium without the need for gadolinium-based contrast agents.

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Keywords