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Ritter, CO; del Savio, K; Brackertz, A; Beer, M; Hahn, D; Koestler, H.
High-resolution MRI for the quantitative evaluation of subendocardial and subepicardial perfusion under pharmacological stress and at rest
Rofo. 2007; 179(9):945-952 Doi: 10.1055/s-2007-963350
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Co-authors Med Uni Graz: Beer Meinrad
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Abstract:: Purpose: MR stress perfusion imaging of the heart allows the quantification of myocardial perfusion and the evaluation of myocardial perfusion reserve (MPR) and the ratio of subendocardial to subepicardial perfusion at rest and under adenosine stress. The aim of this study was to evaluate a high-resolution GRAPPA sequence for quantitative MR first pass perfusion imaging in healthy volunteers. Materials and Methods: First pass stress and rest perfusion studies were performed on 10 healthy volunteers using a 1.5 T MR scanner with a multislice SR-TrueFISP first pass perfusion sequence with a GRAPPA algorithm (acceleration factor 3) in prebolus technique and an image resolution of 1 1.8 x 1.8 mm. For the comparison group, we examined 12 different healthy volunteers with a standard first pass perfusion SR-TrueFISP sequence using a resolution of 2.7 x 3.3 mm. Myocardial contours were manually delineated followed by an automatic division of the myocardium into two rings with an equal thickness for the subendo- and subepicardial layer. Eight sectors per slice were evaluated using contamination and baseline correction. Results: Using the GRAPPA sequence, the ratio of subendo- to subepirnyocardial perfusion was 1.18 +/- 0.32 for the examination at rest. Under pharmacologically induced stress, the ratio was 1.08 +/- 0.27. For the standard sequence the ratio was 1.15 +/- 0.28 at rest and 1.11 +/- 0.33 under stress. For the high resolution sequence higher mean values for the subendo- to subepimyocardial ratio were obtained with comparable standard deviations. The difference between the sequences was not significant. Conclusion: The evaluation of subendomyocardial and subepimyocardial perfusion is feasible with a high-resolution first pass perfusion sequence. The use of a higher resolution to avoid systematic error leads to increased image noise. However, no relevant reduction in the quantitative perfusion values under stress and at rest was able to be depicted.
Find related publications in this database (using NLM MeSH Indexing): Adenosine - administration and dosage Adenosine - pharmacology; Adult -; Algorithms -; Contrast Media -; Coronary Circulation - drug effects Coronary Circulation - physiology; Electrocardiography -; Feasibility Studies -; Female -; Heart Rate -; Humans -; Magnetic Resonance Imaging - instrumentation Magnetic Resonance Imaging - methods; Male -; Rest -; Stress, Physiological - chemically induced Stress, Physiological - physiopathology; Vasodilator Agents - administration and dosage Vasodilator Agents - pharmacology
Find related publications in this database (Keywords): magnetic resonance tomography; myocardial stress perfusion; quantitative first pass perfusion; high-resolution MR imaging