ABSTRACT
AIM: To assess whether susceptibility-weighted imaging (SWI) provides better image contrast for the detection of haemorrhagic ischaemia-reperfusion injury in the heart. MATERIALS AND METHODS: Thirty patients (all men; mean age 53 years) underwent cardiac magnetic resonance imaging (MRI) within 7 days of primary percutaneous intervention for acute ST elevation myocardial infarction (STEMI). Multiple gradient-echo T2* sequences with magnitude and phase reconstructions were acquired. A high-pass filtered phase map was used to create a mask for the SWI reconstructions. The difference in image contrast was assessed in those patients with microvascular obstruction. A mixed effects regression model was used to test the effect of echo time and reconstruction method on phase and contrast-to-noise ratio (CNR). Medians and interquartile ranges (IQR) are reported. RESULTS: T2* in haemorrhagic infarcts was shorter than in non-haemorrhagic infarcts (33.5 ms [24.9-43] versus 49.9 ms [44.6-67.6]; p=0.0007). The effect of echo time on phase was significant (p<0.0001), as was the effect of haemorrhage on phase (p=0.0016). SWI reconstruction had a significant effect on the CNR at all echo times (echoes 1-5, p<0.0001; echo 6, p=0.01; echo 7, p=0.02). The median echo number at which haemorrhage was first visible was less for SWI compared to source images (echo 2 versus echo 5, p=0.0002). CONCLUSION: Cardiac SWI improves the contrast between myocardial haemorrhage and the surrounding tissue following STEMI and has potential as a new tool for identifying patients with ischaemia-reperfusion injury.
Subject(s)
Cardiac-Gated Imaging Techniques/methods , Hemorrhage/diagnosis , Hemorrhage/etiology , Magnetic Resonance Imaging/methods , Myocardial Infarction/therapy , Myocardial Reperfusion/adverse effects , Contrast Media , Ferrosoferric Oxide , Gadolinium DTPA , Humans , Image Interpretation, Computer-Assisted , Male , Middle Aged , Percutaneous Coronary Intervention , Phantoms, Imaging , Prospective StudiesABSTRACT
This paper presents the first in vivo measurements of intravoxel incoherent motion in the human placenta, obtained using the pulsed gradient spin echo (PGSE) sequence. The aims of this study were two-fold. The first was to provide an initial estimate of the values of the IVIM parameters in this organ, which are currently unknown. The second aim was then to use these results to optimize the sequence timings for future studies. The moving blood fraction (f), diffusion coefficient (D), and pseudo-diffusion coefficient (D*) were measured. The average value of f was 26 +/- 6 % (mean +/- SD), D was 1.7 +/- 0.5 x 10(-3) mm2/sec, and D* was 57 +/- 41 x 10(-3) mm2/sec. For the optimized values of b, the expected percentage uncertainty in the fitted values of f, D, and D* for the placenta were sigmaf/f = 14.9%, sigmaD/D = 14.3%, sigmaD*/D* = 44.9%, for an image signal-to-noise of 20:1, and a total imaging time of 800 sec.
Subject(s)
Echo-Planar Imaging/methods , Fetal Movement , Placenta/anatomy & histology , Analysis of Variance , Artifacts , Echo-Planar Imaging/instrumentation , Echo-Planar Imaging/statistics & numerical data , Female , Humans , Movement , Pregnancy , Pregnancy Trimester, Second , Pregnancy Trimester, Third , Reference Values , Time FactorsABSTRACT
A method of reducing the amount of data required to reconstruct an image is described. In this scheme, fully sampled low spatial frequency data are acquired up to a given cutoff frequency and above this point, only alternate lines are sampled. Two images are produced, one of low definition and one of high definition but aliased. The proposed algorithm unwraps the aliased data, which are then used to enhance the low pass image, yielding a best estimate of the true image. The reduced sampling technique is shown to afford biological images that are almost indistinguishable from those obtained from a complete data set.
