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Abstract #4789

Free-Breathing 3D Cardiac Magnetic Resonance Elastography Using TURBINE-MRE

Nolan Meyer1, Yi Sui1, Phillip Rossman1, Kevin Glaser1, Matthew Murphy1, Armando Manduca1,2, Ian Chang3, Kiaran McGee1, Kejal Kantarci1, Ekta Kapoor4, Philip Araoz1, Richard Ehman1, Joshua Trzasko1, and Arvin Arani1
1Department of Radiology, Mayo Clinic, Rochester, MN, United States, 2Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States, 3Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States, 4Women's Health Research Center, Mayo Clinic, Rochester, MN, United States

Synopsis

Keywords: Elastography, Elastography, Cardiac, free-breathing, 3D

Motivation: Cardiac magnetic resonance elastography (cMRE) has potential for clinically vital quantitative imaging of myocardial stiffness, but for it to become clinically viable in patients with heart failure or shortness of breath, free-breathing techniques need to be developed.

Goal(s): To demonstrate the feasibility of 3D free-breathing cMRE.

Approach: A 3D MRE sequence (TURBINE-MRE) was utilized for data acquisition. Physiologic signals were recorded and used to partition data into distinct cardiac and respiratory states. With a specified signal model, we iteratively reconstructed image volumes for all states.

Results: Stiffness estimates throughout the cardiac cycle were successfully obtained in two volunteers, demonstrating successful free-breathing 3D cMRE.

Impact: Free-breathing cMRE will enable quantitative imaging of myocardial stiffness in a significant number of patients who are not able to perform long breath-holds. A 3D TURBINE-MRE acquisition enables temporal resolution of the heart's elastic properties throughout the cardiac cycle.

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