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Abstract #3538

Comparing 3D Cardiovascular MR Angiography with 3D bSSFP Whole Heart Imaging in Congenital Heart Diseases: A REACT Study

Sukran Erdem1, Qing Zou1, Aya El Jerbi1, Tayaba Miah1, Jeanne Dillenbeck1, Mohammad Tarique Hussain1, Munes Tarique Fares1, and Gerald Franz Greil1
1Pediatric Cardiology, University of Texas South Western, Dallas, TX, United States

Synopsis

Keywords: Vascular, Cardiovascular, Congenital Heart Disease (CHD)

Motivation: 3-Dimensional Whole Heart balanced Steady-State-Free-Precession (3D bSSFP) MR imaging is reliable for congenital heart disease (CHD) assessment, but field inhomogeneity-induced banding artifacts limit its utility.

Goal(s): This study assesses a 3D Whole Heart approach utilizing a modified REACT technology to enhance image quality for cardiac cardiovascular anatomy compared to conventional 3D bSSFP imaging.

Approach: Eleven patients were compared for image quality, vessel diameters and contrast-to-noise ratios.

Results: Modified REACT improves cardiovascular imaging in CHD particularly of the pulmonary veins and the aorta compared to traditional 3D bSSFP imaging

Impact: Visualizing cardiovascular structures like pulmonary veins in CHD patients can be challenging due to off-resonance effects. A modified REACT sequence with triggering overcomes these imaging difficulties providing improved image quality compared to 3D bSSFP.

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