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Abstract #1820

The effect of electrocardiogram missed-triggering on T1 measurements in cardiac MRI

Karolina Rehakova1, Peter Gatehouse2, Andrew Scott3, and Muhammad Usman4
1Bioengineering, Imperial College London, London, United Kingdom, 2Oxford Centre for Magnetic Resonance, Oxford, United Kingdom, 3Imperial College London, London, United Kingdom, 4Royal Bromptom Hospital, London, United Kingdom

Synopsis

Keywords: Quantitative Imaging, Quantitative Imaging, Missed triggering, T1 mapping, Myocardial T1, Cardiac MRI

Motivation: In cardiac MRI, the impact of ECG missed-triggering events on MOLLI 5(3)3 T1 mapping accuracy has not been fully studied despite its common use in clinical service.

Goal(s): This work investigated how missed-triggering affects myocardial T1 measurements at normal heart rates.

Approach: We developed a framework to simulate missed-triggering events along the T1 inversion recovery curve in phantom data.

Results: Specific combinations of missed-triggering events resulted in significant T1 estimation errors. The maximum absolute T1 measurement error across all missed-triggering events stayed below 13%, suggesting MOLLI 5(3)3 is a robust technique for cardiac T1 mapping at normal heart rates.

Impact: The robustness of MOLLI 5(3)3 cardiac T1 mapping in the presence of ECG missed-triggering events at normal heart rates has been investigated, allowing clinicians to gain an insight into its diagnostic value, where ECG is not reliable due to missed-triggering.

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